Endocrinology Vol. 140, No. 10 4595-4600
Copyright © 1999 by The Endocrine Society
Biotin Regulation of Pancreatic Glucokinase and Insulin in Primary Cultured Rat Islets and in Biotin- Deficient Rats1
Guillermo Romero-Navarro,
Gabriela Cabrera-Valladares,
Michael S. German,
Franz M. Matschinsky,
Antonio Velazquez,
Juehu Wang and
Cristina Fernandez-Mejia
From the Nutritional Genetics Unit (G.R.N., G.C.V., A.V., C.F.M.)
Biomedical Research Institute, National University of Mexico; Hormone
Research Institute (M.S.G., J.W.) University of California San
Francisco; and Diabetes Research Center (F.M.M.) University of
Pennsylvania, Medical Center
Address all correspondence and requests for reprints to: Cristina Fernandez-Mejia, Unidad de Genetica de la Nutricion, Instituto de Investigaciones Biomedicas Universidad Nacional Autonoma de Mexico (UNAM)/Instituto Nacional de Pediatria (INP), Av. del Iman 1, 4th floor, Mexico City, C.P. 04530, Mexico. E-mail:
crisfern{at}servidor.unam.mx
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Abstract
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Biotin has been reported to affect glucose homeostasis; however, its
role on pancreatic islets of Langerhans has not been assessed. In this
report, we demonstrate that physiologic concentrations of biotin
stimulate glucokinase activity in rat islets in culture. Using the
branched DNA (bDNA) assay, a sensitive signal amplification technique,
we detected relative increases in glucokinase mRNA levels of 41.5
± 13.% and 81.3 ± 19% at 12 and 24 h respectively in
islets treated with [10-6 M] biotin. Because
glucokinase activity controls insulin secretion, we also investigated
the effect of biotin on insulin release. Treatment with
[10-6 M] biotin for 24 h increased
insulin secretion. We extended our studies by analyzing the effect of
biotin deficiency on pancreatic islet glucokinase expression and
activity, as well as insulin secretion. Our results show that islet
glucokinase activity and mRNA are reduced by 50% in the biotin
deficient rat. Insulin secretion in response to glucose was also
impaired in islets isolated from the deficient rat. These data show
that biotin affects pancreatic islet glucokinase activity and
expression and insulin secretion in cultured islets.
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Introduction
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BIOTIN IS A hydrosoluble vitamin that acts
as cofactor of gluconeogenic and fatty acid synthesis; however,
evidence is growing about the role of this vitamin in development, cell
differentiation and gene expression (1). This effect is not totally
surprising because other vitamins from the lipophilic family have been
widely shown to affect these processes. Biotin has also been
demonstrated to affect gene expression of the hepatic
asialoglycoprotein receptor (2) and two critical enzymes of glucose
metabolism: hepatic glucokinase (3) and hepatic phosphoenolpyruvate
carboxykinase (PEPCK) (4). However, biotin did not affect the PEPCK
renal isoform (4), suggesting that biotin effects are limited to
hepatic metabolism.
Previous observations support the existence of a relationship between
biotin status and glucose metabolism: a, Biotin deficiency has been
linked to hyperglycemia and decreased utilization of glucose (5, 6). b,
Biotin supplementation improves glucose and insulin tolerance in the
diabetic KK mice (7). c, High-dose biotin lowers fasting blood glucose
in diabetic patients (8, 9). Furthermore in diabetic rats,
administration of the vitamin increases hepatic pyruvate kinase
and phosphofructokinase activity but not phosphohexose isomerase,
suggesting a role of biotin on glycolysis in the liver (10).
The pancreatic islets of Langerhans regulate blood glucose levels
through the regulation of insulin secretion, but the effect of biotin
on islet tissue has not been assessed. In this study, we investigated
the effect of biotin on the regulation of two pancreatic islet genes
that play an important role in glucose homeostasis: insulin and
glucokinase. ß cell glucokinase regulates insulin secretion in
response to changes in blood glucose levels in the ß cells (11, 12).
Pancreatic glucokinase possesses a promoter and first exon that are
different from those of the hepatic isoenzyme (13) and has been shown
to be regulated differentially than the liver isoenzyme (14). In these
studies, we report the effect of biotin on glucokinase activity and
mRNA levels as well as on insulin gene expression and secretion, in two
different models: pancreatic islets from normal rats and islets
isolated from eight to nine weeks biotin deficient rats.
