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Updated: Jun 21, 2026

Visualization of Endogenous Mitophagy Complexes In Situ in Human Pancreatic Beta Cells Utilizing Proximity Ligation Assay
Published on: May 2, 2019
Autophagy regulates pancreatic beta cell death in response to Pdx1 deficiency and nutrient deprivation
Kei Fujimoto1, Piia T Hanson, Hung Tran
1Division of Endocrinology, Metabolism and Lipid Research, Department of Internal Medicine, Washington University School of Medicine/Barnes-Jewish Hospital, St. Louis, Missouri 63110, USA.
Abstract:
There are three types of cell death; apoptosis, necrosis, and autophagy. The possibility that activation of the macroautophagy (autophagy) pathway may increase beta cell death is addressed in this study. Increased autophagy was present in pancreatic islets from Pdx1(+/-) mice with reduced insulin secretion and beta cell mass. Pdx1 expression was reduced in mouse insulinoma 6 (MIN6) cells by delivering small hairpin RNAs using a lentiviral vector. The MIN6 cells died after 7 days of Pdx1 deficiency, and autophagy was evident prior to the onset of cell death. Inhibition of autophagy prolonged cell survival and delayed cell death. Nutrient deprivation increased autophagy in MIN6 cells and mouse and human islets after starvation. Autophagy inhibition partly prevented amino acid starvation-induced MIN6 cell death. The in vivo effects of reduced autophagy were studied by crossing Pdx1(+/-) mice to Becn1(+/-) mice. After 1 week on a high fat diet, 4-week-old Pdx1(+/-) Becn1(+/-) mice showed normal glucose tolerance, preserved beta cell function, and increased beta cell mass compared with Pdx1(+/-) mice. This protective effect of reduced autophagy had worn off after 7 weeks on a high fat diet. Increased autophagy contributes to pancreatic beta cell death in Pdx1 deficiency and following nutrient deprivation. The role of autophagy should be considered in studies of pancreatic beta cell death and diabetes and as a target for novel therapeutic intervention.
Insights
Increased autophagy contributes to pancreatic beta cell death in Pdx1 deficiency and nutrient deprivation. Inhibiting autophagy may protect beta cells, suggesting it as a therapeutic target for diabetes.
Area of Science:
- Cell Biology
- Endocrinology
- Metabolic Diseases
Background:
- Autophagy is a cellular degradation process with implications in various cell death pathways.
- Pancreatic beta cells are crucial for insulin secretion and maintaining glucose homeostasis.
- Dysfunction in beta cells is central to the pathogenesis of diabetes mellitus.
Purpose of the Study:
- To investigate the role of macroautophagy (autophagy) in pancreatic beta cell death.
- To determine if inhibiting autophagy can protect beta cells from death induced by Pdx1 deficiency or nutrient deprivation.
- To explore the therapeutic potential of targeting autophagy in diabetes.
Main Methods:
- Utilized Pdx1(+/-) mice and MIN6 cells to study Pdx1 deficiency-induced beta cell death and autophagy.
- Employed lentiviral vectors for small hairpin RNA-mediated Pdx1 knockdown in MIN6 cells.
- Investigated the effects of autophagy inhibition using pharmacological inhibitors and genetic models (Becn1(+/-) mice).
- Assessed beta cell function, mass, and glucose tolerance under various conditions, including nutrient deprivation and high-fat diet.
Main Results:
- Increased autophagy was observed in pancreatic islets of Pdx1(+/-) mice and in MIN6 cells with Pdx1 deficiency.
- Pdx1 deficiency led to MIN6 cell death, preceded by evident autophagy; autophagy inhibition delayed this death.
- Nutrient deprivation enhanced autophagy in MIN6 cells and islets, and its inhibition partly prevented starvation-induced cell death.
- In vivo, reduced autophagy (Pdx1(+/-) Becn1(+/-) mice) initially preserved beta cell function and mass on a high-fat diet, but this effect diminished over time.
Conclusions:
- Enhanced autophagy contributes significantly to pancreatic beta cell death under conditions of Pdx1 deficiency and nutrient/amino acid starvation.
- Inhibition of autophagy demonstrates a protective effect on beta cells, delaying cell death and preserving function in specific contexts.
- Autophagy represents a potential therapeutic target for interventions aimed at preventing or mitigating pancreatic beta cell death in diabetes and related metabolic disorders.
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