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Updated: May 15, 2026

Isolated Pancreatic Islet Treatment and Apoptosis Measurement
Published on: May 2, 2025
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.
Background:
Loss of β-cell function hastens deterioration of metabolic control in type 2 diabetes patients. Besides amyloid deposit and glucolipotoxicity, advanced glycation end products (AGEs) acting through their receptors (RAGE) seem to contribute to this process by promoting islet apoptosis. In order to investigate the role of AGEs in β-cell deterioration, we evaluated the temporal and dose effects of AGE compounds on apoptosis rate, reactive oxygen species generation and expression of pro-apoptotic and anti-apoptotic genes in cultured islets.
Methods:
Rat pancreatic islets were exposed or not for 24, 48, 72 and 96 h to albumin modified by glycoaldehyde. Apoptosis, reactive oxygen species and superoxide content and NADPH oxidase activity were evaluated as well as RNA expression of the genes Ager (codes for RAGE), Bax, Bcl2 and Nfkb1.
Results:
In 24 and 48 h, glycoaldehyde elicited a decrease in apoptosis rate in comparison with the control condition concomitantly with a reduction in Bax/Bcl2 RNA ratio and in Nfkb1 RNA expression. In contrast, after 72 and 96 h, glycoaldehyde promoted an increase in apoptosis rate concomitantly with an increase in Bax/Bcl2 RNA ratio and in Nfkb1 RNA expression. In 24 h, glycoaldehyde elicited a decrease in the islet content of reactive oxygen species, whereas after 48 and 72 h, it promoted an opposite effect, increasing superoxide generation. The NADPH oxidase inhibitor VAS2870 attenuated superoxide production, implicating NADPH oxidase as an important source of reactive oxygen species in islets exposed to AGEs.
Conclusions:
Albumin modified by glycoaldehyde exerted a dual effect in cultured pancreatic islets, being protective against apoptosis after short exposure but pro-apoptotic after prolonged exposure.
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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