Rapamycin impairs metabolism-secretion coupling in rat pancreatic islets by suppressing carbohydrate metabolism

Makiko Shimodahira1, Shimpei Fujimoto, Eri Mukai

  • 1Department of Diabetes and Clinical Nutrition, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.

Insights

Rapamycin impairs pancreatic islet function by reducing glucose-stimulated insulin release. This occurs due to suppressed mitochondrial ATP production and carbohydrate metabolism in the Krebs cycle, specifically impacting alpha-ketoglutarate dehydrogenase activity.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Immunology

Background:

  • Rapamycin is an immunosuppressant used in organ transplantation.
  • Rapamycin is known to impair pancreatic beta-cell function, but the underlying mechanisms are not fully understood.
  • Understanding how rapamycin affects insulin secretion is crucial for managing transplant patients.

Purpose of the Study:

  • To elucidate the mechanism by which rapamycin impairs glucose-induced insulin secretion from pancreatic islets.
  • To investigate the impact of rapamycin on mitochondrial metabolism and Krebs cycle activity in islets.
  • To determine the effect of rapamycin on key enzymes involved in mitochondrial carbohydrate metabolism.

Main Methods:

  • Chronic exposure of pancreatic islets to varying concentrations of rapamycin.
  • Measurement of glucose- and alpha-ketoisocaproate-stimulated insulin release.
  • Assessment of islet ATP content, glucose oxidation, and Krebs cycle enzyme activities (specifically alpha-ketoglutarate dehydrogenase).
  • Immunoblotting to analyze the expression of mitochondrial respiratory chain complexes.

Main Results:

  • Rapamycin significantly suppressed high glucose-induced insulin release in a concentration-dependent manner.
  • Rapamycin reduced ATP content and glucose oxidation in islets exposed to high glucose.
  • The activity of alpha-ketoglutarate dehydrogenase (KGDH), a key Krebs cycle enzyme, was significantly reduced by rapamycin.
  • Rapamycin did not affect the expression of mitochondrial respiratory chain complexes I, III, IV, and V.

Conclusions:

  • Rapamycin suppresses high glucose-induced insulin secretion by impairing mitochondrial ATP production.
  • This impairment is primarily due to the suppression of carbohydrate metabolism within the Krebs cycle, linked to reduced KGDH activity.
  • These findings highlight a specific metabolic mechanism by which rapamycin affects pancreatic islet function.

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