Sato K, Iemitsu M, Aizawa K, Mesaki N, Fujita S. Increased muscular dehydroepiandrosterone levels are associated with improved hyperglycemia in obese rats. Am J Physiol Endocrinol Metab 301: E274-E280, 2011. First published February 1, 2011 doi:10.1152/ajpendo.00564.2010.-This study was undertaken to assess the effects of dehydroepiandrosterone (DHEA) administration and exercise training on muscular DHEA and 5␣-dihydrotestosterone (DHT) levels and hyperglycemia in dietinduced obese and hyperglycemic rats. After 14 wk of a high-sucrose diet, obese male Wistar rats were assigned randomly to one of three 6-wk regimens: control, DHEA treatment, or exercise training (running at 25 m/min for 1 h, 5 days/wk; n ϭ 10 each group). Results indicate that either 6 wk of DHEA treatment or exercise training significantly attenuated serum insulin and fasting glucose levels compared with the control group. Plasma and muscle concentrations of DHEA and DHT and expression levels of 5␣-reductase were significantly higher in the DHEA-treated and exercise-training groups. Moreover, both DHEA administration and exercise training upregulated GLUT4 translocation with concomitant increases in protein kinase B and protein kinase C/ phosphorylation. Muscle DHEA and DHT concentrations closely correlated with blood glucose levels (DHEA treatment: r ϭ Ϫ0.68, P Ͻ 0.001; exercise training: r ϭ Ϫ0.65, P Ͻ 0.001), serum insulin levels, and activation of the GLUT4-regulated signaling pathway. Thus, increased levels of muscle sex steroids may contribute to improved fasting glucose levels via upregulation of GLUT4-regulated signaling in diet-induced obesity and hyperglycemia. muscle glucose metabolism; exercise; sex steroid hormone EPIDEMIOLOGIC, EXPERIMENTAL, AND CLINICAL EVIDENCE has demonstrated that diet-induced obesity and weight gain are closely associated with increased risk of diabetes morbidity, including cardiovascular diseases, hypertension, and dyslipidemia (9). Obesity triples the diabetes morbidity that results from impaired glucose metabolism, such as decreased uptake and utilization in skeletal muscle (9, 10). These effects are mediated, in part, by impaired regulation of glucose transporter-4 (GLUT4); binding of insulin receptor substrate (IRS) is inhibited in skeletal muscle, which downregulates the activities of protein kinase B (Akt) and/or protein kinase C/ (PKC/) via phosphatidylinositol 3-kinase (PI 3-kinase) (14).Dehydroepiandrosterone (DHEA) and its sulfate derivate (DHEA-S) are precursors of sex steroid hormones. DHEA is converted to testosterone and 5␣-dihydrotestosterone (DHT) by 3-hydroxysteroid dehydrogenase (HSD), 17-HSD, and 5␣-reductase. DHEA is most abundantly localized in blood before it is used by target tissues. Several reports have shown that short-term DHEA administration (2 wk) induces an acute decrease in blood glucose levels in type 2 diabetic mice (4 -7). Recently, we used cultured muscle cells to demonstrate that DHEA induced local production of testosterone, whereas DHT increased the activation of the G...