Institut de Génétique et de Biologie Moléculaire et Cellulaire, Illkirch, France.
Centre National de la Recherche Scientifique, UMR7104, Illkirch, France.
Diabetes Obes Metab. 2018 Sep;20 Suppl 2:104-115. doi: 10.1111/dom.13389.
Regulated insulin secretion from pancreatic β-cells is a major process maintaining glucose homeostasis in mammals. Enhancing insulin release in response to chronic nutrient overload and obesity-related insulin resistance (pre-diabetes) requires several adaptive cellular mechanisms maintaining β-cell health under such stresses. Once these mechanisms are overwhelmed, β-cell failure occurs leading to full-blown Type 2 Diabetes (T2D). Nutrient-dependent macroautophagy represents one such adaptive mechanism in β-cells. While macroautophagy levels are high and protective in β-cells in pre-diabetes, they decrease at later stages contributing to β-cell failure. However, mechanisms compromising macroautophagy in β-cells remain poorly understood. In this review, we discuss how recently discovered signalling cascades that emanate from the limiting membrane of lysosomes contribute to changes in macroautophagy flux in physiology and disease. In particular, these mechanisms are put into context with β-cell function highlighting most recently described links between nutrient-dependent lysosomal signalling pathways and insulin secretion. Understanding these mechanisms in response to metabolic stress might pave the way for development of more tailored treatment strategies aimed at preserving β-cell health.
胰岛β细胞的胰岛素分泌受到严格调控,是哺乳动物维持血糖稳态的主要过程。为了应对慢性营养过剩和肥胖相关的胰岛素抵抗(糖尿病前期),需要多种适应性细胞机制来维持β细胞在这些应激下的健康。一旦这些机制被破坏,β细胞就会衰竭,导致 2 型糖尿病(T2D)的发生。营养依赖性巨自噬是β细胞中的一种适应性机制。虽然糖尿病前期β细胞中的巨自噬水平较高且具有保护作用,但在后期会降低,从而导致β细胞衰竭。然而,目前仍不清楚哪些机制会损害β细胞中的巨自噬。在这篇综述中,我们讨论了最近发现的从溶酶体限制膜发出的信号级联反应如何在生理和疾病中影响巨自噬通量的变化。特别是,这些机制与β细胞功能相结合,突出了最近描述的营养依赖性溶酶体信号通路与胰岛素分泌之间的联系。了解这些对代谢应激的反应机制可能为开发更有针对性的治疗策略铺平道路,以保护β细胞的健康。