High glucose inhibits glucose-6-phosphate dehydrogenase, leading to increased oxidative stress and beta-cell

Zhaoyun Zhang1, Chong Wee Liew, Diane E Handy

  • 1Research Division, Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts 02215, USA.

Insights

Glucose-6-phosphate dehydrogenase (G6PD) is crucial for pancreatic beta-cell survival in type 2 diabetes. Impaired G6PD activity under high glucose conditions leads to beta-cell loss, contributing to diabetes progression.

Area of Science:

  • Endocrinology
  • Cell Biology
  • Metabolic Diseases

Background:

  • Type 2 diabetes is characterized by progressive loss of pancreatic beta cells.
  • Glucose-6-phosphate dehydrogenase (G6PD) generates NADPH, essential for antioxidant defense.
  • Beta cells are vulnerable to oxidative stress, implicated in diabetes pathogenesis.

Purpose of the Study:

  • To investigate the role of G6PD and NADPH in pancreatic beta-cell survival.
  • To determine if G6PD dysfunction contributes to beta-cell loss in diabetes.

Main Methods:

  • Utilized human and mouse islets, MIN6 cell line, and G6PD-deficient mice.
  • Assessed G6PD expression and activity under high glucose conditions.
  • Employed siRNA to inhibit G6PD and gene overexpression to study its effects.

Main Results:

  • High glucose reduced G6PD expression and activity in beta cells.
  • G6PD inhibition increased reactive oxygen species (ROS) and apoptosis, while decreasing proliferation and insulin secretion.
  • Overexpressing G6PD improved insulin secretion impaired by high glucose.
  • G6PD-deficient mice exhibited smaller islets and impaired glucose tolerance.

Conclusions:

  • G6PD is vital for pancreatic beta-cell function and survival.
  • Reduced G6PD activity under hyperglycemia is a potential mechanism for beta-cell loss in type 2 diabetes.
  • Targeting G6PD may offer therapeutic strategies for diabetes.

Related Concept Videos

Type II Diabetes II: Pathophysiology01:24

Type II Diabetes II: Pathophysiology

PathophysiologyType 2 diabetes mellitus (T2DM ) is a chronic metabolic disorder characterized by insulin resistance and progressive pancreatic β-cell dysfunction, leading to impaired glucose homeostasis. It results from interactions among genetic predisposition, environmental factors, and metabolic stressors, such as overnutrition and a sedentary lifestyle.Insulin Resistance and Glucose DysregulationEarly T2DM involves insulin resistance in skeletal muscle, adipose tissue, and the liver.
Glucose Homeostasis: Pancreatic Islets and Insulin Secretion01:27

Glucose Homeostasis: Pancreatic Islets and Insulin Secretion

The pancreatic islets comprising only 1%-2% of the volume are highly vascularized and innervated mini-organs. They contain five endocrine cell types, including β cells that secrete insulin, which is synthesized as a single polypeptide chain, preproinsulin, processed to proinsulin, and finally to insulin and C-peptide. This process is complex and regulated, involving the Golgi complex, the endoplasmic reticulum, and the secretory granules of the β cell.
Insulin and C-peptide are co-secreted in...
Hormones Regulating Blood Glucose01:16

Hormones Regulating Blood Glucose

Insulin is released by beta cells of the pancreas when blood glucose levels are high. It facilitates glucose absorption and utilization in insulin-dependent cells with insulin receptors on their plasma membranes. Insulin promotes glucose uptake by increasing the number of glucose transport proteins in the cell membrane, allowing glucose to enter the cell. As a result, glucose utilization and ATP production are enhanced.
In addition to accelerating glucose uptake and utilization, insulin has...
Glucose Homeostasis: Regulation of Blood Glucose01:02

Glucose Homeostasis: Regulation of Blood Glucose

Carbohydrates consumed through foods are converted into glucose, a crucial energy source for the body. In the prandial state, high blood glucose levels stimulate the secretion of insulin from the pancreas. Insulin inhibits hepatic glucose production and stimulates glucose uptake and metabolism by muscle and adipose tissue. The excess glucose is converted into glycogen and stored in the liver and muscles.
During fasting, when blood glucose levels are low, the pancreas secretes glucagon. it...
Hyperglycemia01:29

Hyperglycemia

Hyperglycemia is an abnormally high blood glucose level. It is diagnosed by fasting glucose ≥126 mg/dL, 2-hour oral glucose tolerance test (or OGTT) ≥200 mg/dL, random glucose ≥200 mg/dL with symptoms, or HbA1c ≥6.5%. However, HbA1c results may be unreliable in certain conditions, such as anemia or hemoglobinopathies, and the diagnosis should be confirmed unless classic symptoms are present. Postprandial hyperglycemia is typically considered significant when glucose levels exceed 180 mg/dL two...
Type I Diabetes II: Pathophysiology01:26

Type I Diabetes II: Pathophysiology

Type 1 diabetes mellitus arises from an immune-mediated destruction of pancreatic β-cells, resulting in an absolute deficiency of insulin. This process develops in genetically susceptible individuals when autoimmunity, environmental exposures, and immunologic dysregulation converge to trigger a targeted attack on the insulin-producing cells of the pancreas. The β-cells are located within the islets of Langerhans and are essential for regulating blood glucose by facilitating cellular uptake of...