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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-
-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
-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-
-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
-glucosidehydrolases, dose dependently suppressed islet acid
glucan-1,4-
-glucosidase and acid
-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
-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-
-glucosidase and acid
-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-
-glucosidase activity; lysosomal/vacuolar system; plasma
lipids; etomoxir; acarbose
This article has been cited by other articles:
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