Molecular Signaling Section, Laboratory of Bioorganic Chemistry, National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland, USA.
Laboratory of Mitochondrial Biology and Metabolism, National Heart, Lung and Blood Institute, Bethesda, Maryland, USA.
JCI Insight. 2019 Apr 23;5(10):127994. doi: 10.1172/jci.insight.127994.
Glucagon, a hormone released from pancreatic alpha-cells, plays a key role in maintaining proper glucose homeostasis and has been implicated in the pathophysiology of diabetes. In vitro studies suggest that intra-islet glucagon can modulate the function of pancreatic beta-cells. However, because of the lack of suitable experimental tools, the in vivo physiological role of this intra-islet cross-talk has remained elusive. To address this issue, we generated a novel mouse model that selectively expressed an inhibitory designer G protein-coupled receptor (Gi DREADD) in α-cells only. Drug-induced activation of this inhibitory designer receptor almost completely shut off glucagon secretion in vivo, resulting in significantly impaired insulin secretion, hyperglycemia, and glucose intolerance. Additional studies with mouse and human islets indicated that intra-islet glucagon stimulates insulin release primarily by activating β-cell GLP-1 receptors. These new findings strongly suggest that intra-islet glucagon signaling is essential for maintaining proper glucose homeostasis in vivo. Our work may pave the way toward the development of novel classes of antidiabetic drugs that act by modulating intra-islet cross-talk between α- and β-cells.
胰高血糖素是一种由胰腺α细胞释放的激素,在维持适当的葡萄糖内稳态中发挥着关键作用,并且与糖尿病的病理生理学有关。体外研究表明,胰岛内的胰高血糖素可以调节胰岛β细胞的功能。然而,由于缺乏合适的实验工具,这种胰岛内相互作用的体内生理作用仍然难以捉摸。为了解决这个问题,我们构建了一种新型的小鼠模型,该模型仅在α细胞中特异性表达一种抑制性设计的 G 蛋白偶联受体(Gi DREADD)。该抑制性设计受体的药物诱导激活几乎可以完全阻断体内胰高血糖素的分泌,导致胰岛素分泌显著受损、高血糖和葡萄糖不耐受。对小鼠和人胰岛的进一步研究表明,胰岛内的胰高血糖素主要通过激活β细胞 GLP-1 受体来刺激胰岛素释放。这些新发现强烈表明,胰岛内的胰高血糖素信号对于维持体内适当的葡萄糖内稳态是必不可少的。我们的工作可能为开发通过调节胰岛内α-和β-细胞之间的相互作用来发挥作用的新型抗糖尿病药物铺平道路。