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胰高血糖素样肽-1类似物利拉鲁肽通过蛋白激酶A依赖性途径增强胰腺β细胞中胰岛素原的加工。

GLP-1 analog liraglutide enhances proinsulin processing in pancreatic β-cells via a PKA-dependent pathway.

作者信息

Wang Liang, Liu Ye, Yang Jin, Zhao Hejun, Ke Jing, Tian Qing, Zhang Lin, Wen Jinhua, Wei Rui, Hong Tianpei

机构信息

Department of Endocrinology and Metabolism (L.W., Y.L., J.Y., H.Z., J.K., Q.T., L.Z., R.W., T.H.), Peking University Third Hospital, and Peking University Stem Cell Research Center (J.W., T.H.), Peking University Health Science Center, Beijing 100191, China.

出版信息

Endocrinology. 2014 Oct;155(10):3817-28. doi: 10.1210/en.2014-1218. Epub 2014 Jul 22.

Abstract

Hyperproinsulinemia has gained increasing attention in the development of type 2 diabetes. Clinical studies have demonstrated that glucagon-like peptide-1 (GLP-1)-based therapies significantly decrease plasma proinsulin/insulin ratio in patients with type 2 diabetes. However, the underlying mechanism remains unclear. Prohormone convertase (PC)-1/3 and PC2 are primarily responsible for processing proinsulin to insulin in pancreatic β-cells. We have recently reported that Pax6 mutation down-regulated PC1/3 and PC2 expression, resulting in defective proinsulin processing in Pax6 heterozygous mutant (Pax6(m/+)) mice. In this study, we investigated whether and how liraglutide, a novel GLP-1 analog, modulated proinsulin processing. Our results showed that liraglutide significantly up-regulated PC1/3 expression and decreased the proinsulin to insulin ratio in both Pax6(m/+) and db/db diabetic mice. In the cultured mouse pancreatic β-cell line, Min6, liraglutide stimulated PC1/3 and PC2 expression and lowered the proinsulin to insulin ratio in a dose- and time-dependent manner. Moreover, the beneficial effects of liraglutide on PC1/3 and PC2 expression and proinsulin processing were dependent on the GLP-1 receptor-mediated cAMP/protein kinase A signaling pathway. The same mechanism was recapitulated in isolated mouse islets. In conclusion, liraglutide enhanced PC1/3- and PC2-dependent proinsulin processing in pancreatic β-cells through the activation of the GLP-1 receptor/cAMP/protein kinase A signaling pathway. Our study provides a new mechanism for improvement of pancreatic β-cell function by the GLP-1-based therapy.

摘要

高胰岛素原血症在2型糖尿病的发展过程中受到越来越多的关注。临床研究表明,基于胰高血糖素样肽-1(GLP-1)的疗法可显著降低2型糖尿病患者血浆胰岛素原/胰岛素比值。然而,其潜在机制仍不清楚。激素原转化酶(PC)-1/3和PC2主要负责在胰腺β细胞中将胰岛素原加工成胰岛素。我们最近报道,Pax6突变下调了PC1/3和PC2的表达,导致Pax6杂合突变(Pax6(m/+))小鼠的胰岛素原加工缺陷。在本研究中,我们调查了新型GLP-1类似物利拉鲁肽是否以及如何调节胰岛素原加工。我们的结果表明,利拉鲁肽显著上调了Pax6(m/+)和db/db糖尿病小鼠的PC1/3表达,并降低了胰岛素原与胰岛素的比值。在培养的小鼠胰腺β细胞系Min6中,利拉鲁肽以剂量和时间依赖性方式刺激PC1/3和PC2表达,并降低胰岛素原与胰岛素的比值。此外,利拉鲁肽对PC1/3和PC2表达以及胰岛素原加工的有益作用依赖于GLP-1受体介导的cAMP/蛋白激酶A信号通路。在分离的小鼠胰岛中也重现了相同的机制。总之,利拉鲁肽通过激活GLP-1受体/cAMP/蛋白激酶A信号通路增强了胰腺β细胞中PC1/3和PC2依赖性的胰岛素原加工。我们的研究为基于GLP-1的疗法改善胰腺β细胞功能提供了一种新机制。

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