Developmental Programming and Glucolipotoxicity: Insights on Beta Cell Inflammation and Diabetes

Stimuli or insults during critical developmental transitions induce alterations in progeny anatomy, physiology, and metabolism that may be transient, sometimes reversible, but often durable, which defines programming. Glucolipotoxicity is the combined, synergistic, deleterious effect of simultaneous...

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Main Author: Marlon E. Cerf
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Metabolites
Subjects:
Online Access:https://www.mdpi.com/2218-1989/10/11/444
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author Marlon E. Cerf
author_facet Marlon E. Cerf
author_sort Marlon E. Cerf
collection DOAJ
description Stimuli or insults during critical developmental transitions induce alterations in progeny anatomy, physiology, and metabolism that may be transient, sometimes reversible, but often durable, which defines programming. Glucolipotoxicity is the combined, synergistic, deleterious effect of simultaneously elevated glucose (chronic hyperglycemia) and saturated fatty acids (derived from high-fat diet overconsumption and subsequent metabolism) that are harmful to organs, micro-organs, and cells. Glucolipotoxicity induces beta cell death, dysfunction, and failure through endoplasmic reticulum and oxidative stress and inflammation. In beta cells, the misfolding of pro/insulin proteins beyond the cellular threshold triggers the unfolded protein response and endoplasmic reticulum stress. Consequentially there is incomplete and inadequate pro/insulin biosynthesis and impaired insulin secretion. Cellular stress triggers cellular inflammation, where immune cells migrate to, infiltrate, and amplify in beta cells, leading to beta cell inflammation. Endoplasmic reticulum stress reciprocally induces beta cell inflammation, whereas beta cell inflammation can self-activate and further exacerbate its inflammation. These metabolic sequelae reflect the vicious cycle of beta cell stress and inflammation in the pathophysiology of diabetes.
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spelling doaj.art-2ad5715cc4ec48c88e4a6ffc7bff1d072023-11-20T19:49:33ZengMDPI AGMetabolites2218-19892020-11-01101144410.3390/metabo10110444Developmental Programming and Glucolipotoxicity: Insights on Beta Cell Inflammation and DiabetesMarlon E. Cerf0Grants, Innovation and Product Development, South African Medical Research Council, Tygerberg 7505, South AfricaStimuli or insults during critical developmental transitions induce alterations in progeny anatomy, physiology, and metabolism that may be transient, sometimes reversible, but often durable, which defines programming. Glucolipotoxicity is the combined, synergistic, deleterious effect of simultaneously elevated glucose (chronic hyperglycemia) and saturated fatty acids (derived from high-fat diet overconsumption and subsequent metabolism) that are harmful to organs, micro-organs, and cells. Glucolipotoxicity induces beta cell death, dysfunction, and failure through endoplasmic reticulum and oxidative stress and inflammation. In beta cells, the misfolding of pro/insulin proteins beyond the cellular threshold triggers the unfolded protein response and endoplasmic reticulum stress. Consequentially there is incomplete and inadequate pro/insulin biosynthesis and impaired insulin secretion. Cellular stress triggers cellular inflammation, where immune cells migrate to, infiltrate, and amplify in beta cells, leading to beta cell inflammation. Endoplasmic reticulum stress reciprocally induces beta cell inflammation, whereas beta cell inflammation can self-activate and further exacerbate its inflammation. These metabolic sequelae reflect the vicious cycle of beta cell stress and inflammation in the pathophysiology of diabetes.https://www.mdpi.com/2218-1989/10/11/444beta cell deathbeta cell dysfunctionbeta cell failureER stresshyperglycemiaobesity
spellingShingle Marlon E. Cerf
Developmental Programming and Glucolipotoxicity: Insights on Beta Cell Inflammation and Diabetes
Metabolites
beta cell death
beta cell dysfunction
beta cell failure
ER stress
hyperglycemia
obesity
title Developmental Programming and Glucolipotoxicity: Insights on Beta Cell Inflammation and Diabetes
title_full Developmental Programming and Glucolipotoxicity: Insights on Beta Cell Inflammation and Diabetes
title_fullStr Developmental Programming and Glucolipotoxicity: Insights on Beta Cell Inflammation and Diabetes
title_full_unstemmed Developmental Programming and Glucolipotoxicity: Insights on Beta Cell Inflammation and Diabetes
title_short Developmental Programming and Glucolipotoxicity: Insights on Beta Cell Inflammation and Diabetes
title_sort developmental programming and glucolipotoxicity insights on beta cell inflammation and diabetes
topic beta cell death
beta cell dysfunction
beta cell failure
ER stress
hyperglycemia
obesity
url https://www.mdpi.com/2218-1989/10/11/444
work_keys_str_mv AT marlonecerf developmentalprogrammingandglucolipotoxicityinsightsonbetacellinflammationanddiabetes