KMID : 1141520180330010105
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Endocrinology and Metabolism 2018 Volume.33 No. 1 p.105 ~ p.113
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Pioglitazone Attenuates Palmitate-Induced Inflammation and Endoplasmic Reticulum Stress in Pancreatic ¥â-Cells
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Hong Seok-Woo
Lee Jin-Mi Cho Jung-Hwan Kwon Hye-Mi Park Se-Eun Rhee Eun-Jung Park Cheol-Young Oh Ki-Won Park Sung-Woo Lee Won-Young
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Abstract
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Background: The nuclear receptor peroxisome proliferator-activator gamma (PPAR¥ã) is a useful therapeutic target for obesity and diabetes, but its role in protecting ¥â-cell function and viability is unclear.
Methods: To identify the potential functions of PPAR¥ã in ¥â-cells, we treated mouse insulinoma 6 (MIN6) cells with the PPAR¥ã agonist pioglitazone in conditions of lipotoxicity, endoplasmic reticulum (ER) stress, and inflammation.
Results: Palmitate-treated cells incubated with pioglitazone exhibited significant improvements in glucose-stimulated insulin secretion and the repression of apoptosis, as shown by decreased caspase-3 cleavage and poly (adenosine diphosphate [ADP]-ribose) polymerase activity. Pioglitazone also reversed the palmitate-induced expression of inflammatory cytokines (tumor necrosis factor ¥á, interleukin 6 [IL-6], and IL-1¥â) and ER stress markers (phosphor-eukaryotic translation initiation factor 2¥á, glucose-regulated protein 78 [GRP78], cleaved-activating transcription factor 6 [ATF6], and C/EBP homologous protein [CHOP]), and pioglitazone significantly attenuated inflammation and ER stress in lipopolysaccharide- or tunicamycin-treated MIN6 cells. The protective effect of pioglitazone was also tested in pancreatic islets from high-fat-fed KK-Ay mice administered 0.02% (wt/wt) pioglitazone or vehicle for 6 weeks. Pioglitazone remarkably reduced the expression of ATF6¥á, GRP78, and monocyte chemoattractant protein-1, prevented ¥á-cell infiltration into the pancreatic islets, and upregulated glucose transporter 2 (Glut2) expression in ¥â-cells. Moreover, the preservation of ¥â-cells by pioglitazone was accompanied by a significant reduction of blood glucose levels.
Conclusion: Altogether, these results support the proposal that PPAR¥ã agonists not only suppress insulin resistance, but also prevent ¥â-cell impairment via protection against ER stress and inflammation. The activation of PPAR¥ã might be a new therapeutic approach for improving ¥â-cell survival and insulin secretion in patients with diabetes mellitus
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KEYWORD
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Pioglitazone, Insulin-secreting cells, Glucolipotoxicity, Inflammation, Endoplasmic reticulum stress
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