Endocrinology, doi:10.1210/en.2003-1602
Endocrinology Vol. 145, No. 8 3566-3577
Copyright © 2004 by The Endocrine Society
Role of Uncoupling Protein-2 Up-Regulation and Triglyceride Accumulation in Impaired Glucose-Stimulated Insulin Secretion in a ß-Cell Lipotoxicity Model Overexpressing Sterol Regulatory Element-Binding Protein-1c
Tokuyuki Yamashita,
Kazuhiro Eto,
Yukiko Okazaki,
Shigeo Yamashita,
Toshimasa Yamauchi,
Nobuo Sekine,
Ryozo Nagai,
Mitsuhiko Noda and
Takashi Kadowaki
Departments of Metabolic Diseases (T.Y., K.E., Y.O., S.Y., T.Y., N.S., T.K.) and Cardiovascular Medicine (R.N.), University of Tokyo Graduate School of Medicine, Tokyo 113-8655, Japan; CREST of Japan Science and Technology Corp. (K.E., Y.O., T.Y., M.N., T.K.), Saitama 332-0012, Japan; National Institute of Health and Nutrition (M.N., T.K.), Tokyo 162-8636, Japan; and Institute for Diabetes Care and Research, Asahi Life Foundation (M.N.), Tokyo 100-0005, Japan
Address all correspondence and requests for reprints to: Dr. Takashi Kadowaki, Department of Metabolic Diseases, University of Tokyo Graduate School of Medicine, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. E-mail: kadowaki-3im{at}h.u-tokyo.ac.jp.
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Abstract
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Triglyceride (TG) accumulation in pancreatic ß-cells is thought to be associated with impaired insulin secretory response to glucose (lipotoxicity). To better understand the mechanism of the impaired insulin secretory response to glucose in ß-cell lipotoxicity, we overexpressed a constitutively active form of the sterol regulatory element-binding protein- 1c (SREBP-1c), a master transcriptional factor of lipogenesis, in INS-1 cells with an adenoviral vector. This treatment was associated with strong activation of transcription of the genes involved in fatty acid biosynthesis, increased cellular TG content, severely blunted glucose-stimulated insulin secretion, and enhanced expression of the uncoupling protein-2 (UCP-2), which supposedly dissipates the mitochondrial electrochemical potential. To decrease the up-regulated UCP-2 expression, small interfering RNA for UCP-2 was used. Introduction of the small interfering RNA increased the ATP/ADP ratio and partially rescued the glucose-stimulated insulin secretion in the cells overexpressing SREBP-1c, but did not affect the cellular TG content. Next, the effect of the AMP-activated protein kinase (AMPK) agonist, 5-amino-4-imidazolecarboxamide riboside, was examined in the lipotoxicity model. Exposure of the cells with lipotoxicity to 5-amino-4-imidazolecarboxamide riboside increased free fatty acid oxidation, partially reversed the TG accumulation, phosphorylated AMPK and acetyl-coenzyme A carboxylase, and improved the impaired glucose-stimulated insulin secretion. These results suggest that UCP-2 down-regulation and AMPK activation could be candidate targets for releasing ß-cells from lipotoxicity.
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Introduction
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OBESITY IS IMPLICATED in the development of type 2 diabetes, which results from a complex interplay of genetic and environmental factors (1). Type 2 diabetes is often associated with high plasma free fatty acid levels and accumulation of triglyceride (TG) in peripheral tissues (2, 3, 4). In pancreatic ß-cells, excessive accumulation of TG is thought to lead to cellular dysfunction, the so-called lipotoxicity (5). ß-Cell lipotoxicity is best exemplified in the following two models. The first is ß-cells from rodents lacking functional leptin receptors. Leptin plays a role in disposing of free fatty acids (FFA) and preventing accumulation of TG in nonadipose tissues, including ß-cells under the condition of overnutrition, by increasing the ß-oxidation of FFA and decreasing lipogenesis (6). In the Zucker diabetic fatty (ZDF) rat, which is homozygous for the fa mutation (fa/fa) of the leptin receptor (7, 8), TG accumulation is observed in ß-cells and is associated with unresponsiveness of insulin secretion to glucose (6, 9). The second model is that of ß-cells chronically exposed to high concentrations of FFA. FFA have been known to exert dual effects on insulin secretion depending on the duration of exposure. Although acute expose to FFA increased glucose-stimulated insulin secretion (10, 11, 12, 13, 14), treatment with FFA for more than 2 d reduced insulin secretion (15, 16, 17, 18, 19).
