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Erschienen in: Diabetologia 12/2007

01.12.2007 | Article

The endoplasmic reticulum in pancreatic beta cells of type 2 diabetes patients

verfasst von: P. Marchetti, M. Bugliani, R. Lupi, L. Marselli, M. Masini, U. Boggi, F. Filipponi, G. C. Weir, D. L. Eizirik, M. Cnop

Erschienen in: Diabetologia | Ausgabe 12/2007

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Abstract

Aims/hypothesis

Pancreatic beta cells have highly developed endoplasmic reticulum (ER) due to their role in insulin secretion. Since ER stress has been associated with beta cell dysfunction, we studied several features of beta cell ER in human type 2 diabetes.

Methods

Pancreatic samples and/or isolated islets from non-diabetic controls (ND) and type 2 diabetes patients were evaluated for insulin secretion, apoptosis (electron microscopy and ELISA), morphometric ER assessment (electron microscopy), and expression of ER stress markers in beta cell prepared by laser capture microdissection and in isolated islets.

Results

Insulin release was lower and beta cell apoptosis higher in type 2 diabetes than ND islets. ER density volume was significantly increased in type 2 diabetes beta cells. Expression of alpha-mannosidase (also known as mannosidase, alpha, class 1A, member 1) and UDP-glucose glycoprotein glucosyl transferase like 2 (UGCGL2), assessed by microarray and/or real-time reverse transcriptase polymerase chain reaction (RT-PCR), differed between ND and type 2 diabetes beta cells. Expression of immunoglobulin heavy chain binding protein (BiP, also known as heat shock 70 kDa protein 5 [glucose-regulated protein, 78 kDa] [HSPA5]), X-box binding protein 1 (XBP-1, also known as XBP1) and C/EBP homologous protein (CHOP, also known as damage-inducible transcript 3 [DDIT3]) was not higher in type 2 diabetes beta cell or isolated islets cultured at 5.5 mmol/l glucose (microarray and real-time RT-PCR) than in ND samples. When islets were cultured for 24 h at 11.1 mmol/l glucose, there was induction of BiP and XBP-1 in type 2 diabetes islets but not in ND islets.

