Aims/hypothesis. We studied the impact of the reactive oxygen species hydrogen peroxide (H 2 O 2 ) and antioxidative enzymes on the pathogenesis of diabetes induced by multiple low doses of streptozotocin (MLD-STZ). Methods. We isolated the islets of C57BL/6 mice. For ex vivo analyses, mice had been injected with MLD-STZ. For in vitro analyses, islets were incubated with different concentrations of STZ, with either of the two moieties of STZ, methylnitrosourea and D-glucose, with H 2 O 2 or with alloxan. Levels of H 2 O 2 generation were measured by the scopoletin method. We assessed mRNA expression of Cu/Zn and Mn superoxide dismutase, catalase, and glutathione peroxidase (GPX) by semiquantitative polymerase chain reaction. GPX activity was measured spectrophotometrically. In vitro, beta cell function was assayed by measuring basal and D-glucose-stimulated release of immunoreactive insulin using an ELISA kit.Results. Ex vivo, MLD-STZ significantly increased H 2 O 2 generation in male but not in female mice. It also increased GPX activity and mRNA expression of catalase, Cu/Zn and Mn superoxide dismutase, and GPX in female but not in male mice. In vitro, STZ significantly stimulated H 2 O 2 generation in islets of male mice only. In male islets, alloxan increased H 2 O 2 generation at a highly toxic concentration, but D-glucose and methylnitrosourea did not. Both STZ and H 2 O 2 dose-dependently inhibited the release of immunoreactive insulin after a D-glucose challenge. Conclusions/interpretation. The results indicate that H 2 O 2 participates in the pathogenesis of MLD-STZ diabetes in male C57BL/6 mice, which do not up-regulate antioxidative enzymes in islets. Conversely, female mice are protected, probably due to an increment of several enzymes with the potential to detoxify H 2 O 2 .
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