Reversible changes in pancreatic islet structure and function produced by elevated blood glucose

Diabetes is characterized by hyperglycaemia due to impaired insulin secretion and aberrant glucagon secretion resulting from changes in pancreatic islet cell function and/or mass. The extent to which hyperglycaemia per se underlies these alterations remains poorly understood. Here we show that β-cel...

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Main Authors: Brereton, M, Iberl, M, Shimomura, K, Zhang, Q, Adriaenssens, A, Proks, P, Spiliotis, I, Dace, W, Mattis, K, Ramracheya, R, Gribble, F, Reimann, F, Clark, A, Rorsman, P, Ashcroft, F
Format: Journal article
Language:English
Published: Nature publishing 2014
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author Brereton, M
Iberl, M
Shimomura, K
Zhang, Q
Adriaenssens, A
Proks, P
Spiliotis, I
Dace, W
Mattis, K
Ramracheya, R
Gribble, F
Reimann, F
Clark, A
Rorsman, P
Ashcroft, F
author_facet Brereton, M
Iberl, M
Shimomura, K
Zhang, Q
Adriaenssens, A
Proks, P
Spiliotis, I
Dace, W
Mattis, K
Ramracheya, R
Gribble, F
Reimann, F
Clark, A
Rorsman, P
Ashcroft, F
author_sort Brereton, M
collection OXFORD
description Diabetes is characterized by hyperglycaemia due to impaired insulin secretion and aberrant glucagon secretion resulting from changes in pancreatic islet cell function and/or mass. The extent to which hyperglycaemia per se underlies these alterations remains poorly understood. Here we show that β-cell-specific expression of a human activating KATP channel mutation in adult mice leads to rapid diabetes and marked alterations in islet morphology, ultrastructure and gene expression. Chronic hyperglycaemia is associated with a dramatic reduction in insulin-positive cells and an increase in glucagon-positive cells in islets, without alterations in cell turnover. Furthermore, some β-cells begin expressing glucagon, whilst retaining many β-cell characteristics. Hyperglycaemia, rather than KATP channel activation, underlies these changes, as they are prevented by insulin therapy and fully reversed by sulphonylureas. Our data suggest that many changes in islet structure and function associated with diabetes are attributable to hyperglycaemia alone and are reversed when blood glucose is normalized.
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spelling oxford-uuid:54b07831-5128-406b-bbe7-5aa7af26c0572022-03-26T16:39:30ZReversible changes in pancreatic islet structure and function produced by elevated blood glucoseJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:54b07831-5128-406b-bbe7-5aa7af26c057EnglishSymplectic Elements at OxfordNature publishing2014Brereton, MIberl, MShimomura, KZhang, QAdriaenssens, AProks, PSpiliotis, IDace, WMattis, KRamracheya, RGribble, FReimann, FClark, ARorsman, PAshcroft, FDiabetes is characterized by hyperglycaemia due to impaired insulin secretion and aberrant glucagon secretion resulting from changes in pancreatic islet cell function and/or mass. The extent to which hyperglycaemia per se underlies these alterations remains poorly understood. Here we show that β-cell-specific expression of a human activating KATP channel mutation in adult mice leads to rapid diabetes and marked alterations in islet morphology, ultrastructure and gene expression. Chronic hyperglycaemia is associated with a dramatic reduction in insulin-positive cells and an increase in glucagon-positive cells in islets, without alterations in cell turnover. Furthermore, some β-cells begin expressing glucagon, whilst retaining many β-cell characteristics. Hyperglycaemia, rather than KATP channel activation, underlies these changes, as they are prevented by insulin therapy and fully reversed by sulphonylureas. Our data suggest that many changes in islet structure and function associated with diabetes are attributable to hyperglycaemia alone and are reversed when blood glucose is normalized.
spellingShingle Brereton, M
Iberl, M
Shimomura, K
Zhang, Q
Adriaenssens, A
Proks, P
Spiliotis, I
Dace, W
Mattis, K
Ramracheya, R
Gribble, F
Reimann, F
Clark, A
Rorsman, P
Ashcroft, F
Reversible changes in pancreatic islet structure and function produced by elevated blood glucose
title Reversible changes in pancreatic islet structure and function produced by elevated blood glucose
title_full Reversible changes in pancreatic islet structure and function produced by elevated blood glucose
title_fullStr Reversible changes in pancreatic islet structure and function produced by elevated blood glucose
title_full_unstemmed Reversible changes in pancreatic islet structure and function produced by elevated blood glucose
title_short Reversible changes in pancreatic islet structure and function produced by elevated blood glucose
title_sort reversible changes in pancreatic islet structure and function produced by elevated blood glucose
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