Department of Physiology and Biomedical Engineering, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Department of Medicine, Division of Endocrinology, Metabolism, Diabetes, and Nutrition, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.
Endocrinology. 2021 Jan 1;162(1). doi: 10.1210/endocr/bqaa084.
Intrinsic β-cell circadian clocks are important regulators of insulin secretion and overall glucose homeostasis. Whether the circadian clock in β-cells is perturbed following exposure to prodiabetogenic stressors such as proinflammatory cytokines, and whether these perturbations are featured during the development of diabetes, remains unknown. To address this, we examined the effects of cytokine-mediated inflammation common to the pathophysiology of diabetes, on the physiological and molecular regulation of the β-cell circadian clock. Specifically, we provide evidence that the key diabetogenic cytokine IL-1β disrupts functionality of the β-cell circadian clock and impairs circadian regulation of glucose-stimulated insulin secretion. The deleterious effects of IL-1β on the circadian clock were attributed to impaired expression of key circadian transcription factor Bmal1, and its regulator, the NAD-dependent deacetylase, Sirtuin 1 (SIRT1). Moreover, we also identified that Type 2 diabetes in humans is associated with reduced immunoreactivity of β-cell BMAL1 and SIRT1, suggestive of a potential causative link between islet inflammation, circadian clock disruption, and β-cell failure. These data suggest that the circadian clock in β-cells is perturbed following exposure to proinflammatory stressors and highlights the potential for therapeutic targeting of the circadian system for treatment for β-cell failure in diabetes.
内在的β细胞生物钟是胰岛素分泌和整体血糖稳态的重要调节因子。β细胞中的生物钟在暴露于促糖尿病应激源(如促炎细胞因子)后是否会受到干扰,以及这些干扰是否在糖尿病的发展过程中出现,目前尚不清楚。为了解决这个问题,我们研究了常见于糖尿病病理生理学的细胞因子介导的炎症对β细胞生物钟的生理和分子调节的影响。具体来说,我们提供的证据表明,关键的促糖尿病细胞因子白细胞介素-1β(IL-1β)破坏了β细胞生物钟的功能,并损害了葡萄糖刺激胰岛素分泌的昼夜节律调节。IL-1β对生物钟的有害影响归因于关键生物钟转录因子 Bmal1 的表达受损,以及其调节剂 NAD 依赖性去乙酰化酶 Sirtuin 1(SIRT1)。此外,我们还发现,人类 2 型糖尿病与β细胞 BMAL1 和 SIRT1 的免疫反应性降低有关,提示胰岛炎症、生物钟紊乱和β细胞衰竭之间可能存在因果关系。这些数据表明,β细胞中的生物钟在暴露于促炎应激源后会受到干扰,并强调了针对昼夜节律系统进行治疗以治疗糖尿病中β细胞衰竭的潜在可能性。