Glucokinase activation repairs defective bioenergetics of islets of Langerhans isolated from type 2 diabetics
Open accessAbstract
It was reported previously that isolated human islets from individuals with type 2 diabetes mellitus (T2DM) show reduced glucose-stimulated insulin release. To assess the possibility that impaired bioenergetics may contribute to this defect, glucose-stimulated respiration (Vo(2)), glucose usage and oxidation, intracellular Ca(2+), and insulin secretion (IS) were measured in pancreatic islets isolated from three healthy and three type 2 diabetic organ donors. Isolated mouse and rat islets were studied for comparison. Islets were exposed to a "staircase" glucose stimulus, whereas IR and Vo(2) were measured. Vo(2) of human islets from normals and diabetics increased sigmoidally from equal baselines of 0.25 nmol/100 islets/min as a function of glucose concentration. Maximal Vo(2) of normal islets at 24 mM glucose was 0.40 ± 0.02 nmol·min(-1)·100 islets(-1), and the glucose S(0.5) was 4.39 ± 0.10 mM. The glucose stimulation of respiration of islets from diabetics was lower, V(max) of 0.32 ± 0.01 nmol·min(-1)·100 islets(-1), and the S(0.5) shifted to 5.43 ± 0.13 mM. Glucose-stimulated IS and the rise of intracellular Ca(2+) were also reduced in diabetic islets. A clinically effective glucokinase activator normalized the defective Vo(2), IR, and free calcium responses during glucose stimulation in islets from type 2 diabetics. The body of data shows that there is a clear relationship between the pancreatic islet energy (ATP) production rate and IS. This relationship was similar for…
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Oxidative glucose metabolism is reduced in islets from T2DM donors, and the dose-response relationship is shifted towards slightly higher glucose concentrations.
“Oxidative glucose metabolism (measured as oxygen consumption rate) is reduced in islets from T2DM donors (141) and the dose-response relationship is shifted towards slightly higher concentrations; the half-maximal rate of oxygen production occurred at 4.4 and 5.4 mM glucose in control and T2DM islets, respectively (150).”
From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [150]
In human islets from non-diabetic donors, only a fraction of glucose entering glycolysis proceeds into the Krebs cycle, unlike mouse β-cells.
“Surprisingly, it seems that (unlike mouse β-cells) only a fraction of glucose entering glycolysis proceeds into the Krebs cycle (150).”
From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [150]
In human islets, insulin secretion is detectable at glucose concentrations as low as 3 mM, significantly lower than the secretion threshold in mouse islets (~5 mM).
“In human islets, insulin secretion is detectable at glucose concentrations as low as 3 mM (89, 150, 266), which is significantly lower than the secretion threshold in mouse islets (~5 mM (257)).”
From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [150]
In both mouse and human islets, ramping glucose from <2 mM to >25 mM produces essentially monophasic insulin secretion with little sign of a 1st phase.
“In both mouse and human islets, when the glucose concentration is ramped from a non-stimulatory glucose concentration (<2 mM) to a high concentration (>25 mM) insulin secretion is essentially monophasic with little sign of a 1st phase (150, 494).”
From Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men (2018) · cites this paper as [150]
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BackgroundThiazolidinediones, Like Metformin, Inhibit Respiratory Complex I
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Pancreatic β-Cell Electrical Activity and Insulin Secretion: Of Mice and Men
Rorsman, P., & Ashcroft, F. M. (2018) · Physiological Reviews · doi:10.1152/physrev.00008.2017 · Cited by 793 · see citing works
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- Authors
- Doliba, N. M., Qin, W., Najafi, H., Liu, C., Buettger, C. W., Sotiris, J., Collins, H. W., Li, C., Stanley, C. A., Wilson, D. F., Grimsby, J., Sarabu, R., Naji, A., & Matschinsky, F. M.
- Affiliations
- University of Pennsylvania (US)
- Department of Biochemistry and Biophysics and Institute for Diabetes, Obesity, and Metabolism;
- Children's Hospital of Philadelphia (US)
- Department of Metabolic Diseases, Roche Research Center, Nutley, New Jersey
- Corresponding author
- Matschinsky, Franz M.
- ORCID
- Venue
- American Journal of Physiology-Endocrinology and Metabolism
- Publisher
- American Physiological Society
- Published
- 2012-01-01
- Volume
- 302
- Issue
- 1
- Pages
- E87-E102
- ISSN
- 0193-1849 (ISSN-L)
- 1522-1555
- PMC
- PMC3328091
- OpenAlex
- W2147284000
- Cited by
- 96
- References
- 6
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 9 · 2020: 5 · 2019: 5 · 2018: 10 · 2017: 10 · 2016: 6 · 2015: 9 · 2014: 6 · 2013: 13 · 2012: 5
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- American Journal of Physiology-Endocrinology and Metabolism (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Pennsylvania
- National Institute of Diabetes and Digestive and Kidney Diseases (DK 19525, DK-22122, DK-053012, R01DK053012, P30DK019525)
- Topics
- Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Keywords
- glucokinase activators, type 2 diabetes, pancreatic islets, glucose-stimulated insulin secretion, ATP production, intracellular calcium, exendin-4, GLP-1 receptor agonists, islet transplantation
- MeSH terms
- Exenatide, Insulin Secretion, Adult, Animals, Diabetes Mellitus, Type 2, Female, Glucokinase, Glucose, Glycolysis, Humans, Hypoglycemic Agents, Insulin, Islets of Langerhans, Male, Middle Aged, Oxidative Phosphorylation, Peptides, Species Specificity, Venoms, Cell Respiration, Calcium Signaling, Enzyme Activators, Benzeneacetamides, Tissue Culture Techniques, Mice, Rats, Glucagon-Like Peptide 1
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