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Endocrinology Vol. 142, No. 11 4777-4784
Copyright © 2001 by The Endocrine Society


ARTICLES

The Effect of Chronic Exposure to Fatty Acids on Gene Expression in Clonal Insulin-Producing Cells: Studies Using High Density Oligonucleotide Microarray

Jianzhong Xiao, Søren Gregersen, Mogens Kruhøffer, Steen B. Pedersen, Torben F. Ørntoft and Kjeld Hermansen

Department of Endocrinology and Metabolism C, Aarhus University Hospital (J.X., S.G., K.H.), 8000 Aarhus C, Denmark; and Molecular Diagnostic Laboratory, Department of Clinical Biochemistry, Aarhus University Hospital (M.K., T.F.O.), 8200 Aarhus N, Denmark

Address all correspondence and requests for reprints to: Kjeld Hermansen, M.D., Department of Endocrinology and Metabolism C, Aarhus University Hospital, Tage Hansens Gade 2, 8000 Aarhus C, Denmark. E-mail: kjeld.hermansen{at}dadlnet.dk


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Fatty acids affect insulin secretion of pancreatic ß-cells. Investigating gene expression profiles may help to characterize the underling mechanism. INS-1 cells were cultured with palmitate (0, 50, and 200 µM) for up to 44 d. Insulin secretion and expressions of 8740 genes were studied. We found that basal insulin secretion increased in cells exposed to palmitate. The response to glucose stimulation declined on d 44 in cells cultured at 200 µM palmitate. In response to 50 and 200 µM palmitate exposure, expression was changed in 11 and 99 genes on d 2 and 134 and in 159 genes on d 44, respectively. Genes involved in fatty acid oxidation were up-regulated, whereas those involved in glycolysis were down-regulated with 200 µM palmitate. A suppression of insulin receptor and insulin receptor substate-2 gene expression was found on d 44 in cells cultured at 200 µM palmitate. In conclusion, chronic exposure to low palmitate alters insulin secretion as well as gene expression. The number of genes that changed expression was palmitate dose and exposure time dependent. Randle’s fatty acid-glucose cycle seems to be operative on the gene transcription level. A modification of expression of various genes may contribute to the functional changes.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
HIGH FAT DIETS induce insulin resistance, which requires enhanced insulin secretion to maintain normal intermediary metabolism. If enhanced insulin secretion is not able to compensate the insulin resistance, impaired glucose tolerance develops (1). Exposure of the ß-cell to high levels of fatty acids for long periods alters insulin secretion. Thus, increased insulin secretion occurs in the presence of low glucose [increased basal insulin secretion (BIS)], and a blunted insulin response occurs in response to high glucose expressed in absolute and/or relative terms, the so-called lipotoxicity, which is observed in type 2 diabetes (2, 3, 4).

Generally, the immediate biological response of cells to changes in the external milieu is regulated (within seconds or minutes) by the changes in enzyme activity. In contrast, the adaptation to more prolonged changes in the environment depends on the regulation of gene transcription and protein translation. Similarly, the abnormal insulin secretion secondary to chronic exposure of fatty acids may include the regulation of gene expression, protein translation, processing, and modification. Studies of fatty acid-induced changes in gene expression in islets or cultured ß-cells have focused only on a few candidate genes that are thought to be important for the adaptation (5, 6, 7, 8). It is, however, likely that chronic exposure to fatty acid induces changes in pancreatic ß-cell function resulting from changes not only in one or a few genes, but in a multitude of genes.

To gain further insight into the mechanism of changes in ß-cell function after chronic exposure to fatty acids we have looked at the chronic effects of palmitate on the clonal insulin-producing cell line, INS-1, which was cultured for up to 44 d. Unlike the previous study we used 50 and 200 µM palmitate (which are relatively low concentrations) and 0.5% BSA in our studies to prevent a direct toxic effect by unbound fatty acids. The pattern of gene expression changes was studied using gene chip analysis (GCA), which directly monitors the expression levels of 8740 genes in parallel (9, 10).