Sterol regulatory element-binding proteins (SREBPs) are a family of three transcription factors that bind to sterol regulatory elements (SREs) on the promoter regions of genes involved in the lipid biosynthesis pathway and activate their transcription (20). SREBPs have in common the N-terminal basic helix-loop-helix leucine zipper domains and two transmembrane domains that direct them to the endoplasmic reticulum. SREBPs are converted to transcriptionally active truncated forms after proteolytic release of the N-terminal domains into the cytosol, which allows them to further enter the nucleus and activate gene transcription. There are three types of SREBP proteins: SREBP-1a, SREBP-1c, and SREBP-2. SREBP-1a and -1c, which are produced from a single gene through alternative use of promoters and first exons, preferentially activate genes involved in the biosynthesis of FFA and TG (21, 22, 23), whereas SREBP-2 is more potent at stimulating the biosynthesis of cholesterol than at stimulating that of FFA (24, 25). Transgenic mice overexpressing SREBP-1a and -1c in the liver indeed showed enlargement of the liver and increased TG content of the tissue, although SREBP-1a transgenic mice showed a stronger phenotype than SREBP-1c transgenic mice, because of the N-terminal acidic region specific to SREBP-1a conferring it with a stronger transactivating capability (26). Recently, an increased expression level of SREBP-1c was reported in the islets of ZDF rats (fa/fa), with ectopic overaccumulation of fat (27), suggesting that SREBP-1c may be a key molecule in inducing TG accumulation and ß-cell dysfunction.
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Materials and Methods
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Reagents
The antibody against SREBP-1 was purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA). The antirabbit IgG antibody conjugated to horseradish peroxidase, the insulin RIA kit, the enhanced chemiluminescence protein detection kit, Hybond N+ nylon membrane, and the Megaprime DNA labeling system were purchased from Pharmacia Biotech (Uppsala, Sweden). The antibodies against acetyl-coenzyme A carboxylase (ACC), AMP-activated protein kinase (AMPK), and phospho-ACC were purchased from Upstate Biotechnology, Inc. (Lake Placid, NY). The antibody against phospho-AMPK was purchased from Cell Signaling Technology (Beverly, MA), antibody against uncoupling protein-2 (UCP-2) was purchased from Alpha Diagnostic International (San Antonio, TX), and the luciferase-luciferin ATP kit was purchased from Sigma-Aldrich Corp. (St. Louis, MO). [1-14C]Palmitic acid (50 mCi/mmol) and [
-32P]deoxy-CTP (3000 mCi/mmol) were purchased from PerkinElmer (Boston, MA). ExpressHyb hybridization solution and the adeno-X expression system were purchased from Clontech Laboratories (Palo Alto, CA). The bicinchoninic acid (BCA) protein assay kit was purchased from Pierce Chemical Co. (Rockford, IL), Carbosorbe E was purchased from Packard (Meriden, CT), and the Oligofectamine reagent was purchased from Invitrogen (Carlsbad, CA). The Picagene luciferase assay kit was purchased from Tokyo, Inc. (Tokyo, Japan). The Effectene transfection reagent and RNeasy were purchased from Qiagen (Tokyo, Japan). The L-type TG kit and triolein were purchased from Wako Biochemicals (Osaka, Japan). The TaqMan probe and primer sets for rat ATP citrate-lyase (ACL; NM_016987), ACC (NM_022193), acyl-CoA synthase (ACS; NM_130739), fatty acid synthase (FAS; NM_17332), UCP-2 (NM_019353), and 36B4 (NM_022402) were designed by and purchased from Applied Biosystems Japan (Tokyo, Japan). The RT system was purchased from Promega Corp. (Madison, WI). HEK293 cells were purchased from the Japan Health Science Foundation (Osaka, Japan).
