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Diabetes
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Diabetes
Article . 2017 . Peer-reviewed
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Glucocorticoids Reprogram β-Cell Signaling to Preserve Insulin Secretion

Authors: Fine; Nicholas H. F.; Doig; Craig L.; Elhassan; Yasir S.; Vierra; Nicholas C.; Marchetti; Piero; Bugliani; Marco; Nano; +6 Authors

Glucocorticoids Reprogram β-Cell Signaling to Preserve Insulin Secretion

Abstract

Excessive glucocorticoid exposure has been shown to be deleterious for pancreatic β-cell function and insulin release. However, glucocorticoids at physiological levels are essential for many homeostatic processes, including glycemic control. We show that corticosterone and cortisol and their less active precursors 11-dehydrocorticosterone (11-DHC) and cortisone suppress voltage-dependent Ca2+ channel function and Ca2+ fluxes in rodent as well as in human β-cells. However, insulin secretion, maximal ATP/ADP responses to glucose, and β-cell identity were all unaffected. Further examination revealed the upregulation of parallel amplifying cAMP signals and an increase in the number of membrane-docked insulin secretory granules. Effects of 11-DHC could be prevented by lipotoxicity and were associated with paracrine regulation of glucocorticoid activity because global deletion of 11β-hydroxysteroid dehydrogenase type 1 normalized Ca2+ and cAMP responses. Thus, we have identified an enzymatically amplified feedback loop whereby glucocorticoids boost cAMP to maintain insulin secretion in the face of perturbed ionic signals. Failure of this protective mechanism may contribute to diabetes in states of glucocorticoid excess, such as Cushing syndrome, which are associated with frank dyslipidemia.

Countries
Italy, Belgium, Italy, United Kingdom
Keywords

570, Hydrocortisone, Mice, Inbred Strains, Internal Medicine; Endocrinology, Diabetes and Metabolism, Tissue Culture Techniques, Endocrinology & Metabolism, Insulin-Secreting Cells, 616, 11-beta-Hydroxysteroid Dehydrogenase Type 1, Insulin Secretion, Cyclic AMP, Animals, Humans, Insulin, Calcium Signaling, Glucocorticoids, Mice, Knockout, Cell Differentiation, 11 Medical And Health Sciences, Cortisone, Kinetics, Glucose, Calcium Channels, Corticosterone, Biomarkers

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
57
Top 10%
Top 10%
Top 10%
Green
bronze