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KMID : 1200020200440060919
Diabetes & Metabolism Journal
2020 Volume.44 No. 6 p.919 ~ p.927
Hypoxia Increases ¥â-Cell Death by Activating Pancreatic Stellate Cells within the Islet
Kim Jong-Jin

Lee Esder
Ryu Gyeong-Ryul
Ko Seung-Hyun
Ahn Yu-Bae
Song Ki-Ho
Abstract
Background: Hypoxia can occur in pancreatic islets in type 2 diabetes mellitus. Pancreatic stellate cells (PSCs) are activated during hypoxia. Here we aimed to investigate whether PSCs within the islet are also activated in hypoxia, causing ¥â-cell injury.

Methods: Islet and primary PSCs were isolated from Sprague Dawley rats, and cultured in normoxia (21% O2) or hypoxia (1% O2). The expression of ¥á-smooth muscle actin (¥á-SMA), as measured by immunostaining and Western blotting, was used as a marker of PSC activation. Conditioned media (hypoxia-CM) were obtained from PSCs cultured in hypoxia.

Results: Islets and PSCs cultured in hypoxia exhibited higher expressions of ¥á-SMA than did those cultured in normoxia. Hypoxia increased the production of reactive oxygen species. The addition of N-acetyl-L-cysteine, an antioxidant, attenuated the hypoxia-induced PSC activation in islets and PSCs. Islets cultured in hypoxia-CM showed a decrease in cell viability and an increase in apoptosis.

Conclusion: PSCs within the islet are activated in hypoxia through oxidative stress and promote islet cell death, suggesting that hypoxia-induced PSC activation may contribute to ¥â-cell loss in type 2 diabetes mellitus.
KEYWORD
Hypoxia, Insulin-secreting cells, Islets of Langerhans, Oxidative stress, Pancreatic stellate cells
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