Conclusions/interpretation

Beta cell in type 2 diabetes showed modest signs of ER stress when studied in pancreatic samples or isolated islets maintained at physiological glucose concentration. However, exposure to increased glucose levels induced ER stress markers in type 2 diabetes islet cells, which therefore may be more susceptible to ER stress induced by metabolic perturbations.
Literatur
1.
Zurück zum Zitat American Diabetes Association (2007) Diagnosis and classification of diabetes mellitus. Diabetes Care 30:S42–S47CrossRef American Diabetes Association (2007) Diagnosis and classification of diabetes mellitus. Diabetes Care 30:S42–S47CrossRef
2.
Zurück zum Zitat Hossain P, Kawar B, El Nahas M (2007) Obesity and diabetes in the developing world—a growing challenge. N Engl J Med 356:213–215PubMedCrossRef Hossain P, Kawar B, El Nahas M (2007) Obesity and diabetes in the developing world—a growing challenge. N Engl J Med 356:213–215PubMedCrossRef
3.
Zurück zum Zitat Yach D, Stuckler D, Brownell KD (2006) Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med 12:62–66PubMedCrossRef Yach D, Stuckler D, Brownell KD (2006) Epidemiologic and economic consequences of the global epidemics of obesity and diabetes. Nat Med 12:62–66PubMedCrossRef
4.
Zurück zum Zitat Kahn SE, Hull RL, Utzschneider KM (2006) Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature 444:840–846PubMedCrossRef Kahn SE, Hull RL, Utzschneider KM (2006) Mechanisms linking obesity to insulin resistance and type 2 diabetes. Nature 444:840–846PubMedCrossRef
5.
Zurück zum Zitat Ferrannini E, Mari A (2004) Beta cell function and its relation to insulin action in humans: a critical appraisal. Diabetologia 47:943–956PubMedCrossRef Ferrannini E, Mari A (2004) Beta cell function and its relation to insulin action in humans: a critical appraisal. Diabetologia 47:943–956PubMedCrossRef
6.
Zurück zum Zitat Prentki M, Nolan CJ (2006) Islet beta cell failure in type 2 diabetes. J Clin Invest 116:1802–1812PubMedCrossRef Prentki M, Nolan CJ (2006) Islet beta cell failure in type 2 diabetes. J Clin Invest 116:1802–1812PubMedCrossRef
7.
Zurück zum Zitat Weir GC, Bonner-Weir S (2004) Five stages of evolving beta-cell dysfunction during progression to diabetes. Diabetes 53(Suppl 3):S16–S21PubMedCrossRef Weir GC, Bonner-Weir S (2004) Five stages of evolving beta-cell dysfunction during progression to diabetes. Diabetes 53(Suppl 3):S16–S21PubMedCrossRef
8.
Zurück zum Zitat Donath MY, Halban PA (2004) Decreased beta-cell mass in diabetes: significance, mechanisms and therapeutic implications. Diabetologia 47:581–589PubMedCrossRef Donath MY, Halban PA (2004) Decreased beta-cell mass in diabetes: significance, mechanisms and therapeutic implications. Diabetologia 47:581–589PubMedCrossRef
9.
Zurück zum Zitat Rhodes CJ (2005) Type 2 diabetes—a matter of beta-cell life and death? Science 307:380–384PubMedCrossRef Rhodes CJ (2005) Type 2 diabetes—a matter of beta-cell life and death? Science 307:380–384PubMedCrossRef
10.
Zurück zum Zitat Cnop M, Welsh N, Jonas JC, Jorns A, Lenzen S, Eizirik DL (2005) Mechanisms of pancreatic beta-cell death in type 1 and type 2 diabetes: many differences, few similarities. Diabetes 54(Suppl 2):S97–S107PubMedCrossRef Cnop M, Welsh N, Jonas JC, Jorns A, Lenzen S, Eizirik DL (2005) Mechanisms of pancreatic beta-cell death in type 1 and type 2 diabetes: many differences, few similarities. Diabetes 54(Suppl 2):S97–S107PubMedCrossRef
