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Exenatide prevents statin-related LDL receptor increase and improves insulin secretion in pancreatic beta cells (1.1E7) in a protein kinase A-dependent manner.

作者信息

Buldak Lukasz, Machnik Grzegorz, Skudrzyk Estera, Boldys Aleksandra, Maliglowka Mateusz, Kosowski Michal, Basiak Marcin, Buldak Rafal Jakub, Okopien Boguslaw

机构信息

Medical University of Silesia, School of Medicine in Katowice, Department of Internal Medicine and Clinical Pharmacology, Katowice, Poland.

University of Opole, Institute of Medical Sciences, Opole, Poland.

出版信息

J Appl Biomed. 2022 Dec;20(4):130-140. doi: 10.32725/jab.2022.015. Epub 2022 Nov 22.


DOI:10.32725/jab.2022.015
PMID:36708718
Abstract

Statins are primary drugs in the treatment of hyperlipidemias. This group of drugs is known for its beneficial pleiotropic effects (e.g., reduction of inflammatory state). However, a growing body of evidence suggests its diabetogenic properties. The culpable mechanism is not completely understood and might be related to the damage to pancreatic beta cells. Therefore, we conceived an in vitro study to explore the impact of atorvastatin on pancreatic islet beta cells line (1.1.E7). We evaluated the influence on viability, insulin, low-density lipoprotein (LDL) receptor, and proprotein convertase subtilisin/kexin type 9 (PCSK9) expression. A significant drop in mRNA for proinsulin and insulin expression was noted. Concurrently, a rise in LDL receptor at the protein level in cells exposed to atorvastatin was noted. Further experiments have shown that exenatide - belonging to glucagon-like peptide 1 (GLP-1) analogs that are used in a treatment of diabetes and known for its weight reducing properties - can alleviate the observed alterations. In this case, the mechanism of action of exenatide was dependent on a protein kinase A pathway. In conclusion, our results support the hypothesis that statin may have diabetogenic properties, which according to our study is related to reduced insulin expression. The concomitant use of GLP-1 receptor agonist seemed to successfully revert insulin expression.

摘要

相似文献

[1]
Exenatide prevents statin-related LDL receptor increase and improves insulin secretion in pancreatic beta cells (1.1E7) in a protein kinase A-dependent manner.

J Appl Biomed. 2022-12

[2]
Interactions between Atorvastatin and the Farnesoid X Receptor Impair Insulinotropic Effects of Bile Acids and Modulate Diabetogenic Risk.

Mol Pharmacol. 2020-1-7

[3]
Effects of proprotein convertase subtilisin kexin type 9 modulation in human pancreatic beta cells function.

Atherosclerosis. 2021-6

[4]
Statin-Induced Geranylgeranyl Pyrophosphate Depletion Promotes PCSK9-Dependent Adipose Insulin Resistance.

Nutrients. 2022-12-14

[5]
Comparative effects of high-dose atorvastatin versus rosuvastatin on lipid parameters, oxidized low-density lipoprotein, and proprotein convertase subtilisin kexin 9 in acute coronary syndrome.

Coron Artery Dis. 2019-6

[6]
Suppression of Idol expression is an additional mechanism underlying statin-induced up-regulation of hepatic LDL receptor expression.

Int J Mol Med. 2010-11-10

[7]
Proprotein Convertase Subtilisin Kexin Type 9 Inhibition for Autosomal Recessive Hypercholesterolemia-Brief Report.

Arterioscler Thromb Vasc Biol. 2016-8

[8]
PCSK9 inhibitor effectively attenuates cardiometabolic impairment in obese-insulin resistant rats.

Eur J Pharmacol. 2020-9-15

[9]
PCSK9 is expressed in pancreatic delta-cells and does not alter insulin secretion.

Biochem Biophys Res Commun. 2009-10-28

[10]
Pancreatic PCSK9 controls the organization of the β-cell secretory pathway via LDLR-cholesterol axis.

Metabolism. 2022-11

引用本文的文献

[1]
From cholesterol to glucose: uncovering how statins induce β-cell dysfunction to promote type 2 diabetes.

J Endocrinol. 2025-7-12

[2]
Liraglutide Reduces Liver Steatosis and Improves Metabolic Indices in Obese Patients Without Diabetes: A 3-Month Prospective Study.

Int J Mol Sci. 2025-6-19

[3]
Molecular mapping and functional validation of GLP-1R cholesterol binding sites in pancreatic beta cells.

Elife. 2025-4-24

[4]
Exploring the Pleiotropy of PCSK9: A Wide Range of Influences from Lipid Regulation to Extrahepatic Function.

J Inflamm Res. 2025-3-30

[5]
Molecular Mechanisms behind Obesity and Their Potential Exploitation in Current and Future Therapy.

Int J Mol Sci. 2024-7-27

[6]
Effect of GLP-1 Receptor Agonist on Ischemia Reperfusion Injury in Rats with Metabolic Syndrome.

Pharmaceuticals (Basel). 2024-4-19

[7]
Potential Therapeutic Strategies in the Treatment of Metabolic-Associated Fatty Liver Disease.

Medicina (Kaunas). 2023-10-8

[8]
Statins and risk of type 2 diabetes: mechanism and clinical implications.

Front Endocrinol (Lausanne). 2023

本文引用的文献

[1]
Statins Aggravate the Risk of Insulin Resistance in Human Muscle.

Int J Mol Sci. 2022-2-21

[2]
Fluvastatin Reduces Glucose Tolerance in Healthy Young Individuals Independently of Cold Induced BAT Activity.

Front Endocrinol (Lausanne). 2021

[3]
Impaired HMG-CoA Reductase Activity Caused by Genetic Variants or Statin Exposure: Impact on Human Adipose Tissue, β-Cells and Metabolome.

Metabolites. 2021-8-25

[4]
Liraglutide reduces plasma PCSK9 in patients with type 2 diabetes not treated with statins.

Diabetes Metab. 2022-3

[5]
2021 ESC Guidelines on cardiovascular disease prevention in clinical practice.

Eur Heart J. 2021-9-7

[6]
Effects of atorvastatin on the insulin resistance in women of polycystic ovary syndrome: A systematic review and meta-analysis.

Medicine (Baltimore). 2021-6-18

[7]
Effects of Simvastatin on Lipid Metabolism in Wild-Type Mice and Mice with Muscle PGC-1α Overexpression.

Int J Mol Sci. 2021-5-7

[8]
Liraglutide Increases the Catabolism of Apolipoprotein B100-Containing Lipoproteins in Patients With Type 2 Diabetes and Reduces Proprotein Convertase Subtilisin/Kexin Type 9 Expression.

Diabetes Care. 2021-4

[9]
β-Cell-Specific Deletion of HMG-CoA (3-hydroxy-3-methylglutaryl-coenzyme A) Reductase Causes Overt Diabetes due to Reduction of β-Cell Mass and Impaired Insulin Secretion.

Diabetes. 2020-11

[10]
Effect of liraglutide on lipids in patients with type 2 diabetes: a pilot study.

Endocr J. 2020-9-28

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