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
INS-1 cells were cultured for up to 44 d. Studies of insulin secretion capacity were performed on d 2, 9, 16, 30, 37, and 44. INS-1 cells were harvested for RNA preparation and insulin content determination simultaneously. To investigate changes in gene expression in response to relatively short- and long-term exposure to a fatty acid, samples from d 2 and 44 were chosen for GCA. These samples represent the time points at which enhanced (d 2–30) or impaired (d 37 and 44) insulin responses after fatty acid exposure were recognized.

Cell culture
The passage number of INS-1 cells (provided by Prof. C. B. Wolheim, Geneva, Switzerland) used in this study was 61–67. The approximate time for doubling the cell number was 2–3 d. Before the study INS-1 cells were maintained at 10 mM glucose in a modified RPMI 1640 medium (see below) and passed weekly (11). The INS-1 cells were grown in a humidified atmosphere (5% CO2, 95% air at 37 C) in monolayer in a modified RPMI 1640 medium in flasks or 24-well plates (Nunc Brand Products, Nunc A/S, Roskilde, Denmark). We supplemented the medium with 10% (vol/vol) FCS, 6.6 mM glucose, 10 mM HEPES, 100 IU/ml penicillin, 100 µg/ml streptomycin, 1 mM sodium pyruvate, 2 mM L-glutamate, 50 µM ß-mercaptoethanol (all from Life Technologies, Inc., Paisley, UK) ,and 0.5% BSA (fatty acid free; Roche Molecular Biochemicals, Mannheim, Germany). A stock solution of palmitate (Sigma, St. Louis, MO) was prepared by mixing and heating to 90 C with equal molar amounts of NaOH and palmitic acid and was supplemented with distilled water to a concentration of 400 mM. It was diluted further with 5% BSA (fatty acid free) to a concentration of 50 mM, sterilized with a filter, and stored at 4 C. A suitable amount warm palmitate (~40 C) was slowly added to 37 C culture medium to make final concentrations of 50 µM (P50) and 200 µM (P200) palmitate. As a control, cells were cultured without palmitate. As a standard procedure, culture medium was changed three times every week. The cells were passaged weekly into new flasks and cultured continuously under similar conditions. Simultaneously, cells were subcultured for 48 h in 24-well plates for secretion studies.

Insulin secretion study
Cells were precultured in a modified Krebs-Ringer buffer (125 mM NaCl, 5.9 mM KCl, 1.28 mM CaCl2, 5.0 mM NaHCO3, and 25 mM HEPES, pH 7.4; all from Sigma) containing 3.3 mM glucose and 0.1% BSA at 37 C for 30 min. After preculture, glucose-stimulated insulin secretion was determined by incubating the cells in 1.0 and 16.7 mM glucose for 60 min. For fatty acid stimulation, 400 µM palmitate was added in presence of 16.7 mM glucose for 60 min. After incubation, 300 µl medium were collected and centrifuged, and 200 µl supernatant were stored at -20 C for insulin assays.

Protein assay
The remaining medium was discarded after collecting samples for insulin assay. Cells were washed with cold PBS and lysed in 0.1 M NaOH; the total protein was measured by a detergent-compatible protein kit (Bio-Rad Laboratories, Inc., Hercules, CA).

Insulin content measurement
Before every cell passage, the cells were harvested after trypsin treatment (Life Technologies, Inc.), centrifuged, and counted. Cells (2 x 105) were separately collected for protein and insulin measurements. The cells were transferred to glycine-BSA buffer (100 mM glycine and 0.25% BSA, pH 8.8), and insulin was released by sonication (Sonifier 250, Branson, Danbury, CT) on ice twice for 15 sec each time. After centrifugation for 30 min at 16,000 rpm, the supernatant was collected and frozen at -20 C for later assay, and the protein concentration in the same collection of cells was determined as described above. The insulin content was adjusted to the protein concentration.

Insulin assay
Insulin was measured by RIA with a guinea pig, anti-porcine insulin antibody, mono-125I- (Tyr-A14)-labeled human insulin as tracer, and rat insulin as standard. Free and bound radioactivity were separated using ethanol. The inter- and intraassay variation coefficients were both less than 5%.