11.
Zurück zum Zitat Cnop M, Ladriere L, Hekerman P et al (2007) Selective inhibition of eukaryotic translation initiation factor 2α dephosphorylation potentiates fatty acid-induced endoplasmic reticulum stress and causes pancreatic β-cell dysfunction and apoptosis. J Biol Chem 282:3989–3997PubMedCrossRef Cnop M, Ladriere L, Hekerman P et al (2007) Selective inhibition of eukaryotic translation initiation factor 2α dephosphorylation potentiates fatty acid-induced endoplasmic reticulum stress and causes pancreatic β-cell dysfunction and apoptosis. J Biol Chem 282:3989–3997PubMedCrossRef
12.
Zurück zum Zitat Oyadomari S, Araki E, Mori M (2002) Endoplasmic reticulum stress-mediated apoptosis in pancreatic β-cells. Apoptosis 7:335–345PubMedCrossRef Oyadomari S, Araki E, Mori M (2002) Endoplasmic reticulum stress-mediated apoptosis in pancreatic β-cells. Apoptosis 7:335–345PubMedCrossRef
13.
Zurück zum Zitat Karaskov E, Scott C, Zhang L, Teodoro T, Ravazzola M, Volchuk A (2006) Chronic palmitate but not oleate exposure induces endoplasmic reticulum stress, which may contribute to INS-1 pancreatic β-cell apoptosis. Endocrinology 147:3398–3407PubMedCrossRef Karaskov E, Scott C, Zhang L, Teodoro T, Ravazzola M, Volchuk A (2006) Chronic palmitate but not oleate exposure induces endoplasmic reticulum stress, which may contribute to INS-1 pancreatic β-cell apoptosis. Endocrinology 147:3398–3407PubMedCrossRef
14.
Zurück zum Zitat Schroder M, Kaufman RJ (2005) ER stress and the unfolded protein response. Mutat Res 569:29–63PubMed Schroder M, Kaufman RJ (2005) ER stress and the unfolded protein response. Mutat Res 569:29–63PubMed
15.
Zurück zum Zitat Shi Y, Taylor SI, Seng-Lai T, Sonenberg N (2003) When translation meets metabolism: multiple links to diabetes. Endocr Rev 24:91–101PubMedCrossRef Shi Y, Taylor SI, Seng-Lai T, Sonenberg N (2003) When translation meets metabolism: multiple links to diabetes. Endocr Rev 24:91–101PubMedCrossRef
16.
Zurück zum Zitat Marciniak SJ, Ron D (2006) Endoplasmic reticulum stress signalling in disease. Physiol Rev 86:1133–1149PubMedCrossRef Marciniak SJ, Ron D (2006) Endoplasmic reticulum stress signalling in disease. Physiol Rev 86:1133–1149PubMedCrossRef
17.
Zurück zum Zitat Wang J, Takeuchi T, Tanaka S et al (1999) A mutation in the insulin 2 gene induces diabetes with severe pancreatic beta-cell dysfunction in the Mody mouse. J Clin Invest 103:27–37PubMedCrossRef Wang J, Takeuchi T, Tanaka S et al (1999) A mutation in the insulin 2 gene induces diabetes with severe pancreatic beta-cell dysfunction in the Mody mouse. J Clin Invest 103:27–37PubMedCrossRef
18.
Zurück zum Zitat Oyadomari S, Takeda K, Takiguchi M et al (2001) Nitric oxide-induced apoptosis in pancreatic beta cells is mediated by the endoplasmic reticulum stress pathway. Proc Natl Acad Sci USA 98:10845–10850PubMedCrossRef Oyadomari S, Takeda K, Takiguchi M et al (2001) Nitric oxide-induced apoptosis in pancreatic beta cells is mediated by the endoplasmic reticulum stress pathway. Proc Natl Acad Sci USA 98:10845–10850PubMedCrossRef
19.
Zurück zum Zitat Cardozo AK, Ortis F, Storling J et al (2005) Cytokines downregulate the sarcoendoplasmic reticulum pump Ca2+ ATPase 2b and deplete endoplasmic reticulum, leading to induction of endoplasmic reticulum stress in pancreatic beta-cells. Diabetes 54:452–461PubMedCrossRef Cardozo AK, Ortis F, Storling J et al (2005) Cytokines downregulate the sarcoendoplasmic reticulum pump Ca2+ ATPase 2b and deplete endoplasmic reticulum, leading to induction of endoplasmic reticulum stress in pancreatic beta-cells. Diabetes 54:452–461PubMedCrossRef
