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Updated: Jun 9, 2025

Measuring Relative Insulin Secretion using a Co-Secreted Luciferase Surrogate
Published on: June 25, 2019
Stimulation of insulin secretion induced by low 4-cresol dose involves the RPS6KA3 signalling pathway
François Brial1,2, Géraldine Puel3, Laurine Gonzalez4
1Université Paris Cité, INSERM U1132 Biologie de l'os et du cartilage (BIOSCAR), Paris, France.
Abstract:
4-cresol (4-methylphenol, p-cresol) is a xenobiotic substance negatively correlated with type 2 diabetes and associated with health improvement in preclinical models of diabetes. We aimed at refining our understanding of the physiological role of this metabolite and identifying potential signalling mechanisms. Functional studies revealed that 4-cresol does not deteriorate insulin sensitivity in human primary adipocytes and exhibits an additive effect to that of insulin on insulin sensitivity in mouse C2C12 myoblasts. Experiments in mouse isolated islets showed that 4-cresol potentiates glucose induced insulin secretion. We demonstrated the absence of off target effects of 4-cresol on a panel of 44 pharmacological compounds. Screening large panels of 241 G protein-coupled receptors (GPCRs) and 468 kinases identified binding of 4-cresol only to TNK1, EIF2AK4 (GCN2) and RPS6KA3 (RSK2), a kinase strongly expressed in human and rat pancreatic islets. Islet expression of RPS6KA3 is reduced in spontaneously diabetic rats chronically treated with 4-cresol and Rps6ka3 deficient mice exhibit reduction in both body weight and fasting glycemia, modest improvement in glycemic control and enhanced insulin release in vivo. Similar to low doses of 4-cresol, incubation of isolated rat islets with low concentrations of the RPS6KA3 inhibitor BIX 02565 stimulates both glucose induced insulin secretion and β-cell proliferation. These results provide further information on the role of low 4-cresol doses in the regulation of insulin secretion.
Insights
4-cresol, a compound linked to improved diabetes health, enhances insulin sensitivity and secretion. It targets the RPS6KA3 kinase, suggesting a novel mechanism for regulating blood sugar and insulin release in diabetes.
Area of Science:
- Metabolomics
- Endocrinology
- Pharmacology
Background:
- 4-cresol (4-methylphenol) is a xenobiotic metabolite inversely correlated with type 2 diabetes.
- Preclinical models suggest 4-cresol has health benefits in diabetes.
Purpose of the Study:
- To elucidate the physiological role of 4-cresol.
- To identify signaling mechanisms underlying 4-cresol's effects on glucose metabolism and insulin secretion.
Main Methods:
- In vitro studies on human adipocytes and mouse myoblasts to assess insulin sensitivity.
- Experiments on isolated mouse islets to evaluate glucose-stimulated insulin secretion.
- Screening of GPCRs and kinases for 4-cresol binding.
- In vivo studies using diabetic rats and Rps6ka3 deficient mice.
Main Results:
- 4-cresol did not impair insulin sensitivity in adipocytes and enhanced it in myoblasts.
- 4-cresol potentiated glucose-induced insulin secretion in isolated islets.
- 4-cresol selectively bound to TNK1, EIF2AK4 (GCN2), and RPS6KA3 (RSK2) kinases.
- RPS6KA3 kinase expression decreased in islets of 4-cresol-treated diabetic rats.
- Rps6ka3 deficient mice showed reduced body weight, fasting glycemia, and improved glycemic control with enhanced insulin release.
- Inhibition of RPS6KA3 mimicked low-dose 4-cresol effects on insulin secretion and beta-cell proliferation.
Conclusions:
- 4-cresol plays a beneficial role in glucose homeostasis and insulin secretion.
- The kinase RPS6KA3 is a key mediator of 4-cresol's effects.
- Low doses of 4-cresol regulate insulin secretion and beta-cell function via RPS6KA3.
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