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Materials and Methods
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Adult islet culture
Pancreatic islets were isolated from overnight food-deprived
Wistar male rats (200250 g) using collagenase digestion and
harvesting islets on a Ficoll gradient, as reported by Hiriart and
Ramirez (15). Islets were hand picked in a stereoscopy microscope and
were suspended in biotin-free DMEM medium containing 5.5 mM
glucose, 400 U/ml penicillin, and 200 mg/liter streptomycin (Life Technologies, Inc., Grand Island, NY) and 10% FBS depleted of
biotin by streptavidin-Sepharose (2) chromatography. Islets were
distributed equally into 60-mm tissue culture dishes
(Costar, Cambridge, MA) and were incubated at 37 C
in a humidified atmosphere of 5% CO2. After 24 h of
plating, cells were treated or not with biotin for different times as
indicated in the text.
Glucokinase assay
Approximately 350400 islets for each experiment were harvested
and centrifuged at 1,200 rpm. Tissue pellets were lysed in 500 µl
reporter lysis buffer (Promega Corp., Madison, WI),
vortexed and cell membranes disrupted by three freeze-thaw cycles. Five
hundred microliters of GK buffer consisting of 50 mM Tris
(pH 7.6), 4 mM EDTA, 150 mM KCl, 4
mM Mg2SO4, and 2.5 mM
dithiothreitol were added. The lysates were then centrifuged at 4 C for
1 h at 35,000 x g, in a Beckman Coulter, Inc. ultracentrifuge model Optima TLX. Supernatants were
recovered, and enzymatic activity was assayed as described previously
by Walker and Parry (16), using NAD (Sigma, St. Louis, MO)
as coenzyme. Glucose-6-phosphate dehydrogenase from Leuconostoc
mesenteroides (Sigma), was used as coupling enzyme.
Correction for hexokinase activity was applied by substracting the
activity measured at 0.5 mM glucose from the activity
measured at 100 mM glucose. Protein concentrations were
determined by the Bradford assay (17).
Messenger RNA analysis
Glucokinase mRNA was quantified using bDNA technology in a
96-microwell format as we previously described for quantification of
insulin preRNA (18). This sensitive technique have shown to detect as
few as 104 molecules of RNA (18). All components, including
buffers and DNA reagents were obtained from Chiron Corp.
(Emeryville, CA). RNA was extracted by either Trizol (Life Technologies, Inc.) or by cell lysis with 400 µl of extraction
buffer (78 mM HEPES. pH 8.0/12.5 mM EDTA, pH
8.0/6.27 mM LiCl/1.6 lithium lauryl sulfate/proteinase K (1
mg/ml)/single stranded DNA (19 µg/ml)/7.8% formamide/0.05% sodium
azide/0.05% Proclin 300]. RNA samples from approximately 300 islets
were mixed with 200 µl extraction buffer, along with proteinase K and
glucokinase capture and label probes, loaded in the microwell plate,
sealed with an adhesive-backed mylar plate sealer (Microtiter Plate
Sealer, Chiron Corp.), and incubated overnight at
63 C in a plate heater to capture the targeted nucleic acids to the
oligonucleotide-modified microwell surface. After cooling at room
temperature for 10 min., cells were washed twice with wash A
(Chiron Corp.). Fifty microliters of bDNA amplifier
solution containing the bDNA amplifier probe at 1 pmol/ml in amplifier
diluent (Chiron Corp.) was added and hybridized at 53 C,
for 30 min. After cooling and washing as described above, 50 µl of a
mixture containing alkaline phosphatase-conjuged label probes (2
pmol/ml) in label diluent (Chiron Corp.) was added and
hybridized at 53 C, for 15 min. The plate was cooled and washed twice
in buffer A as above and then washed three times with wash solution B
(Chiron Corp.). Finally, 50 µl of chemiluminescent
sustrate (Lumiphos 530), an enzyme-triggerable dioxetane substrate for
alkaline phosphatase, were added and the plate was incubated at 37 C
for 25 min. Light emission was measured in a luminometer at 37 C. Each
sample was assayed in triplicate. Each sample was standardized to actin
mRNA.
Insulin secretion
Islets were isolated and cultured as described above. After
24 h of treatment without or with biotin [10-6
M], cells were washed twice with secretion buffer
containing 20 mM HEPES, 115 mM NaCl, 5
mM NaHCO3, 4.7 mM KCL, 2.6
mM CaCl2, 1.2 mM
KH2PO4, and 1.2 mM
MgSO4 (pH 7.4). Islets were then incubated for 1 h in
secretion buffer containing D-glucose as indicated in the
text and figure legends. Insulin concentration was analyzed by RIA
(ICN Biomedical, Costa Mesa, CA).