20.
Zurück zum Zitat Kharroubi I, Ladriere L, Cardozo AK, Dogusan Z, Cnop M, Eizirik DL (2004) Free fatty acid and cytokines induce pancreatic β-cell apoptosis by different mechanisms: role of nuclear factor-κB and endoplasmic reticulum stress. Endocrinology 145:5087–5096PubMedCrossRef Kharroubi I, Ladriere L, Cardozo AK, Dogusan Z, Cnop M, Eizirik DL (2004) Free fatty acid and cytokines induce pancreatic β-cell apoptosis by different mechanisms: role of nuclear factor-κB and endoplasmic reticulum stress. Endocrinology 145:5087–5096PubMedCrossRef
21.
Zurück zum Zitat Araki E, Oyadomari S, Mori M (2003) Impact of endoplasmic reticulum stress pathway on pancreatic β-cells and diabetes mellitus. Exp Biol Med 228:1213–1217 Araki E, Oyadomari S, Mori M (2003) Impact of endoplasmic reticulum stress pathway on pancreatic β-cells and diabetes mellitus. Exp Biol Med 228:1213–1217
22.
Zurück zum Zitat Iyer S, Korada M, Rainbow L et al (2004) Wolcott–Rallison syndrome: a clinical and genetic study of three children, novel mutation in EIF2AK3 and a review of the literature. Acta Paediatr 93:1195–1201PubMedCrossRef Iyer S, Korada M, Rainbow L et al (2004) Wolcott–Rallison syndrome: a clinical and genetic study of three children, novel mutation in EIF2AK3 and a review of the literature. Acta Paediatr 93:1195–1201PubMedCrossRef
23.
Zurück zum Zitat Harding HP, Zeng H, Zhang Y et al (2001) Diabetes mellitus and exocrine pancreatic dysfunction in perk−/− mice reveals a role for translational control in secretory cell survival. Mol Cell 7:1153–1163PubMedCrossRef Harding HP, Zeng H, Zhang Y et al (2001) Diabetes mellitus and exocrine pancreatic dysfunction in perk−/− mice reveals a role for translational control in secretory cell survival. Mol Cell 7:1153–1163PubMedCrossRef
24.
Zurück zum Zitat Scheuner D, Vander Mierde D, Song B et al (2005) Control of mRNA translation preserves endoplasmic reticulum function in beta-cells and maintains glucose homeostasis. Nat Med 11:757–764PubMedCrossRef Scheuner D, Vander Mierde D, Song B et al (2005) Control of mRNA translation preserves endoplasmic reticulum function in beta-cells and maintains glucose homeostasis. Nat Med 11:757–764PubMedCrossRef
25.
Zurück zum Zitat Laybutt DR, Preston AM, Akerfeldt MC et al (2007) Endoplasmic reticulum stress contributes to beta cell apoptosis in type 2 diabetes. Diabetologia 50:752–763PubMedCrossRef Laybutt DR, Preston AM, Akerfeldt MC et al (2007) Endoplasmic reticulum stress contributes to beta cell apoptosis in type 2 diabetes. Diabetologia 50:752–763PubMedCrossRef
26.
Zurück zum Zitat Huang C, Lin C, Haatajal L et al (2007) High expression rates of human islet amyloid polypeptide induce endoplasmic reticulum stress-mediated beta cell apoptosis, a characteristic of humans with type 2 but not type 1 diabetes. Diabetes 56:2016–2027PubMedCrossRef Huang C, Lin C, Haatajal L et al (2007) High expression rates of human islet amyloid polypeptide induce endoplasmic reticulum stress-mediated beta cell apoptosis, a characteristic of humans with type 2 but not type 1 diabetes. Diabetes 56:2016–2027PubMedCrossRef
27.
