000 02681 am a22002653u 4500
042 _adc
100 1 0 _aSarnobat, Dipak
_eauthor
_93008
700 1 0 _aMoffett, Charlotte R
_eauthor
_93009
700 1 0 _aTanday, Neil
_eauthor
_93010
700 1 0 _aReimann, Frank
_eauthor
_93011
700 1 0 _aGribble, Fiona M
_eauthor
_93012
700 1 0 _aFlatt, Peter R
_eauthor
_93013
700 1 0 _aTarasov, Andrei I
_eauthor
_93014
245 0 0 _aAntidiabetic drug therapy alleviates type 1 diabetes in mice by promoting pancreatic α-cell transdifferentiation
260 _c2020-12-01.
500 _a/pmc/articles/PMC7614179/
500 _a/pubmed/32926875
520 _aGut incretins, glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP), enhance secretion of insulin in a glucose-dependent manner, predominantly by elevating cytosolic levels of cAMP in pancreatic β-cells. Successful targeting of the incretin pathway by several drugs, however, suggests the antidiabetic mechanism is likely to span beyond the acute effect on hormone secretion and include, for instance, stimulation of β-cell growth and/or proliferation. Likewise, the antidiabetic action of kidney sodium-glucose linked transporter-2 (SGLT-2) inhibitors exceeds simple increase glucose excretion. Potential reasons for these 'added benefits' may lie in the long-term effects of these signals on developmental aspects of pancreatic islet cells. In this work, we explored if the incretin mimetics or SGLT-2 inhibitors can affect the size of the islet α- or β-cell compartments, under the condition of β-cell stress. To that end, we utilised mice expressing YFP specifically in pancreatic α-cells, in which we modelled type 1 diabetes by injecting streptozotocin, followed by a 10-day administration of liraglutide, sitagliptin or dapagliflozin. We observed an onset of diabetic phenotype, which was partially reversed by the administration of the antidiabetic drugs. The mechanism for the reversal included induction of β-cell proliferation, decrease in β-cell apoptosis and, for the incretin mimetics, transdifferentiation of α-cells into β-cells. Our data therefore emphasize the role of chronic incretin signalling in induction of α-/β-cell transdifferentiation. We conclude that incretin peptides may act directly on islet cells, making use of the endogenous local sites of 'ectopic' expression, whereas SGLT-2 inhibitors work via protecting β-cells from chronic hyperglycaemia.
540 _a
546 _aen
690 _aArticle
655 7 _aText
_2local
786 0 _nBiochem Pharmacol
856 4 1 _uhttp://dx.doi.org/10.1016/j.bcp.2020.114216
_zConnect to this object online.
999 _c499
_d499