RNA extraction
Total RNA was isolated from the INS-1 cells using TRIzol (Life Technologies, Inc.).

Gene expression chip analysis
In present study the expression of 8740 genes or expressed sequence tags (ESTs) was investigated by the following steps.

mRNA preparation. To ensure that the samples were representative and to reduce preanalyzed variation, three extracted total RNA samples were pooled from the same time point and culture conditions in an equal amount. One hundred micrograms of total RNA were used for mRNA preparation. Polyadenylated RNA was isolated by an oligo(deoxythymidine) selection step (Oligotex mRNA kit, QIAGEN, Valencia, CA).

cRNA preparation. One microgram of mRNA was used as starting material for the cDNA preparation. The first and second strand cDNA synthesis was performed using the SuperScript Choice System (Life Technologies, Inc., Roskilde, Denmark) basically according to the manufacturer’s instructions, but using an oligo(deoxythymidine) primer containing a T7 RNA polymerase promoter site. Labeled cRNA was prepared using the MEGAscript in vitro transcription kit (Ambion, Inc., Austin, TX). Biotin-labeled CTP and UTP were used together with unlabeled NTPs in the reaction. After the in vitro transcription reaction, the unincorporated nucleotides were removed using RNeasy columns (QIAGEN).

Array hybridization and scanning
Ten micrograms of cRNA were fragmented at 94 C for 35 min in a fragmentation buffer containing 40 mM Tris-acetate (pH 8.1), 100 mM KOAc, and 30 mM MgOAc. Before hybridization, the fragmented cRNA was heated to 95 C for 5 min in a 6 x SSPE-T hybridization buffer [1 M NaCl, 10 mM Tris (pH 7.6), and 0.005% Triton] and subsequently to 40 C for 5 min before loading onto the Affymetrix probe array cartridge rat U34A gene chip. The probe array was then incubated for 16 h at 40 C at constant rotation (60 rpm).

The washing and staining procedure was performed in the Affymetrix Fluidics Station (9). The probe array was exposed to 10 washes in 6 x SSPE-T at 25 C, followed by 4 washes in 0.5 x SSPE-T at 50 C. The biotinylated cRNA was stained with a streptavidin-phycoerythrin conjugate (10 mg/ml; Molecular Probes, Inc., Eugene, OR) in 6 x SSPE-T for 30 min at 25 C, followed by 10 washes in 6 x SSPE-T at 25 C. The probe arrays were scanned at 560 nm by a scanning confocal microscope with an argon ion laser as the excitation source (made for Affymetrix by Hewlett-Packard Co., Palo Alto, CA).

Data analysis
The readings from the quantitative scanning were analyzed by Affymetrix gene chip analysis software (9). More than 300,000 probes were used in the chip. For each gene or EST, approximately 20 pairs of probes (complemented to different parts of mRNA of a gene) were used to measure the level of expression. One pair of probes consists of a perfect match (PM) probe and a mismatch (MM) probe (one MM nucleotide in the middle of sequence). The later is used to determine the background signal after hybridization. A probe pair is considered positive when the intensity of PM minus the intensity of MM and the ratio of the intensity of PM to the intensity of MM are greater than or equal to the statistical threshold. By calculating the intensity of all pairs of probes, the level of gene expression was determined. By comparing the difference in intensity of all pairs of probes between samples for each gene, the difference of expression was defined. Detailed protocols for data analysis and extensive documentation of the sensitivity and quantitative aspects of the method have been described previously (9).

