Exendin-4 protects oxidative stress-induced β-cell apoptosis through reduced JNK and GSK3β activity

Ju-Young Kim1, Dong-Mee Lim, Chan Il Moon

  • 1Division of Endocrinology and Metabolism, Department of Internal Medicine, Konyang University School of Medicine, Daejeon, Korea.

Insights

Glucagon-like peptide-1 (GLP-1) protects pancreatic beta cells from oxidative stress-induced apoptosis. This mechanism involves blocking the JNK and GSK3β pathways, preserving beta cell function in type 2 diabetes.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Diabetes Research

Background:

  • Chronic hyperglycemia in type 2 diabetes causes oxidative stress, leading to beta-cell apoptosis and loss of function.
  • Glucagon-like peptide-1 (GLP-1) is known to preserve beta-cell mass and insulin secretion, but its precise anti-apoptotic mechanisms are unclear.

Purpose of the Study:

  • To investigate the protective mechanisms of GLP-1 against oxidative stress-induced apoptosis in pancreatic beta cells.
  • To elucidate how GLP-1 receptor agonists modulate key signaling pathways involved in beta-cell survival.

Main Methods:

  • Beta-cell lines and human islets were subjected to oxidative stress using hydrogen peroxide (H2O2).
  • Pretreatment with Exendin-4 (Ex-4), a GLP-1 receptor agonist, was employed.
  • Flow cytometry was used to quantify apoptosis.
  • Western blotting assessed the activation of GSK3β, JNK phosphorylation, and caspase-9/-3.
  • Insulin2 mRNA expression and insulin secretion were measured.

Main Results:

  • Ex-4 pretreatment significantly reduced oxidative stress-induced beta-cell apoptosis by 41.7%.
  • Ex-4 treatment decreased the activation of GSK3β, JNK phosphorylation, and caspase-9/-3.
  • Ex-4 administration restored insulin2 mRNA expression in beta-cell lines and insulin secretion in human islets.

Conclusions:

  • Exendin-4, a GLP-1 receptor agonist, effectively protects pancreatic beta cells from oxidative stress-induced apoptosis.
  • The protective effect is mediated by inhibiting the JNK and GSK3β signaling pathways.
  • These findings highlight GLP-1's potential therapeutic role in preserving beta-cell function in diabetes.

Related Concept Videos

Dipeptidyl Peptidase 4 Inhibitors01:23

Dipeptidyl Peptidase 4 Inhibitors

Dipeptidyl peptidase 4 (DPP-4) is a serine protease widely distributed in the body. It's involved in the inactivation of GLP-1 and GIP hormones, which are crucial for insulin regulation. DPP-4 inhibitors, such as sitagliptin (Januvia), saxagliptin (Onglyza), linagliptin (Tradjenta), alogliptin (Nesina), and vildagliptin (Galvus), help increase the proportion of active GLP-1, enhancing insulin secretion. These inhibitors work by competitively binding to DPP-4. This binding causes a significant...
The Extrinsic Apoptotic Pathway01:17

The Extrinsic Apoptotic Pathway

The extrinsic apoptotic pathway is initiated when extracellular death-inducing signals, such as specific cytokines, activate the death receptors expressed on the cell surface. The immune cells involved in this pathway are natural killer cells (NK cells) and cytotoxic T-lymphocytes. NK cells are critical in innate immune response, while cytotoxic T-lymphocytes are associated with adaptive immune response. These cells recognize specific receptors expressed on the altered cells and activate...
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...
Glucagon-like Receptor Agonists01:24

Glucagon-like Receptor Agonists

Incretins include glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP), which stimulate insulin secretion post-meals. In type 2 diabetes, GIP's efficacy is reduced, making GLP-1 a viable drug target. GIP originates from preproGIP.
GLP-1, when administered in high doses intravenously, triggers insulin secretion, inhibits glucagon release, slows gastric emptying, reduces food intake, and restores normal insulin secretion. However, its rapid inactivation by the...
The Intrinsic Apoptotic Pathway01:31

The Intrinsic Apoptotic Pathway

Internal cellular stress, such as cellular injury or hypoxia, triggers intrinsic apoptosis. The B-cell lymphoma 2 (Bcl-2) family of proteins are the primary regulators of the intrinsic apoptotic pathway. For example, during DNA damage, checkpoint proteins, such as Ataxia Telangiectasia Mutated (ATM protein) and Checkpoints Factor-2 (Chk2) proteins, are activated. These proteins phosphorylate p53 which further activates pro-apoptotic proteins, such as Bax, Bak, PUMA, and Noxa, and inhibits...