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Am J Physiol Endocrinol Metab 281: E171-E179, 2001;
0193-1849/01 $5.00
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Vol. 281, Issue 1, E171-E179, July 2001

TPN-evoked dysfunction of islet lysosomal activity mediates impairment of glucose-stimulated insulin release

Albert Salehi1, Bo-Guang Fan2, Mats Ekelund2, Gunnar Nordin3, and Ingmar Lundquist1

Institute of Physiological Sciences, Departments of 1 Pharmacology and 2 Surgery, University of Lund, S-221 84 Lund; and 3 Department of Clinical Chemistry, Helsingborg Hospital, S-25187 Helsingborg, Sweden

We examined the relation between nutrient-stimulated insulin secretion and the islet lysosome acid glucan-1,4-alpha -glucosidase system in rats undergoing total parenteral nutrition (TPN). During TPN treatment, serum glucose was normal, but free fatty acids, triglycerides, and cholesterol were elevated. Islets from TPN-infused rats showed increased basal insulin release, a normal insulin response to cholinergic stimulation but a greatly impaired response when stimulated by glucose or alpha -ketoisocaproic acid. This impairment of glucose-stimulated insulin release was only slightly ameliorated by the carnitine palmitoyltransferase 1 inhibitor etomoxir. However, in parallel with the impaired insulin response to glucose, islets from TPN-infused animals displayed reduced activities of islet lysosomal enzymes including the acid glucan-1,4-alpha -glucosidase, a putative key enzyme in nutrient-stimulated insulin release. By comparison, the same lysosomal enzymes were increased in liver tissue. Furthermore, in intact control islets, the pseudotetrasaccharide acarbose, a selective inhibitor of acid alpha -glucosidehydrolases, dose dependently suppressed islet acid glucan-1,4-alpha -glucosidase and acid alpha -glucosidase activities in parallel with an inhibitory action on glucose-stimulated insulin secretion. By contrast, when incubated with intact TPN islets, acarbose had no effect on either enzyme activity or glucose-induced insulin release. Moreover, when acarbose was added directly to TPN islet homogenates, the dose-response effect on the catalytic activity of the acid alpha -glucosidehydrolases was shifted to the right compared with control homogenates. We suggest that a general dysfunction of the islet lysosomal/vacuolar system and reduced catalytic activities of acid glucan-1,4-alpha -glucosidase and acid alpha -glucosidase may be important defects behind the impairment of the transduction mechanisms for nutrient-stimulated insulin release in islets from TPN-infused rats.

total parenteral nutrition; insulin secretion; islet acid glucan-1,4-alpha -glucosidase activity; lysosomal/vacuolar system; plasma lipids; etomoxir; acarbose


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S. S. Qader, J. Jimenez-Feltstrom, M. Ekelund, I. Lundquist, and A. Salehi
Expression of islet inducible nitric oxide synthase and inhibition of glucose-stimulated insulin release after long-term lipid infusion in the rat is counteracted by PACAP27
Am J Physiol Endocrinol Metab, May 1, 2007; 292(5): E1447 - E1455.
[Abstract] [Full Text] [PDF]




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