Xiong Yan, Dicker Andrea, Visa Montse, Ilegems Erwin, Berggren Per-Olof
The Rolf Luft Research Center for Diabetes and Endocrinology, Karolinska Institutet, Stockholm, Sweden.
Department of Endocrinology and Metabolism, Center for Diabetes and Metabolism Research, West China Hospital, Sichuan University, Chengdu, China.
J Clin Invest. 2025 Jun 5;135(15). doi: 10.1172/JCI177601. eCollection 2025 Aug 1.
Pancreatic islet microvasculature is essential for optimal islet function and glucose homeostasis. However, islet vessel pathogenesis in obesity and its role in the manifestation of metabolic disorders remain understudied. Here, we depict the time-resolved decline of intra-islet endothelial cell responsiveness to VEGF-A and islet vessel function in a mouse model of diet-induced obesity. Longitudinal imaging of sentinel islets transplanted into mouse eyes revealed substantial vascular remodeling and diminished VEGF-A response in islet endothelial cells after 12 weeks of Western diet (WD) feeding. This led to islet vessel barrier dysfunction and hemodynamic dysregulation, delaying transportation of secreted insulin into the blood. Notably, islet vessels exhibited a metabolic memory of previous WD feeding. Neither VEGF-A sensitivity nor the other vascular alterations was fully restored by control diet refeeding, resulting in modest yet significant impairment in glucose clearance despite normalized insulin sensitivity. Mechanistic analysis implicated hyperactivation of atypical PKC under both WD and recovery conditions, which inhibited VEGFR2 internalization and blunted VEGF-A-triggered signal transduction in endothelial cells. In summary, prolonged WD feeding causes irreversible islet endothelial cell desensitization to VEGF-A and islet vessel dysfunction, directly undermining glucose homeostasis.
胰岛微血管对于最佳胰岛功能和葡萄糖稳态至关重要。然而,肥胖症中的胰岛血管发病机制及其在代谢紊乱表现中的作用仍未得到充分研究。在此,我们描述了在饮食诱导的肥胖小鼠模型中,胰岛内内皮细胞对血管内皮生长因子A(VEGF-A)的反应性以及胰岛血管功能随时间的下降情况。对移植到小鼠眼睛中的哨兵胰岛进行纵向成像显示,在西式饮食(WD)喂养12周后,胰岛内皮细胞出现了大量血管重塑且对VEGF-A的反应减弱。这导致胰岛血管屏障功能障碍和血流动力学失调,延迟了分泌的胰岛素进入血液。值得注意的是,胰岛血管表现出对先前WD喂养的代谢记忆。重新给予对照饮食并不能完全恢复VEGF-A敏感性或其他血管改变,尽管胰岛素敏感性恢复正常,但葡萄糖清除仍有适度但显著的损害。机制分析表明,在WD和恢复条件下非典型蛋白激酶C均过度激活,这抑制了血管内皮生长因子受体2(VEGFR2)的内化,并减弱了VEGF-A触发的内皮细胞信号转导。总之,长期WD喂养导致胰岛内皮细胞对VEGF-A产生不可逆的脱敏以及胰岛血管功能障碍,直接破坏葡萄糖稳态。
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