Gene networks modified by sulphonylureas in beta cells: a pathway-based analysis of insulin secretion and cell death

Nils E Magnusson1, Lars Dyrskjøt, Daniela Grimm

  • 1Institute of Biomedicine, Pharmacology, University of Aarhus, Aarhus, Denmark. nm@farm.au.dk

Insights

Different sulfonylureas (SUs) impact type 2 diabetes treatment outcomes. Glibenclamide and glimepiride, unlike gliclazide, may induce harmful cell signaling in insulin-producing cells over time.

Area of Science:

  • Endocrinology
  • Pharmacology
  • Molecular Biology

Background:

  • Sulfonylureas (SUs) are common type 2 diabetes treatments.
  • Clinical outcomes vary significantly among different SUs.
  • Potential differential effects on pancreatic beta-cell function and survival are not fully understood.

Purpose of the Study:

  • To investigate the distinct effects of three widely used SUs (glibenclamide, glimepiride, gliclazide) on insulin-producing cell function and survival.
  • To compare genome-wide gene expression patterns induced by these SUs.
  • To identify molecular mechanisms underlying differential SU effects.

Main Methods:

  • Insulin-secreting INS-1E cells were treated with glibenclamide, glimepiride, and gliclazide for 6 and 24 hours.
  • Genome-wide gene expression was analyzed using GeneChip and bioinformatics approaches (cluster and pathway analysis).
  • Cell death was quantified using acridine orange/Hoechst 33342 staining.

Main Results:

  • Short-term (6 hr) SU treatment upregulated insulin secretion and related genes similarly across all agents.
  • Long-term (24-72 hr) treatment with gliclazide showed no significant changes in gene expression or cell survival.
  • Glibenclamide and glimepiride induced genes linked to oxidative stress and hypoxia but did not cause cell death after 24-72 hours.

Conclusions:

  • Short-term SU exposure triggers temporal, similar gene regulation related to insulin secretion.
  • Long-term exposure reveals distinct effects: glibenclamide and glimepiride induce potentially detrimental signaling pathways in beta cells.
  • These findings suggest glibenclamide and glimepiride may have different long-term implications for beta-cell health compared to gliclazide.

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