Biotin-deficient rats
Weaned male Wistar rats age 21 days were provided free access to
biotin-deficient diet or to normal control diet. The biotin-deficient
diet consisted of pellets containing 30% egg white by weight
(ICN Nutritional Biochemicals, Nutley, NJ.) The normal
control diet consisted of the same pellets that were used in the
deficient diet but supplemented with d-biotin (5 mg/kg of
pellets). Rats deprived of biotin for 8 weeks showed signs of
deficiency, including alopecia, scaly dermatitis, poor weight gain, and
spectacle eye. The activities of the biotin-dependent enzymes,
propionyl-CoA carboxylase and pyruvate carboxylase in liver homogenates
of biotin-deficient rats were less than 50% of that in liver
homogenates of normal rats.
Statistics
Data are presented as mean ± SE. Individual
comparisons were evaluated by Students paired two tailed t
test. Multiple comparisons were evaluated by one-way ANOVA. The
significance level chosen was P < 0.05.
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Results
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Biotin effect on pancreatic glucokinase activity
We investigated the effect of different concentrations of biotin
on glucokinase activity in islets isolated from adult normal rats. As
shown in Fig. 1
, 48 h incubation
with biotin concentrations as low as 10-8 M
increased significantly (P < 0.05) glucokinase
activity, biotin concentrations of 10-7 M
produced twice the activity observed on the control, a further increase
was achieved at a concentrations of 10-6 M. In
the same experimental model we also assessed the time course of biotin
effect. As can be seen in Fig. 2
, vitamin
concentrations of 10-6 M increased
significantly (P < 0.005) glucokinase by 68.9 ±
16% and 142.6 ± 17% at 24 and 48 h, respectively; no
effect on glucokinase activity was observed at 12 h of treatment.
The microscopic analysis found no morphological differences between the
control and biotin treated islet cultures.

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Figure 1. Effect of different concentrations of biotin on
glucokinase activity in primary cultures of islets. Islets were
isolated from normal rats by collagenase digestion as described in
Materials and Methods. Islets were cultured for 48
h in the absence or in the presence of the designated concentrations of
biotin. Each bar represents the mean percentages ±
SE of glucokinase activity of four to six independent
experiments. (Control glucokinase activity = 20.5 ± 3
pmol/h·islet). Significance was assessed by one-way ANOVA (**)
P 0.005.
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Figure 2. Time course effect of biotin on glucokinase
activity in primary cultures of islets. Islets from normal rats were
isolated by collagenase digestion as described in Materials and
Methods and cultured for the indicated periods of time in
either the absence or presence of [10-6 M]
of biotin. Each bar represents the mean percentages
± SE of glucokinase activity of seven independent
experiments. (Control glucokinase activity = 22.5 ± 3
pmol/h·islet). Significance was assessed by one-way ANOVA (**)
P 0.005.
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Biotin effect on glucokinase mRNA levels
We determined if the stimulatory effect of biotin on glucokinase
activity was related to an increase on glucokinase gene expression.
Because glucokinase mRNA levels are low, we adapted the branched DNA
(bDNA) assay, a sensitive signal amplification technique, to measure
glucokinase mRNA levels. Biotin concentrations of 10-6
M for 12 h produced a relative increase of 41.5
± 13% in glucokinase RNA levels, this stimulatory effect was
increased to 81.3 ± 19% at 24 h and was sustained up to
48 h incubation with the vitamin (Fig. 3
).

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Figure 3. Effect of biotin on glucokinase mRNA levels.
Glucokinase mRNA was quantified using bDNA technology. Islets isolated
from normal rats were cultured for the indicated periods of time in
either the absence or presence of [10-6 M]
biotin. Each sample was standardized to actin. Data are expressed as
relative to that measured in islets without treatment. Each value
represents the mean ± SE of four to eight independent
experiments. Significance was assessed by one-way ANOVA (**)
P 0.005.
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Insulin secretion and mRNA levels
Because glucokinase activity is a determinant of insulin secretion
(11, 12), we analyzed the effect of biotin on insulin release. As can
be seen in Fig. 4
, 24 h of treatment
with 10-6 M biotin increased insulin secretion
by 43.6 ± 5% and by 53.7 ± 6.8% at 5.5 and 16
mM glucose respectively. We also determined the effect of
biotin on insulin mRNA levels by the bDNA method. Treatment with
10-6 M biotin for 24 h increased insulin
message by 42.7± 17% n = 5.1 (P < 0.05) n
= 4. A similar increase was observed after 24 h of vitamin
treatment.
