Diabetes Unit and Endocrine Service, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Division of Endocrinology, Metabolism and Diabetes, Department of Internal Medicine, Miller School of Medicine, University of Miami, Miami, FL.
Diabetes. 2022 Mar 1;71(3):453-469. doi: 10.2337/db21-0281.
The dynamic regulation of autophagy in β-cells by cycles of fasting-feeding and its effects on insulin secretion are unknown. In β-cells, mechanistic target of rapamycin complex 1 (mTORC1) is inhibited while fasting and is rapidly stimulated during refeeding by a single amino acid, leucine, and glucose. Stimulation of mTORC1 by nutrients inhibited the autophagy initiator ULK1 and the transcription factor TFEB, thereby preventing autophagy when β-cells were continuously exposed to nutrients. Inhibition of mTORC1 by Raptor knockout mimicked the effects of fasting and stimulated autophagy while inhibiting insulin secretion, whereas moderate inhibition of autophagy under these conditions rescued insulin secretion. These results show that mTORC1 regulates insulin secretion through modulation of autophagy under different nutritional situations. In the fasting state, autophagy is regulated in an mTORC1-dependent manner, and its stimulation is required to keep insulin levels low, thereby preventing hypoglycemia. Reciprocally, stimulation of mTORC1 by elevated leucine and glucose, which is common in obesity, may promote hyperinsulinemia by inhibiting autophagy.
β 细胞中自噬的动态调节受禁食-进食循环的影响,其对胰岛素分泌的作用尚不清楚。在β细胞中,雷帕霉素复合物 1(mTORC1)在禁食时被抑制,而在重新进食时,单一氨基酸亮氨酸和葡萄糖会迅速刺激其活性。营养物质刺激 mTORC1 会抑制自噬起始因子 ULK1 和转录因子 TFEB,从而阻止β细胞持续暴露于营养物质时发生自噬。在这些条件下,通过 Raptor 敲除抑制 mTORC1 可模拟禁食的效果,刺激自噬并抑制胰岛素分泌,而适度抑制自噬则可挽救胰岛素分泌。这些结果表明,mTORC1 通过在不同营养情况下调节自噬来调节胰岛素分泌。在禁食状态下,自噬受到 mTORC1 的调节,其激活对于保持较低的胰岛素水平是必需的,从而防止低血糖。相反,肥胖症中常见的亮氨酸和葡萄糖水平升高刺激 mTORC1,可能通过抑制自噬促进高胰岛素血症。