Improving function and survival of pancreatic islets by endogenous production of glucagon-like peptide 1 (GLP-1)

Proc Natl Acad Sci U S A. 2006 Sep 5;103(36):13468-73. doi: 10.1073/pnas.0600655103. Epub 2006 Aug 28.

Abstract

Glucagon-like peptide 1 (GLP-1) is a hormone that has received significant attention as a therapy for diabetes because of its ability to stimulate insulin biosynthesis and release and to promote growth and survival of insulin-producing beta cells. While GLP-1 is produced from the proglucagon precursor by means of prohormone convertase (PC) 1/3 activity in enteroendocrine L cells, the same precursor is differentially processed by PC2 in pancreatic islet alpha cells to release glucagon, leaving GLP-1 trapped within a larger fragment with no known function. We hypothesized that we could induce GLP-1 production directly within pancreatic islets by means of delivery of PC1/3 and, further, that this intervention would improve the viability and function of islets. Here, we show that adenovirus-mediated expression of PC1/3 in alpha cells increases islet GLP-1 secretion, resulting in improved glucose-stimulated insulin secretion and enhanced survival in response to cytokine treatment. PC1/3 expression in alpha cells also improved performance after islet transplantation in a mouse model of type 1 diabetes, possibly by enhancing nuclear Pdx1 and insulin content of islet beta cells. These results demonstrate a unique strategy for liberating GLP-1 from directly within the target organ and highlight the potential for up-regulating islet GLP-1 production as a means of treating diabetes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenoviridae / genetics
  • Animals
  • Cell Culture Techniques
  • Cell Line
  • Cell Survival / physiology
  • Diabetes Mellitus, Experimental / metabolism
  • Diabetes Mellitus, Experimental / pathology
  • Diabetes Mellitus, Experimental / physiopathology
  • Genetic Vectors
  • Glucagon-Like Peptide 1 / biosynthesis*
  • Glucose / pharmacology
  • Glucose Tolerance Test
  • Insulin / metabolism
  • Insulin Secretion
  • Interleukin-1 / pharmacology
  • Islets of Langerhans / cytology*
  • Islets of Langerhans / metabolism*
  • Islets of Langerhans Transplantation
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred Strains
  • Proprotein Convertase 1 / metabolism
  • Proprotein Convertase 2 / metabolism
  • Transduction, Genetic

Substances

  • Insulin
  • Interleukin-1
  • Glucagon-Like Peptide 1
  • Proprotein Convertase 1
  • Proprotein Convertase 2
  • Glucose