Effect of biotin deficiency on glucokinase
We also investigated the effect of biotin deficiency on
glucokinase activity and mRNA levels. Islets isolated from 8- to 9-week
biotin-deficient rats showed about 50% of the glucokinase activity
observed on control rats (Fig. 5A
).
Measurements of glucokinase RNA confirmed that mRNA levels of the
biotin deficient rats were decreased to about half the values observed
in the control rats (Fig. 5B
).
Effect of biotin deficiency on insulin secretion
Islets isolated from 8- to 9-week biotin-deficient rats showed
decreased insulin secretion. As can be seen in (Fig. 6
), the insulin secretion ratio between
5.5 and 16 mM glucose was decreased by half in the
deficient rat.

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Figure 6. Effect of biotin deficiency on insulin secretion.
Islets from eight to nine weeks biotin deficient rats were isolated by
collagenase digestion. Fresh isolated islets were incubated in 2 ml
secretion buffer containing 5.5 or 16 mM glucose. After
1 h incubation, medium was collected. The insulin concentration
was analyzed by RIA. Data are expressed as mean percentages ±
SE of insulin concentration (absolute values: control adult
5.5 mM glucose = 36.6 ± 6 µU/islet/h;
deficient 28.5 ± 2.2 n = 3 experiments). Significance was
assessed by Students paired two-tailed t test. *,
P 0.05
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Discussion
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In the present study, we demonstrate that biotin can affect the
pancreatic islet phenotype by increasing glucokinase activity as well
as insulin secretion and mRNA levels. Our studies found that biotin
augmented glucokinase activity at concentrations as low as 10
nM. Doses of biotin that correspond to its levels in plasma
(100 to 300 nM), (9, 19) increased twice the enzyme
activity, suggesting a physiological effect of the vitamin on
pancreatic glucokinase. These results disagree with a previous report
by Borboni et al. (20) showing the inability of
physiological concentrations of biotin to increase glucokinase activity
in the RIN 104638 cell line. In their work, the authors observed
modest increases of 2630% on glucokinase activity at pharmacological
doses of biotin of 1,00010,000 nM. These modest increases
strongly contrast to the 142.6% observed in our study in the isolated
islets. This difference is one of the multiple distinct features found
between the function of tumoral insulin-produced cell lines and normal
pancreatic islets (21, 22, 23) and indicate the importance of using
cultured islets to ensure the applicability of the results to normal
physiology. Although we did not find differences on the islet
morphology between the control and the biotin treated islets, we cannot
rule out the possibility that in some way biotin enhances viability of
the islet and therefore maintains glucokinase synthesis and insulin
release during culture. The effects of biotin found in our studies
support several observations indicating that physiological levels of
biotin are important in the maintenance of normal glucose metabolism
(5, 6, 9).
Biotin has been shown to regulate several hepatic genes (2, 3, 4)
including PEPCK but does not affect the PEPCK renal isoform (4). In
this report, we demonstrate that biotin can regulate nonhepatic genes.
Pancreatic and hepatic glucokinase were found to be regulated in a
similar positive manner by biotin; however, several differences exist:
In cultured hepatocytes and the rats in vivo, hepatic
glucokinase message and activity are increased by biotin as rapidly as
2 h after treatment (24, 3) however concentrations of
10-6 M biotin are required to elicit its
action (24). In contrast, in the pancreatic islets the response to
biotin is slow, requiring 12 h to observe mRNA increases, but the
effect of biotin was produced at vitamin concentrations of
10-8 M.
The normal adult pancreatic ß cells regulate blood glucose
concentrations through insulin secretion. In these cells, glucokinase
functions as the glucose sensor, by regulating the rate of glycolysis
and the production of signaling molecules required for insulin
secretion. The use of cultured islets in our studies allows us to
determine if biotin affects insulin secretion at physiological levels
of glucose. Our results show that biotin increases insulin secretion at
normoglycemic and hyperglycemic conditions. In the pancreatic cell line
RIN 104638, Borboni et al. (20) found that biotin did not
affect insulin secretion. This important discrepancy may be explained
by the fact that this cell line secretes insulin at subphysiological
glucose concentrations, concentrations at which glucokinase activity is
not the key factor controlling insulin secretion (21). Our results
modify the previous concept derived from Borboni results suggesting the
physiological unimportance of biotin on islets and, again, emphasize
the importance of using normal islets to study pancreatic
physiology.
