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Updated: Apr 7, 2026

Isolated Pancreatic Islet Treatment and Apoptosis Measurement
Published on: May 2, 2025
Squamosamide Derivative FLZ Protects Pancreatic β-Cells from Glucotoxicity by Stimulating Akt-FOXO1 Pathway
Xiangchen Kong1, Longmei Zhang1, Xianxin Hua2
1Diabetes Center, Shenzhen University, Shenzhen 518060, China.
Abstract:
Chronic hyperglycemia increases apoptosis and reduces glucose-stimulated insulin secretion. Although protective agents have been searched extensively, none has been found so far. Here we tested FLZ, a synthetic derivative of squamosamide from a Chinese herb, as a potential candidate for antiglucotoxicity in INS-1E cells and mouse islets. Chronic culture of β-cells in 30 mM glucose caused progressive reduction of cell viability, accompanied with increased apoptosis and reduced insulin secretion. These effects on apoptosis and insulin were reversed by FLZ in a dose-dependent manner. FLZ treatment also increased forkhead box O1 protein phosphorylation and reduced its nuclear location. On the contrary, FLZ increased pancreatic and duodenal homeobox-1 expression and its nuclear localization, an effect mediated by increased p-Akt. Consistently, Akt selective inhibitor MK-2206 completely abolished antiglucotoxicity effect of FLZ. Furthermore, FLZ treatment increased cytosolic ATP/ADP ratio. Taken together, our results suggest that FLZ could be a potential therapeutic agent to treat the hyperglycemia-induced β-cell failure.
Insights
FLZ, a novel compound, protects pancreatic beta cells from high glucose damage. This compound reverses apoptosis and improves insulin secretion, offering potential for treating hyperglycemia-induced beta-cell failure.
Area of Science:
- Endocrinology
- Cell Biology
- Pharmacology
Background:
- Chronic hyperglycemia impairs pancreatic beta-cell function.
- This leads to increased apoptosis and reduced insulin secretion.
- Effective protective agents against glucotoxicity are currently lacking.
Purpose of the Study:
- To investigate the potential antiglucotoxic effects of FLZ, a synthetic squamosamide derivative.
- To evaluate FLZ's impact on beta-cell viability, apoptosis, and insulin secretion under high glucose conditions.
- To elucidate the molecular mechanisms underlying FLZ's protective action.
Main Methods:
- INS-1E cells and mouse islets were cultured under high glucose (30 mM) conditions.
- FLZ was administered in a dose-dependent manner.
- Cell viability, apoptosis, protein expression (FOXO1, PDX-1), Akt phosphorylation, and ATP/ADP ratio were assessed.
Main Results:
- FLZ reversed high glucose-induced reduction in beta-cell viability and insulin secretion.
- FLZ dose-dependently reduced apoptosis by decreasing nuclear FOXO1 localization.
- FLZ enhanced PDX-1 expression and nuclear localization via Akt activation, which was essential for its protective effects.
Conclusions:
- FLZ demonstrates significant antiglucotoxicity in pancreatic beta cells.
- FLZ protects against hyperglycemia-induced beta-cell failure by modulating FOXO1 and Akt/PDX-1 pathways.
- FLZ represents a promising therapeutic candidate for managing hyperglycemia-related complications.
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