Dual effect of advanced glycation end products in pancreatic islet apoptosis

Flavia Costal1, Erika Oliveira, Alexandre Raposo

  • 1Faculdade de Medicina da Universidade de São Paulo, Laboratório de Endocrinologia Celular e Molecular LIM-25, São Paulo, Brazil.

Abstract

Insights

Advanced glycation end products (AGEs) show a dual effect on pancreatic islets. Short exposure protects against apoptosis, while prolonged exposure promotes islet cell death, impacting type 2 diabetes.

Area of Science:

  • Endocrinology
  • Cell Biology
  • Diabetes Research

Background:

  • Type 2 diabetes is characterized by loss of β-cell function, impacting metabolic control.
  • Advanced glycation end products (AGEs) and their receptors (RAGE) contribute to islet apoptosis, alongside amyloid deposits and glucolipotoxicity.
  • Investigating the specific role of AGEs in β-cell deterioration is crucial for understanding diabetes progression.

Purpose of the Study:

  • To evaluate the temporal and dose-dependent effects of AGE compounds on apoptosis rate in cultured islets.
  • To assess the impact of AGEs on reactive oxygen species generation and gene expression related to apoptosis.
  • To elucidate the mechanism of AGE-induced β-cell dysfunction.

Main Methods:

  • Rat pancreatic islets were exposed to AGE-modified albumin for 24, 48, 72, and 96 hours.
  • Apoptosis, reactive oxygen species (ROS), superoxide content, and NADPH oxidase activity were measured.
  • RNA expression of RAGE (Ager), Bax, Bcl2, and Nfkb1 genes was analyzed.

Main Results:

  • Short-term AGE exposure (24-48h) decreased apoptosis, reduced the Bax/Bcl2 ratio, and lowered Nfkb1 expression.
  • Prolonged AGE exposure (72-96h) increased apoptosis, elevated the Bax/Bcl2 ratio, and upregulated Nfkb1 expression.
  • AGEs initially decreased ROS but later increased superoxide generation, with NADPH oxidase implicated in ROS production.

Conclusions:

  • Albumin modified by glycoaldehyde exhibits a dual effect on cultured pancreatic islets.
  • Short-term AGE exposure demonstrates a protective role against apoptosis.
  • Prolonged AGE exposure promotes apoptosis, contributing to β-cell deterioration in type 2 diabetes.

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