Changes of glucokinase activity produced by gene mutations or by
transgenesis cause concomitant changes of insulin secretion (25, 26, 27).
This study constitutes the first evidence that glucokinase gene
expression can be affected by nutritional manipulations, and that these
changes affect insulin secretion. It might be possible, however, that
biotin influences insulin release as part of the prosthetic group of
acetyl-CoA carboxylase. This enzyme catalyzes the formation of
malonyl-CoA, a metabolite that has been proposed to play an important
role in the metabolic signal transduction for insulin secretion (28, 29). Nevertheless, because the doses of biotin used in our
investigation were two orders of magnitude higher than the
Km (4.7 - 8.2 x 10-9) reported for the
synthesis of active acetyl-CoA carboxylase (30, 31) it seems improbable
that, in our study, increases in the production of malonyl-CoA would
account for the increased insulin secretion produced by biotin.
Insulin mRNA levels are regulated in response to different metabolic
factors (32). In the present study, we demonstrated that biotin
produced a modest but statistically significant increase in insulin
mRNA levels. It has been reported that when the rate in glucose
phosphorylation is increased, glycolysis is accelerated and the insulin
promoter is activated (33); so, the augmentation of glucose
phosphorylation produced by biotin induction of glucokinase activity
might account for the increases observed in insulin mRNA levels. Future
studies in our laboratory will investigate the mechanism by which
biotin increases insulin mRNA levels.
We extended our studies by analyzing the effect of biotin deficiency on
glucokinase expression and activity, as well as insulin secretion.
Eight to nine weeks of biotin deficiency decreased by half the
pancreatic islet glucokinase activity and mRNA levels. Our data are
similar to those observed with hepatic glucokinase (34), where biotin
deficiency reduced glucokinase activity by about 45%.
Insulin secretion in islets isolated from biotin deficient rats was
shown to be impaired. Supporting our observations, Furokawa et
al. (35) found that plasma insulin levels in response to an oral
glucose load were lower in the biotin deficient state of osteogenic
disorder Shinogi rats. A decrease on glucokinase activity may account
for the altered insulin secretion in these rats. However, we cannot
rule out the possibility that other mechanisms related to the vitamin
deficiency, such as decreased activities of biotin dependent enzymes,
in particular acetyl-CoA carboxylase, may be involved. Further studies
will be required to determine the precise mechanism involved in the
impaired secretion observed in biotin deficiency.
Defects in biotin metabolism could contribute to diabetes. Studies by
Maebashi et al. (9) found that in 43 noninsulin-dependent
diabetes mellitus (NIDDM) patients, the serum biotin concentration was
significantly lower than in control subjects (56.7 ± 4.8
vs. 96.8 ± 3.1 nmol/liter, respectively;
P < 0.01). Furthermore an inverse correlation between
serum biotin concentration and fasting blood glucose level (r =-0.74)
has been observed (9). Oral glucose tolerance was shown to be impaired
in biotin deficient rats (36). On the other hand, the diabetic state
appears to be ameliorated by biotin treatment. In the genetically
diabetic KK mice, biotin treatment lowered postprandial glucose levels
and improved tolerance to glucose (7). Reduced hyperglycemia was
observed in a group of insulin-dependent diabetes mellitus (IDDM)
receiving 16 mg/day biotin for 1 week (8). This improvement has been
also observed in NIDDM patients, which decreased about 45%
hyperglycemic fasting blood glucose levels after 1 month treatment with
oral doses of 9 mg/day biotin (9). Several mechanisms may account for
the glycemia improvement produced by the vitamin: biotin as cofactor of
lipogenic enzymes may increase fatty acid synthesis and consequently
glucose utilization. Its stimulatory effect on hepatic glucokinase may
increase glycogen synthesis as well as oxidative phosphorylation (36).
Finally, as our results suggest, the stimulatory effect produced by the
vitamin on pancreatic glucokinase and on glucose-induced insulin
secretion, can also account for the amelioration of glycemia.
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Acknowledgments
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The authors are grateful to Dr. Raul Jairo Hernandez Valencia
for his help in the animal care. We thank Celeste Arranz and Sumiko
Morimoto for their help in the insulin RIA assay.
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Footnotes
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1 This work was supported by Grants Direccion General de Asuntos del
Personel Academico (DGAPA) IN210894, Universidad California
Mexus (to C.F.-M. and M.S.G.), and NIH-RO1-DK-48281 (to
M.S.G.). 
Received April 26, 1999.
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