Confirmation of gene expression with real-time RT-PCR
To confirm our findings by GCA, we investigated the expressions of carnitine palmitoyl transferase-1 (CPT-1), insulin receptor (IR), insulin receptor substrate-2 (IRS-2), glucokinase (GK), type 1 hexokinase (HK1), and insulin 1 gene by real-time RT-PCR. cDNA was made using random hexamer primers as described by the manufacturer (GeneAmp RNA PCR kit, Perkin-Elmer Corp./Cetus, Norwalk, CT). Then, a PCR master mixture containing the specific primers (Table 1Go) and AmpliTaq Gold DNA polymerase were added. Real-time quantitation of the target genes to ß-actin mRNA was performed with an SYBR-Green real-time PCR assay using an ICycler PCR machine from Bio-Rad Laboratories, Inc. (12, 13). Briefly, each gene was amplified in separate tubes, and the increase in fluorescence was measured in real-time. The threshold cycle (Ct), which is defined as the fractional cycle number at which the fluorescence reaches 10x the SD of the baseline that was calculated. The gene expression relative to the ß- actin expression was calculated essentially as described in User Bulletin 2, 1997, from Perkin-Elmer Corp. covering the aspect of relative quantitation of gene expression. In short, the target gene to ß-actin mRNA expression was calculated for each sample as 1/2{Delta}C [{Delta}C = (Ct target gene - Ct ß-actin)]. All samples were amplified in triplicate. A similar set-up was used for negative controls, except that reverse transcriptase was omitted, and no PCR products were detected under these conditions.


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Table 1. The primer sequences used in RT-PCR

 
Statistics
Data are presented as the mean ± SEM. One-way ANOVA was used for the statistical analysis. Significant differences were considered for P values less than 0.05. For real-time RT-PCR, two independent experiments were performed (three samples for each group in one experiment). Twelve individual incubations were included in secretion studies.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The insulin secretion studies revealed that the insulin secretion profiles of the control, P50, and P200 groups were similar on d 2, 9, 16, and 30, whereas different profiles were observed on d 37 and 44. We have chosen samples from d 2 and 44 for GCA and describ the insulin secretion at the same time points.

Basal insulin secretion and stimulated insulin secretion
BIS was defined as insulin secretion during 60-min incubation in the presence of 1.0 mM glucose. Although BIS did not change in cells cultured in palmitate for 2 d, it increased after d 9 and reached a maximum on d 44 in cells cultured with P200 (compared with other time points, data not shown). On d 44, BIS was increased 3-fold after culture with P50 and 4.5-fold with P200, respectively (P < 0.05; Fig. 1AGo).



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Figure 1. Basal insulin secretion from INS-1 cells cultured for 2 or 44 d with or without the addition of palmitate (P50 or P200) (nanograms per mg protein/60 min in A and fold change in B). A, Basal insulin secretion at 1.0 mM glucose and stimulated insulin secretion at 16.7 mM glucose with or without supplementation of palmitate (400 µM). B, Insulin secretion is shown relative to the response at 1.0 mM glucose at the particular time point. The mean ± SEM from 12 individual incubations are shown. *, P < 0.05 vs. control; #, P < 0.05 vs. P50.

 
The stimulated insulin secretion was defined as insulin secretion during 60-min incubation in response to 16.7 mM glucose (GSIS) and 16.7 mM glucose plus 400 µM palmitate. If expressed in absolute values, P200 enhanced insulin secretion on both d 2 and 44, whereas P50 enhanced insulin secretion only on d 44 (Fig. 1AGo).

When expressed in relative terms (fold increase compared with the release at 1.0 mM glucose), enhanced GSIS and FSIS were observed on d 2 in cells exposure to palmitate, whereas they displayed the lowest values in cells cultured with P200 on d 44 (Fig. 1BGo).

Insulin content
The insulin content in the INS-1 cells was not significantly changed after exposure to either P50 or P200 for 44 d (1827 ± 496 and 2504 ± 435; control, 2086 ± 185 ng/mg protein; n = 6 for each group; P > 0.05).

GCA
General pattern of gene expression changes. The number of genes that changed expression depended on the cut-off values set (significant level). The cut-off values are arbitrary. The larger the numerical sort score (SS; a value based on both fold change and average difference change), the more significant or reliable is the measured difference in expression of gene between the experimental group and the control group. If fold change were set at 2, and SS to 0.5, the number of genes that changed was 507. However, changing the SS to 0.65 and the fold change to 3, the number of affected genes was reduced to 345 (Table 2Go). In the present study genes or ESTs with an SS of 0.65 or more, with the difference call being increased or decreased, and showing 2-fold or more changes were considered to be significant changes (14). The number of genes showing significant changes at the expression levels is given in Fig. 2Go. In general, down-regulated genes were more common than up-regulated genes. The changes in response to palmitate exposure were dose and time dependent.


