Institute for Cardiovascular Prevention, Ludwig-Maximilians-Universität München, Munich, Germany.
German Centre for Cardiovascular Research, Partner Site Munich Heart Alliance, Munich, Germany.
Diabetes. 2017 Dec;66(12):3072-3084. doi: 10.2337/db17-0313. Epub 2017 Sep 29.
A high-fat diet increases bacterial lipopolysaccharide (LPS) in the circulation and thereby stimulates glucagon-like peptide 1 (GLP-1)-mediated insulin secretion by upregulating interleukin-6 (IL-6). Although microRNA-155-5p (miR-155-5p), which increases IL-6 expression, is upregulated by LPS and hyperlipidemia and patients with familial hypercholesterolemia less frequently develop diabetes, the role of miR-155-5p in the islet stress response to hyperlipidemia is unclear. In this study, we demonstrate that hyperlipidemia-associated endotoxemia upregulates miR-155-5p in murine pancreatic β-cells, which improved glucose metabolism and the adaptation of β-cells to obesity-induced insulin resistance. This effect of miR-155-5p is because of suppression of v-maf musculoaponeurotic fibrosarcoma oncogene family, protein B, which promotes β-cell function through IL-6-induced GLP-1 production in α-cells. Moreover, reduced GLP-1 levels are associated with increased obesity progression, dyslipidemia, and atherosclerosis in hyperlipidemic knockout mice. Hence, induction of miR-155-5p expression in β-cells by hyperlipidemia-associated endotoxemia improves the adaptation of β-cells to insulin resistance and represents a protective mechanism in the islet stress response.
高脂肪饮食会增加循环中的细菌脂多糖 (LPS),从而通过上调白细胞介素 6 (IL-6) 刺激胰高血糖素样肽 1 (GLP-1) 介导的胰岛素分泌。虽然增加 IL-6 表达的 microRNA-155-5p (miR-155-5p) 被 LPS 和高脂血症上调,并且家族性高胆固醇血症患者较少发生糖尿病,但 miR-155-5p 在胰岛对高血脂的应激反应中的作用尚不清楚。在这项研究中,我们证明了与高脂血症相关的内毒素血症会上调小鼠胰腺β细胞中的 miR-155-5p,从而改善葡萄糖代谢和β细胞对肥胖引起的胰岛素抵抗的适应。miR-155-5p 的这种作用是因为抑制 v-maf 肌肉腱膜纤维肉瘤癌基因家族,蛋白 B,它通过 α 细胞中 IL-6 诱导的 GLP-1 产生促进 β 细胞功能。此外,在高脂血症 knockout 小鼠中,GLP-1 水平降低与肥胖进展、血脂异常和动脉粥样硬化的增加有关。因此,高脂血症相关内毒素血症诱导β细胞中 miR-155-5p 的表达可改善β细胞对胰岛素抵抗的适应,是胰岛应激反应的一种保护机制。