Zurück zum Zitat Del Guerra S, Lupi R, Marselli L et al (2005) Functional and molecular defects of pancreatic islets in human type 2 diabetes. Diabetes 54(3):727–735PubMedCrossRef Del Guerra S, Lupi R, Marselli L et al (2005) Functional and molecular defects of pancreatic islets in human type 2 diabetes. Diabetes 54(3):727–735PubMedCrossRef
28.
Zurück zum Zitat Marchetti P, Del Guerra S, Marselli L et al (2004) Pancreatic islets from type 2 diabetic patients have functional defects and increased apoptosis that are ameliorated by metformin. J Clin Endocrinol Metab 89:5535–5541PubMedCrossRef Marchetti P, Del Guerra S, Marselli L et al (2004) Pancreatic islets from type 2 diabetic patients have functional defects and increased apoptosis that are ameliorated by metformin. J Clin Endocrinol Metab 89:5535–5541PubMedCrossRef
29.
Zurück zum Zitat Lupi R, Dotta F, Marselli L et al (2002) Prolonged exposure to free fatty acids has cytostatic and pro-apoptotic effects on human pancreatic islets: evidence that beta-cell death is caspase mediated, partially dependent on ceramide pathway, and Bcl-2 regulated. Diabetes 51:1437–1442PubMedCrossRef Lupi R, Dotta F, Marselli L et al (2002) Prolonged exposure to free fatty acids has cytostatic and pro-apoptotic effects on human pancreatic islets: evidence that beta-cell death is caspase mediated, partially dependent on ceramide pathway, and Bcl-2 regulated. Diabetes 51:1437–1442PubMedCrossRef
30.
Zurück zum Zitat Fukui K, Yang Q, Cao Y et al (2005) The HNF-1 target collectrin controls insulin exocytosis by SNARE complex formation. Cell Metab 2:373–384PubMedCrossRef Fukui K, Yang Q, Cao Y et al (2005) The HNF-1 target collectrin controls insulin exocytosis by SNARE complex formation. Cell Metab 2:373–384PubMedCrossRef
31.
Zurück zum Zitat Marselli L, Sgroi DC, Ahn Y-B, Sharma A, Bonner-Weir G, Weir G (2005) Laser capture microdissection provides marked enrichment of beta-cell tissue from human pancreas. Diabetes 54(Suppl 1):A403 Marselli L, Sgroi DC, Ahn Y-B, Sharma A, Bonner-Weir G, Weir G (2005) Laser capture microdissection provides marked enrichment of beta-cell tissue from human pancreas. Diabetes 54(Suppl 1):A403
32.
Zurück zum Zitat Ahn YB, Xu G, Marselli L et al (2007) Changes in gene expression in beta cells after islet isolation and transplantation using laser-capture microdissection. Diabetologia 50:334–342PubMedCrossRef Ahn YB, Xu G, Marselli L et al (2007) Changes in gene expression in beta cells after islet isolation and transplantation using laser-capture microdissection. Diabetologia 50:334–342PubMedCrossRef
33.
Zurück zum Zitat Pirot P, Naamane N, Libert F et al (2007) Global profiling of genes modified by endoplasmic reticulum stress in pancreatic beta cells reveals the early degradation of insulin mRNAs. Diabetologia 50:1006–1014PubMedCrossRef Pirot P, Naamane N, Libert F et al (2007) Global profiling of genes modified by endoplasmic reticulum stress in pancreatic beta cells reveals the early degradation of insulin mRNAs. Diabetologia 50:1006–1014PubMedCrossRef
34.
Zurück zum Zitat Back Sh, Schroder M, Lee K, Zhang K, Kaufman RJ (2005) ER stress signalling by regulated splicing: IRE1/HAC1/XBP1. Methods 35:395–416PubMedCrossRef Back Sh, Schroder M, Lee K, Zhang K, Kaufman RJ (2005) ER stress signalling by regulated splicing: IRE1/HAC1/XBP1. Methods 35:395–416PubMedCrossRef
35.