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Table 2. The cut-off value and the corresponding number of genes showing changes among 8740 genes or ESTs in INS-1 cells (all difference calls are increase or decrease)

 


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Figure 2. Number of gene expression changes (fold change, >=2; SS, >=0.65) after exposure of INS-1 cells to P50 or P200 for 2 or 44 d, respectively. Positive and negative numbers indicate up- and down-regulation, respectively.

 
Specific gene expression changes
We have chosen to present the alterations in genes related to glucose metabolism, fatty acid oxidation, and synthesis. In addition, results regarding the insulin signal transduction pathway and a few other interesting genes are revealed in Table 3Go.


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Table 3. Selected gene expression changes in INS-1 cells exposed to 50 (P50) or 200 µM (P200) palmitate (fold compared to control)

 
Briefly, no expression changes were found among the 23 selected genes in cells cultured with 50 µM palmitate in 2 d. The expression of key genes that are involved in fatty acid oxidation [CPT-1, long-chain acyl CoA dehydrogenase, and 3-oxoacyl-coenzyme A (3-oxoacyl-CoA) thiolase] was up-regulated in INS-1 cells cultured with P200. Concomitantly, the expression of genes involved in glycolysis [ATP-citrate lyase, hepatic nuclear factor 4 (HNF-4), phosphofructokinase (PFK), and aldolase A] was down-regulated. A suppression of the expression IR was found in cells cultured with P200 for 44 d. Also, the expression of glycogen phosphorylase and IRS-2 was suppressed after 44 d in cells cultured with palmitate. No changes were found in glucose transporter-2, insulin-1, insulin-2, GK, and HK1 gene expression.

Confirmation by RT-PCR (Fig. 3Go)
The same expression pattern as that identified with GCA was found by real-time RT-PCR for CPT-1, IR, IRS-2, GK, and insulin 1. Type 1 hexokinase in INS-1 cells was very low (absent), and no difference between groups was found by GCA. However, it was down-regulated by palmitate on both d 2 and 44 using RT-PCR.



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Figure 3. Confirmation of the findings with RT-PCR. The mRNA ratios to control on d 2 (A) and 44 (B) for six genes using GCA (fold change, >=2; SS, >=0.65) and corresponding findings using RT-PCR (C and D). *, P < 0.05 vs. control.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our results showed that palmitate acutely enhanced insulin secretion, corroborating previous reports (15, 16, 17, 18). However, exposure of ß-cells to fatty acids for 2 d is usually considered to elicit chronic effects, and previous studies have shown that it suppresses insulin secretion. The discrepancies may be explained by differences in the experimental conditions, e.g. concentrations of fatty acids (0.4–1 mM), glucose (11 mM), and BSA (which determines the level of nonbound fatty acids) (19, 20, 21, 22, 23).