Cell culture
INS-1 cells were cultured in RPMI 1640 medium (containing 11.1 mM glucose) supplemented with 10% heat-inactivated fetal calf serum, 10 mM HEPES, 2 mM L-glutamine, 1 mM sodium pyruvate, 50 µM ß- mercaptoethanol, 100 IU/ml penicillin, and 100 µg/ml streptomycin at 37 C in a humidified atmosphere (5% CO2 and 95% air). HEK293 cells were cultured in DMEM supplemented with 10% heat-inactivated fetal calf serum, 100 IU/ml penicillin, and 100 µg/ml streptomycin at 37 C in a humidified atmosphere (5% CO2 and 95% air).
Preparation of recombinant adenovirus
Recombinant adenovirus was generated using the adeno-X expression system according to the manufacturers instructions. Briefly, a constitutively active form of rat SREBP-1c cDNA encoding amino acids 1403 was subcloned in the pShuttle plasmid vector and transferred directionally by restriction digestion with PI-SceI and I-CeuI into adeno-X viral DNA. Ad-SREBP-1c DNA was transfected into HEK293 cells using the Effectene transfection reagent, and recombinant viral particles were obtained from the cell lysates. Ad-LacZ that expressed Escherichia coli ß-galactosidase (LacZ) was prepared in the same way, to be used as the control adenovirus.
Immunoblot analysis
INS-1 cells were lysed in a lysis buffer [25 mM Tris-HCl (pH 7.4), 2 mM sodium orthovanadate, 10 mM sodium pyrophosphate, 10 mM sodium fluoride, 1 mM EDTA, 1 mM EGTA, 0.1 mM phenylmethylsulfonylfluoride, 1 µg/ml aprotinin, 1 µg/ml pepstatin A, 1 µg/ml leupeptin, and 1% Triton X-100], and the protein content was measured with a BCA protein assay kit (Pierce Chemical Co.). For the Western blot analysis, the samples were separated on sodium dodecyl sulfate-polyacrylamide gels, transferred to polyvinylidene fluoride membranes, and probed with the primary and secondary antibodies. Antibody against SREBP-1 (1:2000 dilution), UCP-2 (1:2000 dilution), phospho-AMPK (1:2000 dilution), phospho-ACC (1:1000 dilution), AMPK (1 µg/ml), or ACC (1 µg/ml) was used as the primary antibody. The secondary antibody against antirabbit IgG antibody conjugated to horseradish peroxidase was used at a 1:5000 dilution. Signal detections were performed using the enhanced chemiluminescence kit.
Luciferase reporter assay
Five copies of the SRE sequences (TCACCCACT) connected to the luciferase reporter gene were transiently introduced into INS-1 cells using the Effectene transfection reagent. The cells were harvested 48 h after transfection. Luciferase activity was measured using Picagene with a Lumat LB9507 luminometer (Berthold, Bad Wildbad, Germany).
Insulin secretion and content
After the indicated culture periods, for the insulin secretion assays, INS-1 cells were washed with Krebs-Ringer bicarbonate (KRB) buffer composed of 129 mM NaCl, 4.8 mM KCl, 1.2 mM MgSO4, 1.2 mM KH2PO4, 2.5 mM CaCl2, 5 mM NaHCO3, 0.2% BSA (fatty acid free), and 10 mM HEPES (pH 7.4), preincubated at 37 C for 30 min in KRB buffer containing 1 mM glucose, and incubated at 37 C for 60 min with the indicated concentrations of glucose. Insulin secreted into KRB buffer was measured by RIA using rat insulin as the standard. Cellular insulin was extracted with acid-ethanol (0.18 M HCl in 95% ethanol) overnight at 4 C, and its concentration was determined by RIA after appropriate dilutions.