Zurück zum Zitat Deng S, Vatamaniuk M, Huang X et al (2004) Structural and functional abnormalities in the islets isolated from type 2 diabetic subjects. Diabetes 53:624–632PubMedCrossRef Deng S, Vatamaniuk M, Huang X et al (2004) Structural and functional abnormalities in the islets isolated from type 2 diabetic subjects. Diabetes 53:624–632PubMedCrossRef
36.
Zurück zum Zitat Lin JM, Fabregat ME, Gomis R, Bergsten P (2002) Pulsatile insulin release from islets isolated from three subjects with type 2 diabetes. Diabetes 51:988–993PubMedCrossRef Lin JM, Fabregat ME, Gomis R, Bergsten P (2002) Pulsatile insulin release from islets isolated from three subjects with type 2 diabetes. Diabetes 51:988–993PubMedCrossRef
37.
Zurück zum Zitat Fernandez-Alvarez J, Conget I, Rasschaert J, Sener A, Gomis R, Malaisse WJ (1994) Enzymatic, metabolic and secretory patterns in human islets of type 2 (non-insulin-dependent) diabetic patients. Diabetologia 37:177–181PubMedCrossRef Fernandez-Alvarez J, Conget I, Rasschaert J, Sener A, Gomis R, Malaisse WJ (1994) Enzymatic, metabolic and secretory patterns in human islets of type 2 (non-insulin-dependent) diabetic patients. Diabetologia 37:177–181PubMedCrossRef
38.
Zurück zum Zitat Ostenson CG, Gaisano H, Sheu L, Tibell A, Bartfai T (2006) Impaired gene and protein expression of exocytotic soluble N-ethylmaleimide attachment protein receptor complex proteins in pancreatic islets of type 2 diabetic patients. Diabetes 55:435–440PubMedCrossRef Ostenson CG, Gaisano H, Sheu L, Tibell A, Bartfai T (2006) Impaired gene and protein expression of exocytotic soluble N-ethylmaleimide attachment protein receptor complex proteins in pancreatic islets of type 2 diabetic patients. Diabetes 55:435–440PubMedCrossRef
39.
Zurück zum Zitat Chehter EZ, Duarte MI, Takakura CF, Longo MA, Laudanna AA (2003) Ultrastructural study of the pancreas in AIDS. Pancreas 26:153–159PubMedCrossRef Chehter EZ, Duarte MI, Takakura CF, Longo MA, Laudanna AA (2003) Ultrastructural study of the pancreas in AIDS. Pancreas 26:153–159PubMedCrossRef
40.
Zurück zum Zitat Junger E, Herberg L, Jeruschke K, Leiter EH (2002) The diabetes-prone NZO/Hl strain. II. Pancreatic immunopathology. Lab Invest 82:843–853PubMed Junger E, Herberg L, Jeruschke K, Leiter EH (2002) The diabetes-prone NZO/Hl strain. II. Pancreatic immunopathology. Lab Invest 82:843–853PubMed
41.
Zurück zum Zitat Zuber C, Fan JY, Guhl B, Roth J (2004) Misfolded proinsulin accumulates in expanded pre-Golgi intermediates and endoplasmic reticulum subdomains in pancreatic beta cells of Akita mice. FASEB J 18:917–919PubMed Zuber C, Fan JY, Guhl B, Roth J (2004) Misfolded proinsulin accumulates in expanded pre-Golgi intermediates and endoplasmic reticulum subdomains in pancreatic beta cells of Akita mice. FASEB J 18:917–919PubMed
42.
Zurück zum Zitat Karaveg K, Siriwardena A, Tempel W et al (2005) Mechanism of class 1 (glycosylhydrolase family 47) α-mannosidases involved in N-glycan processing and endoplasmic reticulum quality control. J Biol Chem 280:16197–16207PubMedCrossRef Karaveg K, Siriwardena A, Tempel W et al (2005) Mechanism of class 1 (glycosylhydrolase family 47) α-mannosidases involved in N-glycan processing and endoplasmic reticulum quality control. J Biol Chem 280:16197–16207PubMedCrossRef
43.
