Caloric restriction recovers impaired β-cell-β-cell gap junction coupling, calcium oscillation coordination, and insulin secretion in prediabetic mice
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Abstract
Abstract Caloric restriction has been shown to decrease the incidence of metabolic diseases such as obesity and type 2 diabetes mellitus (T2DM). The mechanisms underlying the benefits of caloric restriction involved in insulin secretion and glucose homeostasis and are not fully understood. Intercellular communication within the islets of Langerhans, mediated by Connexin36 (Cx36) gap junctions, regulates insulin secretion dynamics and glucose homeostasis. The goal of this study was to determine if caloric restriction can protect against decreases in Cx36 gap junction coupling and altered islet function induced in models of obesity and prediabetes. C57BL6 mice were fed with a high fat diet (HFD), showing indications of prediabetes after 2 months, including weight gain, insulin resistance, and elevated fasting glucose and insulin levels. Subsequently, mice were submitted to one month of 40% caloric restriction (2g/day of HFD). Mice under 40% caloric restriction showed reversal in weight gain and recovered insulin sensitivity, fasting glucose and insulin levels. In islets of mice fed the HFD, caloric restriction protected against obesity-induced decreases in gap junction coupling and preserved glucose-stimulated calcium signaling, including Ca 2+ oscillation coordination and oscillation amplitude. Caloric restriction also promoted a slight increase in glucose metabolism, as measured by increased NAD(P)H autofluorescence, as well as recovering glucose-stimulated insulin secretion. We conclude that declines in Cx36 gap junction coupling that occur in obesity can be completely recovered by caloric restriction and obesity reversal, improving Ca 2+ dynamics and insulin secretion regulation. This suggests a critical role for caloric restriction in the context of obesity to prevent islet dysfunction.
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Long term >40% caloric restriction recovered insulin sensitivity, fasting glucose, and insulin levels.
“long term >40% caloric restriction recovered insulin sensitivity, fasting glucose, and insulin levels”
From The cardioprotective effects of semaglutide exceed those of dietary weight loss in mice with HFpEF (2023) · cites this paper as [61]
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BackgroundRedox Homeostasis in Pancreatic β-Cells: From Development to Failure
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“nization of calcium oscillations, and CX36-deficient mice show disrupted first-phase and pulsatile second phase of insulin release [234,235].”
BackgroundStožer, A., Klemen, M. S., Gosak, M., Bombek, L. K., Pohorec, V., Rupnik, M. S., & Dolenšek, J. (2021) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00043.2021 · Cited by 45 · see citing works
dos Santos, C., Cambraia, A., Shrestha, S., Cutler, M., Cottam, M. A., Perkins, G. A., Lev‐Ram, V., Roy, B., Acree, C., Keun-young Kim, A., et al. (2024) · Nature Communications · doi:10.1038/s41467-024-53127-2 · Cited by 47 · see citing works
“…20 – 40% CR or CR achieved via TRF are linked to lower islet cell mass in lean mice 21 , whereas in pre-diabetic mice, CR restores normal beta cell secretory function, identity, and preserves beta cell mass 30 – 33 in a process dependent on activation of beta cell autophagy via Beclin-2 34 .”
