beta-Cell-Specific Deletion of HMG-CoA (3-hydroxy-3-methylglutaryl-coenzyme A) Reductase Causes Overt Diabetes due to Reduction of beta-Cell Mass and Impaired Insulin Secretion
DIABETES
Authors: Takei, Shoko; Nagashima, Shuichi; Takei, Akihito; Yamamuro, Daisuke; Wakabayashi, Tetsuji; Murakami, Akiko; Isoda, Masayo; Yamazaki, Hisataka; Ebihara, Chihiro; Takahashi, Manabu; Ebihara, Ken; Dezaki, Katsuya; Takayanagi, Yuki; Onaka, Tatsushi; Fujiwara, Ken; Yashiro, Takashi; Ishibashi, Shun
Abstract
Inhibitors of 3-hydroxy-3-methylglutaryl-CoA reductase (HMGCR), statins, which are used to prevent cardiovascular diseases, are associated with a modest increase in the risk of new-onset diabetes. To investigate the role of HMGCR in the development of beta-cells and glucose homeostasis, we deletedHmgcrin a beta-cell-specific manner by using the Cre-loxP technique. Mice lackingHmgcrin beta-cells (beta-KO) exhibited hypoinsulinemic hyperglycemia as early as postnatal day 9 (P9) due to decreases in both beta-cell mass and insulin secretion. Ki67-positive cells were reduced in beta-KO mice at P9; thus, beta-cell mass reduction was caused by proliferation disorder immediately after birth. The mRNA expression of neurogenin3 (Ngn3), which is transiently expressed in endocrine progenitors of the embryonic pancreas, was maintained despite a striking reduction in the expression of beta-cell-associated genes, such as insulin, pancreatic and duodenal homeobox 1 (Pdx1), and MAF BZIP transcription factor A (Mafa) in the islets from beta-KO mice. Histological analyses revealed dysmorphic islets with markedly reduced numbers of beta-cells, some of which were also positive for glucagon. In conclusion, HMGCR plays critical roles not only in insulin secretion but also in the development of beta-cells in mice.
Impact of malnutrition on systemic immune and metabolic profiles in type 2 diabetes
BMC ENDOCRINE DISORDERS
Authors: Rajamanickam, Anuradha; Munisankar, Saravanan; Dolla, Chandra Kumar; Thiruvengadam, Kannan; Babu, Subash
Abstract
Background While obesity and overweight status are firmly established risk factors for Type 2 diabetes mellitus (T2DM), a substantial proportion of diabetic individuals, especially in Africa and Asia, are often underweight or normal weight. However, very little is known about the immunological and metabolic profiles of these individuals. Methods This study aimed to assess the relationship between malnutrition and Type 2 diabetes mellitus (T2DM). We examined a variety of analytes associated with the immunological and metabolic profiles of T2DM individuals with low (< 18.5 kg/m2) or normal (18.5-24.9 kg/m2) body mass index (BMI). To this end, we measured plasma levels of HbA1c, glucose, insulin, glucagon, adipocytokines and Type 1, Type 2, Type 17, pro-inflammatory and regulatory cytokines in T2DM individuals with low BMI (LBMI) or normal BMI (NBMI) with small sample size n = 44 in each group. Results LBMI individuals exhibited significantly higher levels of HbA1c, random blood glucose, insulin and glucagon compared to NBMI individuals. Similarly, LBMI individuals exhibited significantly higher levels of adiponectin and adipsin and significantly lower levels of leptin in comparison to NBMI individuals. LBMI individuals also exhibited significantly lower levels of the Type 1, Type 2, Type 17, pro-inflammatory and regulatory cytokines in comparison to NBMI individuals. Finally, while the metabolic parameters exhibited a significant negative correlation with BMI, the immunological parameters exhibited a significant positive correlation with BMI. Conclusions Malnutrition is associated with a significant modulation of glycemic, hormonal and cytokine parameters in T2DM. Hence, the biochemical and immunological profiles of T2DM is significantly influenced by BMI.