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Details

Autor(en) / Beteiligte
Titel
Cyclical and Alternating Infusions of Glucose and Intralipid in Rats Inhibit Insulin Gene Expression and Pdx-1 Binding in Islets
Ist Teil von
  • Diabetes (New York, N.Y.), 2008-02, Vol.57 (2), p.424-431
Ort / Verlag
Alexandria, VA: American Diabetes Association
Erscheinungsjahr
2008
Quelle
MEDLINE
Beschreibungen/Notizen
  • Cyclical and Alternating Infusions of Glucose and Intralipid in Rats Inhibit Insulin Gene Expression and Pdx-1 Binding in Islets Derek K. Hagman 1 , Martin G. Latour 1 , Swarup K. Chakrabarti 2 , Ghislaine Fontes 1 , Julie Amyot 1 , Caroline Tremblay 1 , Meriem Semache 1 , James A. Lausier 3 , Violet Roskens 3 , Raghavendra G. Mirmira 2 , Thomas L. Jetton 3 and Vincent Poitout 1 4 1 Montreal Diabetes Research Center, Centre de Recherche du Centre Hospitalier de l’Université de Montréal, Montréal, Quebec, Canada 2 Department of Medicine and the Diabetes Center, University of Virginia, Charlottesville, Virginia 3 Division of Endocrinology, Diabetes and Metabolism, University of Vermont College of Medicine, Burlington, Vermont 4 Departments of Medicine, Nutrition, and Biochemistry, Université de Montréal, Montréal, Quebec, Canada Address correspondence and reprint requests to Vincent Poitout, DVM, PhD, Montreal Diabetes Research Center, Centre de Recherche du Centre Hospitalier de l’Université de Montréal, Technopole Angus, 2901 Rachel Est, Montréal, QC, H1W 4A4, Canada. E-mail: vincent.poitout{at}umontreal.ca Abstract OBJECTIVE— Prolonged exposure of isolated islets of Langerhans to elevated levels of fatty acids, in the presence of high glucose, impairs insulin gene expression via a transcriptional mechanism involving nuclear exclusion of pancreas-duodenum homeobox-1 (Pdx-1) and loss of MafA expression. Whether such a phenomenon also occurs in vivo is unknown. Our objective was therefore to ascertain whether chronic nutrient oversupply inhibits insulin gene expression in vivo. RESEARCH DESIGN AND METHODS— Wistar rats received alternating 4-h infusions of glucose and Intralipid for a total of 72 h. Control groups received alternating infusions of glucose and saline, saline and Intralipid, or saline only. Insulin and C-peptide secretion were measured under hyperglycemic clamps. Insulin secretion and gene expression were assessed in isolated islets, and β-cell mass was quantified by morphometric analysis. RESULTS— Neither C-peptide secretion nor insulin sensitivity was different among infusion regimens. Insulin content and insulin mRNA levels were lower in islets isolated from rats infused with glucose plus Intralipid. This was associated with reduced Pdx-1 binding to the endogenous insulin promoter, and an increased proportion of Pdx-1 localized in the cytoplasm versus the nucleus. In contrast, MafA mRNA and protein levels and β-cell mass and proliferation were unchanged. CONCLUSIONS— Cyclical and alternating infusions of glucose and Intralipid in normal rats inhibit insulin gene expression without affecting insulin secretion or β-cell mass. We conclude that fatty acid inhibition of insulin gene expression, in the presence of high glucose, is an early functional defect that may contribute to β-cell failure in type 2 diabetes. ChIP, chromatin immunoprecipitation GSIS, glucose-stimulated insulin secretion NEFA, nonesterified fatty acid Pdx-1, pancreas-duodenum homeobox-1 Footnotes Published ahead of print at http//:diabetes.diabetesjournals.org on 8 November 2007. DOI: 10.2337/db07-1285. Additional information for this article can be found in an online appendix at http://dx.doi.org/10.2337/db07-1285 . The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Accepted November 1, 2007. Received September 10, 2007. DIABETES

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