Department of Physiology, Anatomy and Genetics and OXION, University of Oxford, Parks Road, Oxford, OX1 3PT, UK.
Chemistry Research Laboratory, Department of Chemistry, University of Oxford, Mansfield Road, Oxford, OX1 3TA, UK.
Nat Commun. 2022 Nov 14;13(1):6754. doi: 10.1038/s41467-022-34095-x.
Chronic hyperglycaemia causes a dramatic decrease in mitochondrial metabolism and insulin content in pancreatic β-cells. This underlies the progressive decline in β-cell function in diabetes. However, the molecular mechanisms by which hyperglycaemia produces these effects remain unresolved. Using isolated islets and INS-1 cells, we show here that one or more glycolytic metabolites downstream of phosphofructokinase and upstream of GAPDH mediates the effects of chronic hyperglycemia. This metabolite stimulates marked upregulation of mTORC1 and concomitant downregulation of AMPK. Increased mTORC1 activity causes inhibition of pyruvate dehydrogenase which reduces pyruvate entry into the tricarboxylic acid cycle and partially accounts for the hyperglycaemia-induced reduction in oxidative phosphorylation and insulin secretion. In addition, hyperglycaemia (or diabetes) dramatically inhibits GAPDH activity, thereby impairing glucose metabolism. Our data also reveal that restricting glucose metabolism during hyperglycaemia prevents these changes and thus may be of therapeutic benefit. In summary, we have identified a pathway by which chronic hyperglycaemia reduces β-cell function.
慢性高血糖会导致胰腺β细胞中线粒体代谢和胰岛素含量显著下降。这是糖尿病中β细胞功能逐渐衰退的基础。然而,高血糖产生这些影响的分子机制仍未解决。在这里,我们使用分离的胰岛和 INS-1 细胞表明,磷酸果糖激酶下游和 GAPDH 上游的一种或多种糖酵解代谢物介导了慢性高血糖的作用。这种代谢物刺激 mTORC1 的显著上调和 AMPK 的相应下调。增加的 mTORC1 活性导致丙酮酸脱氢酶的抑制,从而减少丙酮酸进入三羧酸循环,部分解释了高血糖诱导的氧化磷酸化和胰岛素分泌减少。此外,高血糖(或糖尿病)会显著抑制 GAPDH 的活性,从而损害葡萄糖代谢。我们的数据还表明,在高血糖期间限制葡萄糖代谢可以防止这些变化,因此可能具有治疗益处。总之,我们已经确定了一条慢性高血糖降低β细胞功能的途径。