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Oxidative stress and the JNK pathway as a potential therapeutic target for diabetes
Hideaki Kaneto1, Dan Kawamori, Yoshihisa Nakatani
1Department of Internal Medicine and Therapeutics, Osaka University Graduate School of Medicine, Osaka, Japan. kaneto@medone.med.osaka-u.ac.jp.
Abstract:
Oxidative stress is produced under diabetic conditions and is likely involved in progression of pancreatic beta-cell dysfunction found in diabetes. Possibly due to low levels of antioxidant enzyme expressions, beta-cells are vulnerable to oxidative stress. When beta-cell-derived cell lines or isolated rat islets were exposed to oxidative stress, insulin gene expression was markedly decreased. Furthermore, when diabetic C57BL/ KsJ-db/db mice were treated with antioxidants, glucose tolerance was ameliorated. Histological analyses of the pancreata revealed that the beta-cell mass is significantly larger in the mice treated with the antioxidants. The antioxidant treatment also preserved the amounts of insulin content and insulin mRNA. As a possible mechanism underlying the phenomena, expression of pancreatic and duodenal homeobox factor-1 (PDX-1), an important transcription factor for the insulin gene, was more clearly visible in the nuclei of islet cells after the antioxidant treatment. Furthermore, oxidative stress induces nucleocytoplasmic translocation of PDX-1 through activation of the c-Jun N-terminal kinase (JNK) pathway, which leads to suppression of insulin gene expression. Taken together, oxidative stress and consequent activation of the JNK pathway are involved in progression of beta-cell dysfunction found in diabetes, and thus are a therapeutic target for diabetes.
Insights
Diabetic oxidative stress impairs pancreatic beta-cell function by reducing insulin gene expression. Antioxidant treatment improved glucose tolerance and beta-cell mass in diabetic mice, suggesting a therapeutic target.
Area of Science:
- Endocrinology
- Molecular Biology
- Diabetes Research
Background:
- Diabetic conditions generate oxidative stress, contributing to pancreatic beta-cell dysfunction.
- Beta-cells are susceptible to oxidative stress due to diminished antioxidant enzyme expression.
Purpose of the Study:
- To investigate the role of oxidative stress in diabetic beta-cell dysfunction.
- To evaluate the therapeutic potential of antioxidants in ameliorating diabetes-related beta-cell impairment.
Main Methods:
- Exposing beta-cell lines and isolated rat islets to oxidative stress.
- Treating diabetic mice (C57BL/KsJ-db/db) with antioxidants.
- Analyzing insulin gene expression, insulin content, insulin mRNA, and beta-cell mass.
- Investigating the role of pancreatic and duodenal homeobox factor-1 (PDX-1) and the c-Jun N-terminal kinase (JNK) pathway.
Main Results:
- Oxidative stress significantly decreased insulin gene expression in beta-cells.
- Antioxidant treatment in diabetic mice improved glucose tolerance and increased beta-cell mass.
- Antioxidant therapy preserved insulin content and insulin mRNA levels.
- PDX-1 nuclear expression was enhanced by antioxidants, while oxidative stress induced PDX-1 translocation via JNK activation, suppressing insulin gene expression.
Conclusions:
- Oxidative stress and subsequent JNK pathway activation contribute to beta-cell dysfunction in diabetes.
- Targeting oxidative stress and the JNK pathway presents a potential therapeutic strategy for diabetes management.
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