BackgroundResultCa2+ Oscillations, Waves, and Networks in Islets From Human Donors With and Without Type 2 Diabetes
Gosak, M., Yan‐Do, R., Lin, H., MacDonald, P. E., & Stožer, A. (2022) · Diabetes · doi:10.2337/db22-0004 · Cited by 39 · see citing works
Briggs, J. K., Gresch, A., Marinelli, I., Dwulet, J. M., Albers, D. J., Kravets, V. V., & Benninger, R. K. P. (2023) · eLife · doi:10.7554/elife.83147 · Cited by 35 · see citing works
“…important in our understanding of islet dynamics in diabetes because both the gap junctions (e.g. the structural network) ( St. Clair et al., 2020 ; Corezola do Amaral et al., 2020 ; Farnsworth et al., 2022 ; Hodson et al., 2013 ; Carvalho et al., 2012 ; Farnsworth et al., 2016 ) and…”
BackgroundInfluentialAvilkina, V., Chauveau, C., & Mhenni, O. G. (2021) · Bone · doi:10.1016/j.bone.2021.116232 · Cited by 32 · see citing works
Stožer, A., Sterk, M., Leitgeb, E. P., Markovič, R., Klemen, M. S., Ellis, C., Bombek, L. K., Dolenšek, J., Macdonald, P., & Gosak, M. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.922640 · Cited by 28 · see citing works
Winn, N. C., Cottam, M. A., Bhanot, M., Caslin, H. L., Garcia, J. N., Drigo, R. A. E., & Hasty, A. H. (2022) · Diabetes · doi:10.2337/db22-0161 · Cited by 28 · see citing works
Vertical sleeve gastrectomy triggers fast β-cell recovery upon overt diabetes
Oppenländer, L., Palit, S., Stemmer, K., Greisle, T., Sterr, M., Salinno, C., Bastidas-Ponce, A., Feuchtinger, A., Böttcher, A., Ansarullah, M., et al. (2021) · Molecular Metabolism · doi:10.1016/j.molmet.2021.101330 · Cited by 24 · see citing works
Exploring pancreatic beta-cell subgroups and their connectivity
Rutter, G. A., Gresch, A., Delgadillo-Silva, L. F., & Benninger, R. K. P. (2024) · Nature Metabolism · doi:10.1038/s42255-024-01097-6 · Cited by 24 · see citing works
Zaborska, K. E., Jordan, K. L., Thorson, A. S., Dadi, P. K., Schaub, C. M., Nakhe, A. Y., Dickerson, M. T., Lynch, J. C., Weiss, A. J., Dobson, J. R., et al. (2022) · Diabetes Obesity and Metabolism · doi:10.1111/dom.14747 · Cited by 21 · see citing works
“from HFD-fed mice compared to control animals (Figure S11E); blunted and less coordinated islet Ca oscillations were also previously shown in mice exposed to prolonged HFD feeding.(42,43) Next,”
BackgroundMeasurement of Pulsatile Insulin Secretion: Rationale and Methodology
LAURENTI, M. C., Matveyenko, A. V., & Vella, A. V. (2021) · Metabolites · doi:10.3390/metabo11070409 · Cited by 19 · see citing works
“At least in the early stages, these defects seem to be reversible [60,91,92].”
BackgroundBariatric Surgery: Targeting pancreatic β cells to treat type II diabetes
Liu, T., Zou, X., Ruze, R., & Xu, Q. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1031610 · Cited by 22 · see citing works
A Critical Assessment of Fasting to Promote Metabolic Health and Longevity
Fazeli, P. K., & Steinhauser, M. L. (2025) · Endocrine Reviews · doi:10.1210/endrev/bnaf021 · Cited by 19 · see citing works
“…mechanisms may account for improved glucose homeostasis with fasting or caloric restriction, including improved β -cell survival or function (144, 145), improved skeletal muscle GLUT4 cell surface occupancy and responsiveness to insulin (55), and augmented mammalian target of rapamycin…”
Suba, K., Patel, Y., Martin-Alonso, A., Hansen, B., Xu, X., Roberts, A. G., Norton, M., Chung, P., Shrewsbury, J. V., Kwok, R., et al. (2024) · Molecular Metabolism · doi:10.1016/j.molmet.2024.101947 · Cited by 18 · see citing works
Human Beta Cell Functional Adaptation and Dysfunction in Insulin Resistance and Its Reversibility
Klemen, M. S., Kopecký, J., Dolenšek, J., & Stožer, A. (2023) · The Nephron journals/Nephron journals · doi:10.1159/000534667 · Cited by 11 · see citing works
“…that is decreased in islets exposed to a diabetogenic environment in vivo or in vitro seems to be able to recover upon caloric restriction in mice [35] and at least in vitro and at least partially upon culture under normal conditions or by use of inhibitors of cytokine-mediated signaling pathways…”
BackgroundŠterk, M., Zhang, Y., Pohorec, V., Leitgeb, E. P., Dolenšek, J., Benninger, R. K. P., Stožer, A., Kravets, V. V., & Gosak, M. (2024) · PLoS Computational Biology · doi:10.1371/journal.pcbi.1012130 · Cited by 13 · see citing works
“Indeed, expression of Cx36 is decreased in diabetic conditions [47,48] leading to desynchronisation of [Ca 2+ ] i oscillations and perturbations in pulsatile insulin secretion [37,40,49–52].”
