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Am J Physiol Endocrinol Metab 283: E784-E793, 2002. First published July 17, 2002; doi:10.1152/ajpendo.00177.2002
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Vol. 283, Issue 4, E784-E793, October 2002

Glucose promotes pancreatic islet beta -cell survival through a PI 3-kinase/Akt-signaling pathway

Shanthi Srinivasan1, Ernesto Bernal-Mizrachi2, Mitsuru Ohsugi2, and Marshall Alan Permutt2

Divisions of 1 Gastroenterology and 2 Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110

The concentration of glucose in plasma is an important determinant of pancreatic beta -cell mass, whereas the relative contributions of hypertrophy, proliferation, and cell survival to this process are unclear. Glucose results in depolarization and subsequent calcium influx into islet beta -cells. Because depolarization and calcium (Ca2+) influx promote survival of neuronal cells, we hypothesized that glucose might alter survival of islet beta -cells through a similar mechanism. In the present studies, cultured mouse islet beta -cells showed a threefold decrease in apoptosis under conditions of 15 mM glucose compared with 2 mM glucose (P < 0.05). MIN6 insulinoma cells incubated in 25 mM glucose for 24 h showed a threefold decrease in apoptosis compared with cells in 5 mM glucose (1.7 ± 0.2 vs. 6.3 ± 1%, respectively, P < 0.001). High glucose (25 mM) enhanced survival-required depolarization and Ca2+ influx and was blocked by phosphatidylinositol (PI) 3-kinase inhibitors. Glucose activation of the protein kinase Akt was demonstrated in both insulinoma cells and cultured mouse islets by means of an antibody specific for Ser473 phospho-Akt and by an in vitro Akt kinase assay. Akt phosphorylation was dependent on PI 3-kinase but not on MAPK. Transfection of insulinoma cells with an Akt kinase-dead plasmid (Akt-K179M) resulted in loss of glucose-mediated protection, whereas transfection with a constitutively active Akt enhanced survival in glucose-deprived insulinoma cells. The results of these studies defined a novel pathway for glucose-mediated activation of a PI 3-kinase/Akt survival-signaling pathway in islet beta -cells. This pathway may provide important targets for therapeutic intervention.

phosphatidylinositol 3-kinase; apoptosis; islet beta -cell mass; depolarization


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