Sökning: onr:"swepub:oai:DiVA.org:uu-513652" >
Islet hormonal hype...
Islet hormonal hypersecretion and metformin’s effect on islet hormonal secretion studied in vitro and in vivo
-
- Wen, Quan (författare)
- Uppsala universitet,Institutionen för medicinsk cellbiologi,Peter Bergsten
-
- Forslund, Anders, 1961- (preses)
- Uppsala universitet,Institutionen för medicinsk cellbiologi,Institutionen för medicinska vetenskaper,Pediatrisk inflammations- och metabolismforskning samt barnhälsa
-
- Manell, Hannes (preses)
- Uppsala universitet,Institutionen för medicinsk cellbiologi,Pediatrisk inflammations- och metabolismforskning samt barnhälsa
-
visa fler...
-
- Kristinsson, Hjalti, PhD (preses)
- Uppsala universitet,Institutionen för medicinsk cellbiologi
-
- Juntti-Berggren, Lisa, Professor (opponent)
- Department of Molecular Medicine and Surgery. Karolinska Institute
-
visa färre...
-
(creator_code:org_t)
- ISBN 9789151319346
- Uppsala : Acta Universitatis Upsaliensis, 2023
- Engelska 49 s.
-
Serie: Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine, 1651-6206 ; 1986
- Relaterad länk:
-
https://uu.diva-port... (primary) (Raw object)
-
visa fler...
-
https://uu.diva-port... (Preview)
-
https://urn.kb.se/re...
-
visa färre...
Abstract
Ämnesord
Stäng
- Childhood obesity has surged globally. Elevated levels of free fatty acids contribute to hyperinsulinemia, hyperproinsulinemia, and hyperglucagonemia connected with both obesity and type 2 diabetes mellitus (T2DM). Metformin has beneficial effects on islets by influencing metabolism and reducing stress-induced cell death. The aim of the study was to define underlying mechanisms of free fatty acids induced islet hormone hypersecretion, especially in insulin, proinsulin and glucagon and how metformin influenced hormone levels in vitro and in vivo.Glucose stimulated insulin secretion (GSIS) from isolated human islets increased after culture in palmitate for up to 1 day, but declined with continued palmitate exposure. Whereas addition of metformin increased GSIS from islets exposed to palmitate for 1 day, metformin reduced GSIS from islets exposed to palmitate for 0.5 day. In some children with obesity insulin levels were accentuated after metformin treatment for at least 6 months, whereas insulin levels were attenuated in other children. The reduction of insulin levels was accompanied by lowering in 2-h glucose and triglycerides levels.In islets, palmitate treatment also increased proinsulin secretion, which was connected with decreasing prohormone convertase 1/3 (PC1/3) and carboxypeptidase E (CPE). Metformin normalized expression of PC1/3 and CPE, and proinsulin and insulin secretion. In children with obesity, metformin treatment reduced the proinsulin to insulin ratio (PI:I) in subjects with T2DM as well as in subjects with prediabetes, coupled with reduced 2-hour glucose and HbA1c.To address the role of palmitate on glucagon secretion we cultured αTC1 cells with palmitate. Palmitate exposure increased glucagon secretion, which was accompanied by increased ATP production, maximal respiratory capacity and protein levels of fission protein DRP-1. Knockdown or inhibition of DRP-1 decreased ATP production and glucagon secretion. Long-term palmitate treatment also changed transcripts levels of genes related to glycolysis and TCA cycle metabolism.In conclusion, metformin has beneficial effects on hyperinsulinemia and insulin processing, if introduced when insulin secretory levels are high and stable and not declining. Additionally, palmitate-induced glucagon hypersecretion was connected with increased mitochondrial fission protein DRP-1 and metabolism. Thereby, the thesis could contribute to understanding T2DM development and delineate ways to prevent its development.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Endokrinologi och diabetes (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Endocrinology and Diabetes (hsv//eng)
Nyckelord
- alpha cell
- carboxypeptidase E
- childhood obesity
- DRP-1
- free fatty acids
- glucagon secretion
- glucose metabolism
- glucose stimulated insulin secretion
- human islets
- hyperinsulinemia
- metformin
- mitochondrial fission
- oral glucose tolerance test (OGTT)
- prohormone convertase
- proinsulin
- proinsulin to insulin ratio (PI:I)
Publikations- och innehållstyp
- vet (ämneskategori)
- dok (ämneskategori)
Hitta via bibliotek
Till lärosätets databas