Related Experiment Video
Updated: Nov 30, 2025

Author Spotlight: Unraveling Vitamin A Transport Mechanisms — Linking Liver Receptors to Vision Health Through RBPR2 and RBP4 Interactions
Published on: October 4, 2024
Retinol-Binding Protein 4 Activates STRA6, Provoking Pancreatic β-Cell Dysfunction in Type 2 Diabetes
Rong Huang1, Xinxiu Bai1, Xueyan Li2
1Guangdong Provincial Key Laboratory of Food, Nutrition, and Health and Department of Nutrition, School of Public Health, Sun Yat-sen University (Northern Campus), Guangzhou, Guangdong Province, People's Republic of China.
Abstract:
Pancreatic β-cell dysfunction plays a decisive role in the progression of type 2 diabetes. Retinol-binding protein 4 (RBP4) is a prominent adipokine in type 2 diabetes, although its effect on β-cell function remains elusive, and the underlying mechanisms are unknown. Here, we found that elevated circulating RBP4 levels were inversely correlated with pancreatic β-cell function in db/db mice across different glycemic stages. RBP4 directly suppressed glucose-stimulated insulin secretion (GSIS) in primary isolated islets and INS-1E cells in a dose- and time-dependent manner. RBP4 transgenic (RBP4-Tg) overexpressing mice showed a dynamic decrease of GSIS, which appeared as early as 8 weeks old, preceding the impairment of insulin sensitivity and glucose tolerance. Islets isolated from RBP4-Tg mice showed a significant decrease of GSIS. Mechanistically, we demonstrated that the stimulated by retinoic acid 6 (STRA6), RBP4's only known specific membrane receptor, is expressed in β-cells and mediates the inhibitory effect of RBP4 on insulin synthesis through the Janus kinase 2/STAT1/ISL-1 pathway. Moreover, decreasing circulating RBP4 level could effectively restore β-cell dysfunction and ameliorate hyperglycemia in db/db mice. These observations revealed a role of RBP4 in pancreatic β-cell dysfunction, which provides new insight into the diabetogenic effect of RBP4.
Insights
Retinol-binding protein 4 (RBP4) impairs pancreatic beta-cell function and insulin secretion in type 2 diabetes. Reducing RBP4 levels can restore beta-cell function and improve hyperglycemia.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Cell Biology
Background:
- Pancreatic beta-cell dysfunction is central to type 2 diabetes progression.
- Retinol-binding protein 4 (RBP4) is an adipokine implicated in type 2 diabetes, but its direct impact on beta-cells and mechanisms are unclear.
Purpose of the Study:
- To investigate the role of RBP4 in pancreatic beta-cell function and insulin secretion.
- To elucidate the molecular mechanisms by which RBP4 affects beta-cells.
Main Methods:
- Correlational analysis of circulating RBP4 levels and beta-cell function in db/db mice.
- In vitro studies using isolated islets and INS-1E cells to assess RBP4's effect on glucose-stimulated insulin secretion (GSIS).
- Analysis of RBP4 transgenic (RBP4-Tg) mice and investigation of the STRA6/JAK2/STAT1/ISL-1 pathway.
Main Results:
- Elevated RBP4 levels inversely correlated with beta-cell function in db/db mice.
- RBP4 directly suppressed GSIS in a dose- and time-dependent manner.
- RBP4-Tg mice exhibited decreased GSIS early in development, preceding insulin resistance; STRA6 mediated RBP4's inhibitory effect on insulin synthesis via the JAK2/STAT1/ISL-1 pathway.
Conclusions:
- RBP4 directly impairs pancreatic beta-cell function and insulin secretion.
- The STRA6 receptor mediates RBP4's inhibitory effects on beta-cells through the JAK2/STAT1/ISL-1 pathway.
- Reducing circulating RBP4 levels offers a potential therapeutic strategy for restoring beta-cell function and ameliorating hyperglycemia in type 2 diabetes.
Related Concept Videos
Cell Specific Gene Expression
Insulin Secretory Vesicles
Insulin: The Receptor and Signaling Pathways
Hormones Regulating Blood Glucose
In addition to accelerating glucose uptake and utilization, insulin has...
Insulin: Biosynthesis, Chemistry, and Preparation
Damage or functional impairment of β-cells inhibits insulin production, leading to diabetes. Diabetes treatment...
Glucose Homeostasis: Pancreatic Islets and Insulin Secretion
Insulin and C-peptide are...