A striking finding is the increased insulin secretion at low glucose (BIS). BIS was higher in cells cultured in P200 than in P50 on d 2. It increased on d 9 after culture in P200, whereas an increase first occurred from d 37 after culture in P50 (our unpublished data). This indicates that both exposure time and fatty acid concentrations are crucial for eliciting elevated BIS. Increased BIS is one of the characteristic features of lipotoxicity in addition to the decline in blunted GSIS (24). Hyperinsulinemia compensates the insulin resistance in the early stage of the insulin resistance syndrome (25, 26, 27), and it has also frequently been found in early stages of type 2 diabetes (28). Fatty acid-induced insulin resistance is compensated by increased GSIS at the beginning. However, studies in animals indicate that early hyperinsulinemia seems by itself to be able to cause insulin resistance and, finally, dysfunction of ß-cells (29). It can be argued that the glucose level of 1 mM is a very low basal glucose concentration. However, it is difficult to decide what is a normal basal glucose level in clonal ß-cells. We have compared the impact of 1 and 3.3 mM glucose in previous and recent experiments and have uniformly found similar response patterns to different stimuli, including high glucose, and similar insulin secretion at 1.0 and 3.3 mM glucose (unpublished results). No significant decrease in total insulin release occurred during stimulation after prolonged culture in the presence of P200. However, we found that the ß-cell responsiveness in relative terms (fold change) to glucose and palmitate was blunted. This apparently contrasts with other studies (29) in which islet cells that have been exposed long-term to higher fatty acid concentrations (e.g. 0.4 and 1 mM) or without BSA supplement showing suppressed GSIS. Using similar pharmacological doses of palmitate of 0.4 and 1.0 mM, we also found suppressed stimulated insulin secretion from INS-1 cells in absolute terms (unpublished results). However, we have chosen lower palmitate concentrations and 0.5% BSA in culture medium to prevent direct cytotoxicity of unbound fatty acids. Additionally, the relatively low glucose level used (6.6 mM) may also account for the lack of reduction in the absolute level of GSIS. This is supported by the findings that fatty acid inhibition of cell proliferation was only found in the presence of a stimulating glucose concentration (30). The increased BIS and declined responsiveness to nutrients (in relative, but not absolute, terms) may represent the early stage of lipotoxicity in both humans and animals. The so-called lipotoxicity in different diabetic models, for instance, the male Zucker diabetic fat rat, is characterized by increased BIS and decreased ß-cell responsiveness, i.e. less fold increase in stimulated insulin secretion compared with lean control. Concomitantly, the absolute plasma insulin level is much higher than that in lean nondiabetic controls in the early stage, although it is insufficient to compensate for the metabolic aberration (31). Furthermore, it was found that even obese female Zucker nondiabetic rats had higher glucose-stimulated insulin secretion than lean male nondiabetic rats (118 ± 19 vs.94 ± 12 µU/ml); however, the former group has a higher plasma glucose concentration (9.15 ± 0.02 vs. 5.70 ± 0.17 mM). After calculating the fold increase, it is not surprising to find that the former group had a much lower responsiveness (0.8- vs. 12-fold) (31). At a later stage of disease, the absolute insulin concentration also declines. Therefore, we propose that the increased BIS and the declined responsiveness (but not the absolute insulin secreted) to nutrient stimulation are early characteristics of lipotoxicity.

GCA is being used more and more widely as a method for providing a broad picture of the state of the cell by monitoring the expression level of thousands of genes (14, 32, 33). A cut-off value determines genes that changed significantly. To confirm the findings regarding gene expression detected with GCA, six genes were further characterized by real-time RT-PCR. All of these genes (CPT-1, IR, and IRS-2) that were found to be changed by GCA techniques were confirmed by RT-PCR (Fig. 3Go), and no difference in the expression of GK and insulin 1 genes was found by either method. However, a few differences between the two techniques were observed. The IRS-2 expression on d 2 was not significantly down-regulated using the GCA, whereas the decrease in expression was significant using the RT-PCR technique. It is interesting that the patterns of expression of IRS-2 using the two different techniques are similar. Finally, HK1 expression seemed to be very different using the two techniques; however, HK1 expression was very low, and actually using the GCA it was described as absent. Using RT-PCR (which is much more sensitive), the expression could easily be measured and was found to be down-regulated. Palmitate is a PPAR{alpha} agonist, inducing the expression of genes involved in fatty acid oxidation (34). The increased expression of CPT-1, long-chain acyl CoA dehydrogenase, and other genes involved in fatty acid oxidation in the present study corroborated this report. The down-regulation of the c-erb-A TR (35) and the RAR (36), which are transcription factors that inhibit the expression of genes involved in fatty acid oxidation, may contribute to the up-regulation. In addition, the down-regulation of gastrin-binding protein may lead to the enhanced fatty oxidation (37). On the other side, palmitate may suppress the effect of PPAR{gamma} by inhibiting the expression of adipocyte differentiation and determinator 1 and result in a suppression of fatty acid synthetase and acetyl-CoA carboxylase, as seen in adipocytes (36). These changes in gene expression may reflect the adaptation of cells to fatty acid exposure, i.e. induced expression of genes regulating fatty acid oxidation and suppressed expression of genes regulating fatty acid synthesis (6, 8, 29, 38). It suggests that a compensatory fatty acids oxidation takes place during palmitate exposure. Interestingly, it seems that the changes in genes involved in fatty acid oxidation on d 2 were more striking than the changes on d 44. Thus, an increased expression of peroxisomal enoyl hydratase-like protein, 2,4-dienoyl-CoA reductase was found only on d 2. The expression of CPT-1, epoxide hydrolase, and 3-oxoacyl-CoA thiolase gene increased 2 times more on d 2 than on d 44. The lack of a proportional increase in fatty acid oxidation may result in triglyceride accumulation within cells, which is supposed to relate to apoptosis (3). We did not determine cell triglyceride content; therefore, whether this difference contributed to the functional differences between d 2 and d 44 remains to be elucidated. Palmitate was shown to suppress the expression of stearoyl-CoA desaturase-2 (SCD-2) and SCD-2 homologue gene in INS-1 cells. SCD-2 can transform the saturated fatty acid into unsaturated fatty acid and thereby change plasma membrane fluidity (39). The physiological importance of our observation is as yet unclear.

