2003
DOI: 10.1007/s00125-003-1207-4
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Fatty acid metabolism and insulin secretion in pancreatic beta cells

Abstract: Increases in glucose or fatty acids affect metabolism via changes in long-chain acyl-CoA formation and chronically elevated fatty acids increase total cellular CoA. Understanding the response of pancreatic beta cells to increased amounts of fuel and the role that altered insulin secretion plays in the development and maintenance of obesity and Type 2 diabetes is important. Data indicate that the activated form of fatty acids acts as an effector molecule in stimulus-secretion coupling. Glucose increases cytosol… Show more

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Cited by 215 publications
(179 citation statements)
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“…As shown previously [38], a chronic increase in fatty acids, enhances insulin basal secretion (hence diminushing GSIS) by stimulating fatty acyl-CoA that acts distally and in turn stimulates the exocytic machinery. In accordance with previous studies, NEFA concentrations appeared also linked to CPT-I expression in human islets, [22,35].…”
Section: Discussionsupporting
confidence: 53%
See 1 more Smart Citation
“…As shown previously [38], a chronic increase in fatty acids, enhances insulin basal secretion (hence diminushing GSIS) by stimulating fatty acyl-CoA that acts distally and in turn stimulates the exocytic machinery. In accordance with previous studies, NEFA concentrations appeared also linked to CPT-I expression in human islets, [22,35].…”
Section: Discussionsupporting
confidence: 53%
“…ACC induces the inhibitor of CPT-I, malonyl-CoA, and is also critical for the regulation of fatty-acid balance between oxidation and cytoplasmic accumulation. At this time, the effect of NEFA on ACC expression is still controversial [20,35,38,41]. So, complementary studies exploring enzymatic activity of CPT-I and NEFA oxidation are necessary to determine the precise interaction between CPT-I and ACC and their regulation by glucose and NEFA.…”
Section: Discussionmentioning
confidence: 99%
“…The hypothesis that lipidinduced beta-cell death (lipoapoptosis) is a major aetiological factor in type 2 diabetes has evolved partly from such in vitro investigations. Our data would suggest that decreased GSIS derives from an imbalance in the sensitive interaction between glucose and lipid metabolism [51] coupled with important changes in phospholipids in beta cells. We believe that 'lipotoxicity' describes a metabolic dysregulation rather than a cellular insult and should therefore not be studied in cell models supplying a single species of saturated fatty acid.…”
Section: Discussionmentioning
confidence: 76%
“…In this regard, the activity of the anaplerotic pathway depends on acetyl-CoA, a positive allosteric modulator of PC. As fatty acids represent a major endogenous energy source for islets (Yaney and Corkey 2003), we propose that fatty acid oxidation is a likely source for acetyl-CoA production in Vhlh −/− islets. The prediction that HIF1␣-mediated PDK1 and LDHA up-regulation plays a role in attenuating full mitochondrial activity and thus the efficient generation of key mitochondrial signals is consistent with our observation that glucose-stimulated secretion is less efficient in Vhlh −/− islets than in control islets (Fig.…”
Section: Pvhl-hif Regulates Insulin Secretion Genes and Development 3141mentioning
confidence: 92%