Zurück zum Zitat Totani K, Ihara Y, Matsuo I, Koshino H, Ito Y (2005) Synthetic substrates for an endoplasmic reticulum protein-folding sensor, UDP-glucose: glycoprotein glucosyltransferase. Angew Chem Int Ed Engl 44:7950–7954PubMedCrossRef Totani K, Ihara Y, Matsuo I, Koshino H, Ito Y (2005) Synthetic substrates for an endoplasmic reticulum protein-folding sensor, UDP-glucose: glycoprotein glucosyltransferase. Angew Chem Int Ed Engl 44:7950–7954PubMedCrossRef
44.
Zurück zum Zitat Dejgaard S, Nicolay J, Taheri M, Thomas DY, Bergeron JJ (2004) The ER glycoprotein quality control system. Curr Issues Mol Biol 6:29–42PubMed Dejgaard S, Nicolay J, Taheri M, Thomas DY, Bergeron JJ (2004) The ER glycoprotein quality control system. Curr Issues Mol Biol 6:29–42PubMed
45.
Zurück zum Zitat Oyadomari S, Mori M (2004) Roles of CHOP/GADD153 in endoplasmic reticulum stress. Cell Death Differ 11:381–389PubMedCrossRef Oyadomari S, Mori M (2004) Roles of CHOP/GADD153 in endoplasmic reticulum stress. Cell Death Differ 11:381–389PubMedCrossRef
46.
Zurück zum Zitat Loffler M, Bilban M, Reimers M, Waldhausl W, Stulnig TM (2006) Blood glucose-lowering nuclear receptor agonists only partially normalize hepatic gene expression in db/db mice. J Pharmacol Exp Ther 316:797–804PubMedCrossRef Loffler M, Bilban M, Reimers M, Waldhausl W, Stulnig TM (2006) Blood glucose-lowering nuclear receptor agonists only partially normalize hepatic gene expression in db/db mice. J Pharmacol Exp Ther 316:797–804PubMedCrossRef
47.
Zurück zum Zitat Kuchenmeister U, Kuhn G, Wegner J, Nurnberg G, Ender K (1999) Post mortem changes in Ca2+ transporting proteins of sarcoplasmic reticulum in dependence on malignant hyperthermia status in pigs. Mol Cell Biochem 195:37–46PubMedCrossRef Kuchenmeister U, Kuhn G, Wegner J, Nurnberg G, Ender K (1999) Post mortem changes in Ca2+ transporting proteins of sarcoplasmic reticulum in dependence on malignant hyperthermia status in pigs. Mol Cell Biochem 195:37–46PubMedCrossRef
48.
Zurück zum Zitat Wang H, Kouri G, Wollheim CB (2005) ER stress and SREBP-1 activation are implicated in beta-cell glucolipotoxicity. J Cell Sci 118:3905–3915PubMedCrossRef Wang H, Kouri G, Wollheim CB (2005) ER stress and SREBP-1 activation are implicated in beta-cell glucolipotoxicity. J Cell Sci 118:3905–3915PubMedCrossRef
49.
Zurück zum Zitat Robertson RP (2004) Chronic oxidative stress as a central mechanism for glucose toxicity in pancreatic islet beta cells in diabetes. J Biol Chem 279:42351–42354PubMedCrossRef Robertson RP (2004) Chronic oxidative stress as a central mechanism for glucose toxicity in pancreatic islet beta cells in diabetes. J Biol Chem 279:42351–42354PubMedCrossRef
50.
Zurück zum Zitat Lortz S, Tiedge M, Nachtwey T, Karlsen AE, Nerup J, Lenzen S (2000) Protection of insulin-producing RINm5F cells against cytokine-mediated toxicity through overexpression of antioxidant enzymes. Diabetes 49:1123–1130PubMedCrossRef Lortz S, Tiedge M, Nachtwey T, Karlsen AE, Nerup J, Lenzen S (2000) Protection of insulin-producing RINm5F cells against cytokine-mediated toxicity through overexpression of antioxidant enzymes. Diabetes 49:1123–1130PubMedCrossRef
Metadaten
Titel
The endoplasmic reticulum in pancreatic beta cells of type 2 diabetes patients
verfasst von
P. Marchetti
M. Bugliani
R. Lupi
L. Marselli
M. Masini
U. Boggi
F. Filipponi
G. C. Weir
D. L. Eizirik
M. Cnop
Publikationsdatum
01.12.2007
Verlag
Springer-Verlag
Erschienen in
Diabetologia / Ausgabe 12/2007
Print ISSN: 0012-186X
Elektronische ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-007-0816-8

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