Wall Martha L, Pound Lynley D, Trenary Irina, O'Brien Richard M, Young Jamey D
Department of Chemical and Biomolecular Engineering, Vanderbilt School of Engineering, Nashville, TN.
Department of Molecular Physiology and Biophysics, Vanderbilt University Medical School, Nashville, TN.
Diabetes. 2015 Jun;64(6):2129-37. doi: 10.2337/db14-0745. Epub 2014 Dec 31.
A polymorphism located in the G6PC2 gene, which encodes an islet-specific glucose-6-phosphatase catalytic subunit, is the most important common determinant of variations in fasting blood glucose (FBG) levels in humans. Studies of G6pc2 knockout (KO) mice suggest that G6pc2 represents a negative regulator of basal glucose-stimulated insulin secretion (GSIS) that acts by hydrolyzing glucose-6-phosphate (G6P), thereby reducing glycolytic flux. However, this conclusion conflicts with the very low estimates for the rate of glucose cycling in pancreatic islets, as assessed using radioisotopes. We have reassessed the rate of glucose cycling in pancreatic islets using a novel stable isotope method. The data show much higher levels of glucose cycling than previously reported. In 5 mmol/L glucose, islets from C57BL/6J chow-fed mice cycled ∼16% of net glucose uptake. The cycling rate was further increased at 11 mmol/L glucose. Similar cycling rates were observed using islets from high fat-fed mice. Importantly, glucose cycling was abolished in G6pc2 KO mouse islets, confirming that G6pc2 opposes the action of the glucose sensor glucokinase by hydrolyzing G6P. The demonstration of high rates of glucose cycling in pancreatic islets explains why G6pc2 deletion enhances GSIS and why variants in G6PC2 affect FBG in humans.
位于G6PC2基因的一种多态性是人类空腹血糖(FBG)水平变化的最重要常见决定因素,该基因编码一种胰岛特异性葡萄糖-6-磷酸酶催化亚基。对G6pc2基因敲除(KO)小鼠的研究表明,G6pc2代表基础葡萄糖刺激的胰岛素分泌(GSIS)的负调节因子,其作用是通过水解葡萄糖-6-磷酸(G6P),从而降低糖酵解通量。然而,这一结论与使用放射性同位素评估的胰岛中葡萄糖循环速率的极低估计值相矛盾。我们使用一种新型稳定同位素方法重新评估了胰岛中的葡萄糖循环速率。数据显示,葡萄糖循环水平比之前报道的要高得多。在5 mmol/L葡萄糖条件下,来自C57BL/6J正常饮食小鼠的胰岛中,葡萄糖循环占净葡萄糖摄取量的约16%。在11 mmol/L葡萄糖条件下,循环速率进一步增加。使用来自高脂饮食小鼠的胰岛也观察到了类似的循环速率。重要的是,在G6pc2基因敲除小鼠的胰岛中葡萄糖循环被消除,证实了G6pc2通过水解G6P对抗葡萄糖传感器葡萄糖激酶的作用。胰岛中高葡萄糖循环速率的证明解释了为什么G6pc2缺失会增强GSIS以及为什么G6PC2中的变体在人类中会影响空腹血糖。