The expression of HK1 was absent by GCA, and it was found to be very low using RT-PCR, i.e. the mRNA (ratios to ß-actin) were 4 x 10-6–10-3 and 7 x 10-3–9 x 10-3 for HK1 and GK, respectively (data not shown). The expression of the HK1 gene was suppressed during palmitate exposure, suggesting that HK1 may not play a major role in the enhanced BIS in the current study. However, caution should be taken because clonal INS-1 cells may not respond to fatty acids in the same way as normal ß-cells or islets (2, 3). We have not found any differences in glucokinase and glucose transporter-2 mRNA levels between groups. In the cascade of glycolysis, aldolase A, PFK, and ATP-citrate lyase were suppressed by long-term exposure and/or the higher palmitate level. The up-regulation of fructose-1,6-bisphophatase may also inhibit glycolysis, because it counteracts the reaction catalyzed by PFK. The down-regulation of PFK is consistent with results from studies of the heart exposed to fatty acids (40). Except for cells cultured at P50 for 2 d, the other groups shared similar alteration of expression of genes involved in glycolysis. This suggested that this modification was not an exclusive mechanism underlying the blunted insulin secretion. We found that HNF-4 gene expression was inhibited after palmitate exposure in a time- and dose-dependent manner. A mutation in the HNF-4{alpha} gene is responsible for the autosomal dominant, early-onset form of type 2 diabetes mellitus, the so-called MODY1. It was showed that the MODY1 mutant protein has lost its transcriptional trans-activation activity (41), which affects several genes whose expression is dependent upon HNF-4{alpha}, including glucose transporter-2, the glycolytic enzymes aldolase B and glyceraldehyde-3-phosphate dehydrogenase, and the liver pyruvate kinase (41). We found that aldolase A, but not aldolase B, was suppressed accompanying the down-regulation of HNF-4. The down-regulation of genes involved in the glycolysis and up-regulation of fatty acid oxidation in cells cultured in fatty acid suggests that the fatty acid-glucose reciprocal cycle (Randle cycle) (42) is operative on gene expression levels in INS-1 cells.

Glycogen accumulation in muscle may relate to insulin resistance. It was found that troglitazone decreased the skeletal muscle glycogen content to normal and increased glycogen turnover in the Zucker diabetic fatty rat accompanying improved insulin sensitivity (43). The insulin-sensitizing action of exercise may be ascribed to enhanced glucose transporter-4 translocation and the depletion of glycogen in muscle (44). The down-regulation of glycogen phosphorylase observed in this study after culture for 44 d may result in glycogen accumulation and contribute to the insulin resistance and abnormal insulin secretion in INS-1 cells.

