2021
DOI: 10.3389/fendo.2021.650158
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Pathological β-Cell Endoplasmic Reticulum Stress in Type 2 Diabetes: Current Evidence

Abstract: The notion that in diabetes pancreatic β-cells express endoplasmic reticulum (ER) stress markers indicative of increased unfolded protein response (UPR) signaling is no longer in doubt. However, what remains controversial is whether this increase in ER stress response actually contributes importantly to the β-cell failure of type 2 diabetes (akin to ‘terminal UPR’), or whether it represents a coping mechanism that represents the best attempt of β-cells to adapt to changes in metabolic demands as presented by d… Show more

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Cited by 77 publications
(73 citation statements)
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References 71 publications
(67 reference statements)
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“…ATF4 and HSPA5 , independently validated as negative regulators, have not been previously implicated in GSIS, but are important players in endoplasmic reticulum (ER) stress response [ 23 , 24 ]. Clinical and genetic evidence suggests that ER stress is one of the molecular mechanisms underlying β-cell dysfunction [ 25 , 26 ]. ATF4 has been implicated in protection against dedifferentiation and β-cell loss under conditions of ER stress [ 23 , 27 ].…”
Section: Discussionmentioning
confidence: 99%
“…ATF4 and HSPA5 , independently validated as negative regulators, have not been previously implicated in GSIS, but are important players in endoplasmic reticulum (ER) stress response [ 23 , 24 ]. Clinical and genetic evidence suggests that ER stress is one of the molecular mechanisms underlying β-cell dysfunction [ 25 , 26 ]. ATF4 has been implicated in protection against dedifferentiation and β-cell loss under conditions of ER stress [ 23 , 27 ].…”
Section: Discussionmentioning
confidence: 99%
“…Collectively, these data suggest that in rodents, β cells from females are more resilient to ER stress. Considering the well-established links between ER stress and T2D (81,(84)(85)(86), our data suggests a model in which female β cells maintain better function in T2D because they are more resilient to ER stress and UPR activation. While this model will be important to test in further detail in future studies, our findings highlight the importance of including both sexes in islet and β cell studies to make accurate conclusions about β cell gene expression and function in both normal contexts and in disease.…”
Section: Discussionmentioning
confidence: 68%
“…While it is possible that female islets are resistant to Tg-induced cell death, we found a significant increase in apoptosis in female and male islet cells treated with 10 μM Tg (Figure 3E, F), suggesting that female islets were simply more resilient to mild ER stress than male islets. To determine whether this increased ER stress resilience was caused by differential UPR signaling, we monitored levels of several protein markers of UPR activation including binding immunoglobulin protein (BiP), phosphorylated inositol-requiring enzyme 1 (pIRE1), phosphorylated eukaryotic initiation factor a (peIF2a), and C/EBP homologous protein (CHOP) ( 81, 82 ) after treating male and female islets with 1 μM Tg for 24-hours. We found no sex difference in UPR protein markers between male and female islets without Tg treatment (Figure 3G-J; Figure 3-figure supplement 3A) and observed a significant increase in levels of pIRE1α and CHOP in islets from both sexes and BiP in female islets after a 24-hour Tg treatment (Figure 3G-J; Figure 3-figure supplement 3A).…”
Section: Resultsmentioning
confidence: 99%
“…2G), confirming the scRNA-seq findings. Defective protein processing is a hallmark of the less differentiated β -cells (Lenghel et al 2020; Shrestha et al 2021), suggesting that TH+ β -cells may represent such a phenotype. To clarify this, we queried the “Beta-cell Hub” which features transcriptomic comparison of the immature and mature human β -cell states modeled by stem-cell derived β -like (sc- β− like) cells and human islet origin β -cells (Fang et al 2019; Weng et al 2020).…”
Section: Resultsmentioning
confidence: 99%