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Glucotoxicity and alpha Cell Dysfunction: Involvement of the PI3K/Akt Pathway in Glucose-Induced Insulin Resistance in Rat Islets and Clonal alpha TC1-6 Cells

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单位: [1]Peking Union Med Coll, Fuwai Hosp, Endocrinol & Cardiac Dis Clin Ctr, Beijing 100037, Peoples R China [2]Chinese Acad Med Sci, Beijing 100730, Peoples R China [3]China Japan Friendship Hosp, Endocrinol & Metab Dis Clin Ctr, Beijing, Peoples R China [4]Aarhus Univ Hosp, Dept Endocrinol & Metab C, DK-8000 Aarhus C, Denmark
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关键词: High glucose alpha Cell Insulin resistance PI3K/Akt pathway

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Aim/hypothesis. The objective of this study was to assess how long-term exposure to high glucose affects the a cell function and whether the increased glucagon secretion is mediated via insulin resistance. Materials and methods. We established a beta cell-depleted rat model to obtain pure primary alpha cells. Furthermore, isolated rat islets and TC1-6 cells (a clonal alpha cell line) were exposed to high glucose (25 or 30 mmol/L) and low glucose (5.5 mmol/L) for up to 5 days to evaluate the influence of chronic glucose toxicity on glucagon secretion and glucagon gene expression. Moreover, we added insulin and/or Wortmannin to examine if the inhibitory effect of insulin on glucagon secretion was impaired by high glucose via the phosphatidylinositol 3 kinase/PKB protein kinase B pathway. Results. Both glucagon secretion and glucagon gene expression were increased in response to 5 days exposure to high glucose. While a moderate insulin concentration slightly inhibits glucagon secretion from rat islets and alpha TC1-6 cells at high glucose, a pronounced increase in glucagon secretion was observed at low glucose. We found that the insulin-mediated activity of the phosphatidylinositol 3 kinase/PKB protein kinase B pathway in the alpha cell was markedly impaired by chronic exposure to high glucose. Conclusion. The hypersecretion of glucagon induced by glucotoxicity may be secondary to insulin resistance of the alpha cell induced by impaired activity of the insulin signaling pathway.

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出版当年[2011]版:
大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢
最新[2025]版:
大类 | 4 区 医学
小类 | 4 区 内分泌学与代谢
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出版当年[2010]版:
Q4 ENDOCRINOLOGY & METABOLISM
最新[2023]版:
Q4 ENDOCRINOLOGY & METABOLISM

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第一作者单位: [1]Peking Union Med Coll, Fuwai Hosp, Endocrinol & Cardiac Dis Clin Ctr, Beijing 100037, Peoples R China [2]Chinese Acad Med Sci, Beijing 100730, Peoples R China
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通讯机构: [1]Peking Union Med Coll, Fuwai Hosp, Endocrinol & Cardiac Dis Clin Ctr, Beijing 100037, Peoples R China [2]Chinese Acad Med Sci, Beijing 100730, Peoples R China
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