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Updated: Jul 4, 2026

Measurement of Insulin- and Contraction-Stimulated Glucose Uptake in Isolated and Incubated Mature Skeletal Muscle from Mice
Published on: May 16, 2021
AMP-activated protein kinase agonist dose dependently improves function and reduces apoptosis in glucotoxic
Hanna K Nyblom1, Ernest Sargsyan, Peter Bergsten
1Department of Medical Cell Biology, Uppsala University, Box 571, SE-751 23 Uppsala, Sweden. hanna.nyblom@mcb.uu.se
Abstract:
Prolonged hyperglycaemia leads to impaired glucose-stimulated insulin secretion (GSIS) and apoptosis in insulin-producing beta-cells. The detrimental effects have been connected with glucose-induced lipid accumulation in the beta-cell. AMP-activated protein kinase (AMPK) agonist, 5-aminoimidazole-4-carboxamide ribonucleoside (AICAR), promotes utilization of nutrient stores for energy production. It was tested how impaired GSIS and elevated apoptosis observed in insulinoma (INS)-1E cells after prolonged culture at 27 mM glucose were affected by the inclusion of 0.3 or 1 mM AICAR during culture. Glucose-induced impairment of insulin release was reverted by the inclusion of 0.3 but not 1 mM AICAR, which did not affect insulin content. The glucose-induced rise in triglyceride (TG) content observed in the cells cultured at 27 mM glucose was not altered by the inclusion of either 0.3 or 1 mM AICAR. Inclusion of 1 but not 0.3 mM AICAR during culture induced phosphorylation of AMPK and its downstream target acyl-CoA carboxylase. Phosphorylation was paralleled by reduced number of apoptotic cells and lowered expression of pro-apoptotic C/EBP homologous protein (CHOP). In conclusion, AICAR dose dependently improves beta-cell function and reduces apoptosis in beta-cells exposed to prolonged hyperglycaemia without changing TG levels.
Insights
AMP-activated protein kinase (AMPK) agonist AICAR improves beta-cell function under high glucose conditions. AICAR dose-dependently reduces apoptosis and restores glucose-stimulated insulin secretion (GSIS) in pancreatic beta-cells.
Area of Science:
- Endocrinology
- Cell Biology
- Metabolic Research
Background:
- Prolonged hyperglycemia impairs pancreatic beta-cell function, leading to reduced glucose-stimulated insulin secretion (GSIS) and increased apoptosis.
- Glucose-induced lipid accumulation in beta-cells is implicated in these detrimental effects.
Purpose of the Study:
- To investigate the effects of the AMP-activated protein kinase (AMPK) agonist, 5-aminoimidazole-4-carboxamide ribonucleoside (AICAR), on impaired GSIS and apoptosis in beta-cells cultured under prolonged high glucose conditions.
- To determine the dose-dependent effects of AICAR on beta-cell function and viability.
Main Methods:
- Insulinoma (INS)-1E cells were cultured with 27 mM glucose, with or without 0.3 or 1 mM AICAR.
- GSIS, insulin content, triglyceride (TG) levels, AMPK phosphorylation, and apoptosis markers (CHOP) were assessed.
Main Results:
- AICAR at 0.3 mM reverted glucose-induced impairment of insulin release, while 1 mM AICAR did not significantly affect insulin content.
- AICAR did not alter glucose-induced triglyceride accumulation.
- 1 mM AICAR induced AMPK phosphorylation, reduced apoptotic cells, and lowered CHOP expression, indicating reduced apoptosis.
Conclusions:
- AICAR demonstrates dose-dependent beneficial effects on beta-cell function and survival under prolonged hyperglycemic stress.
- AICAR improves GSIS and reduces apoptosis without affecting cellular lipid accumulation.
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