BackgroundKlemen, M. S., Dolenšek, J., Bombek, L. K., Pohorec, V., Gosak, M., Rupnik, M. S., & Stožer, A. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1225486 · Cited by 12 · see citing works
Metabolic Alteration Bridging the Prediabetic State and Colorectal Cancer
Colloca, A., Donisi, I., Anastasio, C., Balestrieri, M. L., & D’Onofrio, N. (2024) · Cells · doi:10.3390/cells13080663 · Cited by 11 · see citing works
Is type 2 diabetes mellitus another intercellular junction-related disorder?
Collares‐Buzato, C. B., & Carvalho, C. P. D. F. (2022) · Experimental Biology and Medicine · doi:10.1177/15353702221090464 · Cited by 12 · see citing works
Clair, J. R. S., Westacott, M. J., Miranda, J., Farnsworth, N. L., Kravets, V. V., Schleicher, W. E., Dwulet, J. M., Levitt, C. H., Heintz, A., Ludin, N. W. F., et al. (2023) · The Journal of Physiology · doi:10.1113/jp282114 · Cited by 10 · see citing works
“GJ coupling is diminished by conditions associated with diabetes, including by inflammatory cytokines, lipotoxic conditions, in animal models of diabetes and in aged human islets [37–39,51].”
BackgroundResultInfluentialFlowers, E., Asam, K. R., Allen, I. E., Kanaya, A. M., & Aouizerat, B. E. (2022) · Molecular Medicine Reports · doi:10.3892/mmr.2022.12672 · Cited by 9 · see citing works
“…T2d (40); notably, caloric restriction is one of the only known interventions to increase lifespan (41). animal model studies have provided evidence that caloric restriction improves β ‑cell function and decreases insulin resistance (42,43).”
Zhou, J., Jiang, Z., Lin, Y., Li, C., Liu, J., Tian, M., Liu, Y., & Chen, K. (2022) · European Journal of Nutrition · doi:10.1007/s00394-022-02850-x · Cited by 9 · see citing works
“The two methods could improve several risk parameters of diabetes, including the reduced levels of fasting glucose and insulin, increased insulin sensitivity and improved lipid profiles [9, 10].”
BackgroundMethodAneis, Y. M., Refaye, G. E. E., Taha, M. M., Aldhahi, M. I., & Elsisi, H. F. E. M. (2023) · Medicina · doi:10.3390/medicina59071193 · Cited by 8 · see citing works
Effects of fasting on skeletal muscles and body fat of adult and old C57BL/6J mice
Kvedaras, M., Minderis, P., Cesanelli, L., Čekanauskaitė, A., & Ratkevičius, A. (2021) · Experimental Gerontology · doi:10.1016/j.exger.2021.111474 · Cited by 7 · see citing works
Farnsworth, N. L., Piscopio, R. A., Schleicher, W. E., Ramirez, D. G., Miranda, J. G., & Benninger, R. K. P. (2022) · Frontiers in Physiology · doi:10.3389/fphys.2022.913611 · Cited by 7 · see citing works
Brown, M., & Matveyenko, A. V. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.842603 · Cited by 6 · see citing works
Szczechla, M., Balewska, A., Naskręt, D., Zozulińska‐Ziółkiewicz, D., & Uruska, A. A. (2023) · Current Issues in Molecular Biology · doi:10.3390/cimb45030126 · Cited by 6 · see citing works
““lipotoxicity can disrupt Cx36 gap junctions couplings within the islets in diet-induced obesity” [36] “decrease in insulin secretion and variability in glycemic homeostasis [36]”
BackgroundInfluentialNi, M., Chen, Y., Gu, W., Zhang, Y., Xu, M., Gu, Y., Chen, Y., Zhu, Y., Wang, X. D., Luo, Y., et al. (2025) · Journal of Diabetes · doi:10.1111/1753-0407.70090 · Cited by 4 · see citing works
dos Santos, C., Shrestha, S., Cottam, M., Perkins, G., Lev-Ram, V., Roy, B., Acree, C., Kim, K., Deerinck, T., Cutler, M., et al. (2023) · bioRxiv · doi:10.1101/2023.08.23.554369 · Cited by 6 · see citing works
“…20-to-40% CR or CR achieved via TRF are linked to lower islet cell mass in lean mice 21 , whereas in pre-diabetic mice CR restores normal beta cell secretory function, identity, and preserves beta cell mass 30-33 in a process dependent on activation of beta cell autophagy via Beclin-2 34 .”