Our data suggest that changes in insulin mRNA transcription and insulin biosynthesis may not represent the major defects in abnormal insulin secretion after chronic palmitate exposure. However, we do not know whether a lack of increase in insulin gene expression and insulin content in parallel with the enhanced BIS also reflects a relatively insufficient insulin gene transcription and synthesis in cells cultured in P200 (7, 45). A suppression of IR gene expression after 44-d culture at P200 is accompanied by the suppression of IRS-2 and cytokine-inducible Src homology-2-containing protein. The IR and its principal substrates, IRS-1 and IRS-2, play key roles in insulin signal transduction. Recent studies suggest that secreted insulin acts directly on ß-cells, via its own receptor, to enhance insulin production in an autocrine feedforward loop (46). After specific knockout of the IR gene in the ß-cells, these mice exhibit a selective loss of insulin secretion in response to glucose and a progressive impairment of glucose tolerance (47). Interestingly, IRS-2 knockout mice show severe insulin resistance with simultaneous reduction of islet size and insulin content. Consequently, ß-cells lacking IRS-2 are unable to compensate for the insulin resistance, and diabetes ensues (48, 49). Thus, the noticeable down-regulation of IRS-2 by palmitate in the present study may have significant effects on cell survival. This is supported by the finding that fatty acids inhibit IGF-I-induced INS-1 cell proliferation, whereas IRS-2 plays an important role in IGF-1 signal transduction (30). Due to the importance of the insulin signaling pathway, the combined down-regulation of IR and IRS-2 may account for the suppressed response to nutrient stimulation in P200 on d 44 in this study.

Apparently, the changes in cell function are not determined only by one or a few genes, but seem to be ascribed to a series of genes. We found that the changed genes ranged from ion channels; enzymes involved in glucose, fatty acid, and amino acid metabolism; to proteins involved in signal transduction, cell growth, replication, and apoptosis (data not shown). The accumulating or synergistic effects of different genes may be important for the alteration of cell function.

The present study has been carried out in the insulinoma cell line INS-1 and not in normal ß-cells. Consequently, when interpreting the results caution should be exercised, as the possibility exists that long-term culture of INS-1 cells in high palmitate might, for instance, lead to selection variants that do not necessarily reflect normal ß-cell biology (50). Furthermore, the effect of fatty acids on ß-cell function depends on the chain length, degree of saturation, and spatial configuration, which indicates a differential influence of specific fatty acids on gene expression (4, 18, 50).

In summary, a relatively low concentration of fatty acid induced a striking increase in basal insulin secretion and a blunted insulin responsiveness in relative terms after 44 d. This may represent an early change in lipotoxicity. The abnormal secretion was associated with changes in expression in a multitude of genes. The Randle fatty acid-glucose cycle is operative at the level of gene expression. The induced expression of genes involved in fatty acid oxidation and the down-regulated gene expressions involved in insulin signal transduction and glycolysis, especially HNF-4, glycogen phosphorylase, IR, IRS-2, and genes involved in other functions, may together contribute to changes in insulin secretion of INS-1 cells exposed to palmitate.


    Acknowledgments
 
We thank Lisbet Blak, Kirsten Eriksen, Tove Skrumsager, Dorthe Rasmussen, and Hanne Steen for skilled technical assistance.


    Footnotes
 
This work was supported by the Danish Medical Research Council, the Novo Nordic Foundation, the Poul and Erna Sehested Hansens Foundation, the Danish Diabetes Association, and Institute of Experimental Clinical Research, Aarhus University.

Abbreviations: BIS, Basal insulin secretion; CoA, coenzyme A; CPT-1, carnitine palmitoyl transferase-1; Ct, threshold cycle; EST, expressed sequence tag; GCA, gene chip analysis; GK, glucokinase; GSIS, as insulin secretion during 60-min incubation in response to 16.7 mM glucose; HK1, type 1 hexokinase; HNF-4, hepatic nuclear factor-4; IR, insulin receptor; IRS-2, insulin receptor substrate-2; MM, mismatch; P50, 50 µM palmitate; P200, 200, 200 µM palmitate; PFK, phosphofructokinase; PM, perfect match; SCD-2, stearoyl-CoA desaturase 2; 6 x SSPE-T hybridization buffer, 1 M NaCl, 10 mM Tris (pH 7.6), and 0.005% Triton; SS, sort score.

Received February 12, 2001.

Accepted for publication July 23, 2001.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
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