胰高血糖素样肽 1 通过促进α细胞到β细胞转分化增加β细胞再生。

Glucagon-Like Peptide 1 Increases β-Cell Regeneration by Promoting α- to β-Cell Transdifferentiation.

机构信息

Lee Gil Ya Cancer and Diabetes Institute, Gachon University, Incheon, Korea.

College of Pharmacy and Gachon Institute of Pharmaceutical Science, Gachon University, Incheon, Korea.

出版信息

Diabetes. 2018 Dec;67(12):2601-2614. doi: 10.2337/db18-0155. Epub 2018 Sep 26.

Abstract

Glucagon-like peptide 1 (GLP-1) can increase pancreatic β-cells, and α-cells could be a source for new β-cell generation. We investigated whether GLP-1 increases β-cells through α-cell transdifferentiation. New β-cells originating from non-β-cells were significantly increased in recombinant adenovirus expressing GLP-1 (rAd-GLP-1)-treated RIP-CreER;R26-YFP mice. Proliferating α-cells were increased in islets of rAd-GLP-1-treated mice and αTC1 clone 9 (αTC1-9) cells treated with exendin-4, a GLP-1 receptor agonist. Insulinglucagon cells were significantly increased by rAd-GLP-1 or exendin-4 treatment in vivo and in vitro. Lineage tracing to label the glucagon-producing α-cells showed a higher proportion of regenerated β-cells from α-cells in rAd-GLP-1-treated Glucagon-rtTA;Tet--Cre;R26-YFP mice than rAd producing β-galactosidase-treated mice. In addition, exendin-4 increased the expression and secretion of fibroblast growth factor 21 (FGF21) in αTC1-9 cells and β-cell-ablated islets. FGF21 treatment of β-cell-ablated islets increased the expression of pancreatic and duodenal homeobox-1 and neurogenin-3 and significantly increased insulinglucagon cells. Generation of insulinglucagon cells by exendin-4 was significantly reduced in islets transfected with FGF21 small interfering RNA or islets of FGF21 knockout mice. Generation of insulin cells by rAd-GLP-1 treatment was significantly reduced in FGF21 knockout mice compared with wild-type mice. We suggest that GLP-1 has an important role in α-cell transdifferentiation to generate new β-cells, which might be mediated, in part, by FGF21 induction.

摘要

胰高血糖素样肽 1 (GLP-1) 可以增加胰岛β细胞,而α细胞可能是新β细胞生成的来源。我们研究了 GLP-1 是否通过α细胞转分化来增加β细胞。在表达 GLP-1 的重组腺病毒(rAd-GLP-1)处理的 RIP-CreER;R26-YFP 小鼠中,源自非β细胞的新β细胞明显增加。rAd-GLP-1 处理的小鼠胰岛和 GLP-1 受体激动剂 exendin-4 处理的αTC1 克隆 9(αTC1-9)细胞中,增殖的α细胞增加。rAd-GLP-1 或 exendin-4 处理在体内和体外均显著增加胰岛素-胰高血糖素细胞。谱系追踪标记产生胰高血糖素的α细胞显示,rAd-GLP-1 处理的 Glucagon-rtTA;Tet--Cre;R26-YFP 小鼠中,从α细胞再生的β细胞比例高于 rAd 产生β-半乳糖苷酶处理的小鼠。此外,exendin-4 增加了αTC1-9 细胞和β细胞消融胰岛中纤维母细胞生长因子 21(FGF21)的表达和分泌。FGF21 处理β细胞消融的胰岛可增加胰腺和十二指肠同源盒-1 和神经基因-3 的表达,并显著增加胰岛素-胰高血糖素细胞。用 FGF21 小干扰 RNA 转染的胰岛或 FGF21 基因敲除小鼠的胰岛中转录因子 exendin-4 的生成胰岛素-胰高血糖素细胞明显减少。与野生型小鼠相比,rAd-GLP-1 处理的 FGF21 基因敲除小鼠中胰岛素细胞的生成明显减少。我们认为,GLP-1 在α细胞转分化为新的β细胞中起重要作用,这可能部分是通过 FGF21 诱导介导的。

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