Levitt, C. H., Isaacs, D. P., Hansen, M. S., Kravets, V. V., Briggs, J. K., & Benninger, R. K. P. (2026) · The Journal of General Physiology · doi:10.1085/jgp.202513867 · Cited by 2 · see citing works
Application of Transmission Electron Microscopy to Detect Changes in Pancreas Physiology
Klemen, M. S., Dolenšek, J., Valladolid‐Acebes, I., Stožer, A., & Lipovšek, S. (2022) · IntechOpen eBooks · doi:10.5772/intechopen.104807 · Cited by 2 · see citing works
Caloric restriction prevents inflammation and insulin dysfunction in middle-aged ovariectomized mice
Sapatini, L. R. L., Calsa, B., Marim, L. J., Helaehil, J. V., Chiarotto, G. B., & do Amaral, M. E. C. (2023) · Molecular Biology Reports · doi:10.1007/s11033-023-08508-z · Cited by 2 · see citing works
The anti-aging mechanism of Berberine associated with metabolic control
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Hong, S.-W., Kong, B. S., Lee, H., & Cho, Y. M. (2025) · Diabetes & Metabolism Journal · doi:10.4093/dmj.2024.0339 · Cited by 2 · see citing works
“Caloric restriction has been reported to be associated with reduced accumulation of senescent cells in the kidney, ovary, and heart [9] and has been shown to improve β-cell function in mice by recovering gap-junction connectivity [36] and restoring β-cell dedifferentiation [37].”
Detecting pre-desynchronized states in oscillatory systems
Ramírez, J. P., Sasahara, H., & Imura, J. (2023) · IFAC-PapersOnLine · doi:10.1016/j.ifacol.2023.10.673
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Pfabe, J. U., Cambraia, A., Dadi, P. K., Cutler, M., dos Santos, C., Acree, C., Habashy, A., Perkins, G. A., Ellisman, M. H., Jacobson, D. A., et al. (2026) · Cell Calcium · doi:10.1016/j.ceca.2026.103161 · Cited by 1 · see citing works
- Authors
- Corezola do Amaral, M. E., Kravets, V., Dwulet, J. M., Farnsworth, N. L., Piscopio, R., Schleicher, W. E., Miranda, J. G., & Benninger, R. K. P.
- Affiliations
- Graduate Program in Biomedical Sciences, Centro Universitário da Fundação Hermínio Ometto, Araras, São Paulo, Brazil
- University of Colorado Anschutz (US)
- Corresponding author
- Benninger, Richard K. P.
- ORCID
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 2020-10-01
- Volume
- 319
- Issue
- 4
- Pages
- E709-E720
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- PMC
- PMC7750515
- OpenAlex
- W3081067659
- Cited by
- 41
- References
- 84
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 12 · 2022: 10 · 2021: 8
- FWCI
- 6.85
- Type
- journal article
- Language
- en
- Open access
- green
- doi.org
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- bioRxiv (Cold Spring Harbor Laboratory) (acceptedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Fundacao de Amparo a Pesquisa do Estado de Sao Paolo (2018/04536-6)
- NIH (R01 DK102950, R01 DK106412)
- JDRF (5-CDA-2014-198-A-N)
- Topics
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Connexins and lens biology
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Keywords
- caloric restriction, prediabetes, connexin 36, electrical coupling, calcium oscillations, glucose-stimulated insulin secretion, islet dysfunction, high-fat diet, obesity, insulin resistance, glucose homeostasis, NAD(P)H autofluorescence, pancreatic islets
- MeSH terms
- Insulin Secretion, Gap Junction delta-2 Protein, Animals, Cell Communication, Insulin Resistance, Male, Mice, Inbred C57BL, Prediabetic State, Gap Junctions, Connexins, Calcium Signaling, Caloric Restriction, Insulin-Secreting Cells, Mice, Diet, High-Fat
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