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Stevioside improves pancreatic -cell function during glucotoxicity via regulation of acetyl-CoA carboxylase

Department of Endocrinology and Metabolism C, Aarhus Sygehus Tage-Hansens Gade, Aarhus University Hospital, Aarhus C, Denmark

Submitted 19 July 2006 ; accepted in final form 16 February 2007

Chronic hyperglycemia is detrimental to pancreatic -cells, causing impaired insulin secretion and -cell turnover. The characteristic secretory defects are increased basal insulin secretion (BIS) and a selective loss of glucose-stimulated insulin secretion (GSIS). Several recent studies support the view that the acetyl-CoA carboxylase (ACC) plays a pivotal role for GSIS. We have shown that stevioside (SVS) enhances insulin secretion and ACC gene expression. Whether glucotoxicity influences ACC and whether this action can be counteracted by SVS are not known. To investigate this, we exposed isolated mouse islets as well as clonal INS-1E -cells for 48 h to 27 or 16.7 mM glucose, respectively. We found that 48-h exposure to high glucose impairs GSIS from mouse islets and INS-1E cells, an effect that is partly counteracted by SVS. The ACC dephosphorylation inhibitor okadaic acid (OKA, 10^–8 M), and 5-aminoimidazole-4-carboxamide-1--D-ribofuranoside (AICAR, 10^–4 M), an activator of 5'-AMP protein kinase that phosphorylates ACC, eliminated the beneficial effect of SVS. 5-Tetrade-cyloxy-2-furancarboxylic acid (TOFA), the specific ACC inhibitor, blocked the effect of SVS as well. During glucotoxity, ACC gene expression, ACC protein, and phosphorylated ACC protein were increased in INS-1E -cells. SVS pretreatment further increased ACC gene expression with strikingly elevated ACC activity and increased glucose uptake accompanied by enhanced GSIS. Our studies show that glucose is a potent stimulator of ACC and that SVS to some extent counteracts glucotoxicity via increased ACC activity. SVS possesses the potential to alleviate negative effects of glucotoxicity in -cells via a unique mechanism of action.

acetyl-coenzyme A carboxylase; mouse islets; INS-1E -cell line; carnitine palmitoyltransferase I; insulin secretion; type 2 diabetes mellitus