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Updated: May 29, 2026

Isolated Pancreatic Islet Treatment and Apoptosis Measurement
Published on: May 2, 2025
Suppression of FoxO1/cell death-inducing DNA fragmentation factor α-like effector A (Cidea) axis protects mouse
Naoki Omae1, Minoru Ito, Syoko Hase
1Discovery Research Laboratories, Kyorin Pharmaceutical Co., Ltd., 2399-1 Nogi-machi, Shimotsuga-gun, Tochigi 329-0114, Japan.
Abstract:
Chronic exposure to free fatty acid (FFA) induces pancreatic β-cell apoptosis, which may contribute to the development of type 2 diabetes. The cell death-inducing DNA fragmentation factor α-like effector (CIDE) family is involved in type 2 diabetes with obesity. In the present study, we found that only apoptosis-inducing FFA upregulated Cidea, and both apoptosis and Cidea were upregulated most strongly by palmitic acid, suggesting that the expression of Cidea is positively correlated with apoptosis. In contrast, there were weak correlations between Cideb and Cidec expression, and apoptosis. Furthermore, suppression of Cidea inhibited palmitic acid-induced apoptosis. Finally, suppression of FoxO1 inhibited palmitic acid-induced Cidea upregulation and apoptosis. These results indicate that Cidea is a critical regulator of FFA-induced apoptosis as a novel downstream target for FoxO1 in β-cells, suggesting that suppression of Cidea is a potentially useful therapeutic approach for protecting against β-cell loss in type 2 diabetes.
Insights
Free fatty acids trigger pancreatic cell death, contributing to type 2 diabetes. This study reveals Cidea as a key mediator of this apoptosis, offering a potential therapeutic target.
Area of Science:
- Cell Biology
- Endocrinology
- Metabolic Diseases
Background:
- Chronic free fatty acid (FFA) exposure induces pancreatic β-cell apoptosis, a key factor in type 2 diabetes development.
- The cell death-inducing DNA fragmentation factor α-like effector (CIDE) family is implicated in obesity-related type 2 diabetes.
Purpose of the Study:
- To investigate the role of CIDE family members, specifically Cidea, in FFA-induced pancreatic β-cell apoptosis.
- To identify the regulatory pathway involving FoxO1 and Cidea in this process.
Main Methods:
- Assessing Cidea, Cideb, and Cidec expression in response to FFA exposure.
- Evaluating the impact of Cidea suppression on palmitic acid-induced apoptosis.
- Investigating the effect of FoxO1 suppression on Cidea upregulation and apoptosis.
Main Results:
- Apoptosis-inducing FFAs, particularly palmitic acid, strongly upregulated Cidea expression, correlating positively with apoptosis.
- Cideb and Cidec expression showed weak correlations with apoptosis.
- Suppression of Cidea significantly inhibited palmitic acid-induced apoptosis.
- Suppression of FoxO1 blocked palmitic acid-induced Cidea upregulation and subsequent apoptosis.
Conclusions:
- Cidea acts as a critical regulator of FFA-induced β-cell apoptosis, functioning as a downstream target of FoxO1.
- Targeting Cidea presents a promising therapeutic strategy for preventing β-cell loss in type 2 diabetes.
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