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Braving the Element: Pancreatic β-Cell Dysfunction and Adaptation in Response to Arsenic Exposure
Christopher M Carmean1,2, Susumu Seino1
1Division of Molecular and Metabolic Medicine, Department of Physiology and Cell Biology, Kobe University Graduate School of Medicine, Kobe, Japan.
Abstract:
Type 2 diabetes mellitus (T2DM) is a serious global health problem, currently affecting an estimated 451 million people worldwide. T2DM is characterized by hyperglycemia and low insulin relative to the metabolic demand. The precise contributing factors for a given individual vary, but generally include a combination of insulin resistance and insufficient insulin secretion. Ultimately, the progression to diabetes occurs only after β-cells fail to meet the needs of the individual. The stresses placed upon β-cells in this context manifest as increased oxidative damage, local inflammation, and ER stress, often inciting a destructive spiral of β-cell death, increased metabolic stress due to further insufficiency, and additional β-cell death. Several pathways controlling insulin resistance and β-cell adaptation/survival are affected by a class of exogenous bioactive compounds deemed endocrine disrupting chemicals (EDCs). Epidemiological studies have shown that, in several regions throughout the world, exposure to the EDC inorganic arsenic (iAs) correlates significantly with T2DM. It has been proposed that a lifetime of exposure to iAs may exacerbate problems with both insulin sensitivity as well as β-cell function/survival, promoting the development of T2DM. This review focuses on the mechanisms of iAs action as they relate to known adaptive and maladaptive pathways in pancreatic β-cells.
Insights
Inorganic arsenic (iAs) exposure may worsen type 2 diabetes (T2DM) by harming pancreatic beta cells. This review explores how iAs impacts insulin resistance and beta cell function, contributing to T2DM development.
Area of Science:
- Endocrinology
- Toxicology
- Metabolic disease research
Background:
- Type 2 diabetes mellitus (T2DM) affects over 451 million globally, characterized by hyperglycemia and impaired insulin function.
- T2DM arises from insulin resistance and insufficient insulin secretion, leading to pancreatic beta-cell failure.
- Beta-cell stress, oxidative damage, inflammation, and ER stress contribute to T2DM progression.
Purpose of the Study:
- To review the mechanisms by which inorganic arsenic (iAs) affects pancreatic beta-cell function and survival.
- To explore the link between iAs exposure and the development of T2DM.
- To understand how iAs influences pathways related to insulin resistance and beta-cell adaptation.
Main Methods:
- Literature review of epidemiological studies and mechanistic research on iAs and T2DM.
- Analysis of pathways involved in beta-cell stress, insulin resistance, and endocrine disruption.
- Focus on the role of exogenous bioactive compounds, specifically iAs, in metabolic dysfunction.
Main Results:
- Epidemiological studies show a significant correlation between iAs exposure and T2DM prevalence.
- iAs is proposed to exacerbate insulin resistance and impair beta-cell function and survival.
- Mechanisms involve iAs impacting pathways controlling beta-cell adaptation and survival.
Conclusions:
- Inorganic arsenic exposure is a potential environmental factor contributing to T2DM development.
- Understanding iAs mechanisms in beta cells is crucial for T2DM prevention and treatment strategies.
- Further research is needed to elucidate the precise molecular interactions between iAs and pancreatic beta cells.
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