Assay of adenine nucleotides
Assay of adenine nucleotides in INS-1 cells was performed as described previously (28). After preincubation at 37 C for 30 min in KRB buffer containing 1 mM glucose, INS-1 cells were incubated at 37 C for 30 min in KRB buffer containing 10 mM glucose. After aspiration of medium, the metabolism was snap-stopped by the addition of ice-cold 5% trichloroacetic acid. Then the samples were sonicated three times for 10 sec each time, and trichloroacetic acid was removed by extraction three times with diethyl ether. The samples were diluted with buffer A (20 mM HEPES and 3 mM MgCl2, pH 7.75), and the ATP content was measured using the luciferase-luciferin ATP kit. For determining the ADP content, the sum of the ATP content and the ADP content was determined. The conversion from ADP to ATP was performed in buffer A containing 2.3 U/ml pyruvate kinase and 1.5 mM phosphoenolpyruvate at room temperature for 15 min.
RNA preparation, Northern blot analyses, and quantitative real-time PCR
Total RNA was extracted from INS-1 cells with TRIzol (Life Technologies, Gaithersburg, MD). Northern blot analyses were performed using a standard protocol. Briefly, total RNA was separated on denaturing formaldehyde agarose gel (1%) and transferred to Hybond N+ nylon membranes. cDNA probes of mouse ACL, acetyl-coenzyme A (acetyl-CoA) carboxylase (ACC), FAS, ACS, UCP-2, and 36B4 were labeled by a random priming method using the Megaprime DNA labeling system and [
-32P]deoxy-CTP (PerkinElmer). After overnight hybridization, the membranes were washed stringently, and signals were detected and quantified with the BAS 2000 system (Fuji Film, Tokyo, Japan). For quantitative real-time PCR, total RNA was extracted from the INS-1 cells with RNeasy (Qiagen), and first-strand cDNAs were synthesized with an RT system (Promega Corp.). The samples were subjected to quantitative real-time PCR using then TaqMan probe and primer sets for rat ACL, ACC, FAS, ACS, and UCP-2 (forward primer, 5'-TCCTGAAA GCCAACCTCATGA-3'; reverse primer, 5'-CAATGACGGTGGTGCAGAAG-3'; TaqMan probe, 5'-6-carboxy fluorescein-AGACGACCTCCCTTGCCACTTCACTTC-tetramethylrhodamine-3') and 36B4 (forward primer, 5'-TGCCTCACTCCATCATCAATG-3'; reverse primer, 5'-GCAGCCGCAAATGCA GAT-3'; TaqMan probe, 5'-6-carboxy fluorescein-CTTCCCACTGGCTGAAAAGGTCAAGGC-tetramethylrhodamine-3'). The ABI PRISM 7000 system was used for the reaction and detection (Applied Biosystems Japan).
TG content
The TG contents were determined as described previously (29). Briefly, cellular TG was extracted three times with chloroform and methanol (2:1). The extraction solvent was evaporated, and TG resuspended in isopropanol was measured with the L-type TG kit using triolein as the standard.
Fatty acid oxidation
To measure the fatty acid oxidation level, INS-1 cells were washed with PBS and preincubated at 37 C for 30 min in KRB buffer containing 1 mM carnitine in the presence of 1 mM glucose. The cells were then incubated for 2 h at 37 C in KRB buffer containing 1 mM carnitine in the presence of 1 mM or 10 mM glucose with 1.0 µCi of [1-14C]palmitic acid (50 mCi/mmol). At the end of the incubation period, an equal volume of 5 N HCl was added. The liberated CO2 was trapped with Carbosorb E (Packard). After overnight incubation at room temperature, the radioactivity of the trapped 14CO2 was measured with a liquid scintillation counter.
Introduction of small interfering RNA (siRNA) for UCP-2
The siRNA specific for rat UCP-2 (5'-CCUCAUGACAGACGACCUCdTdT-3' and 5'-GAGGUCGUCUGUCAUGAGGdTdT-3') was synthesized (Dharmacon Research, Lafayette, CO). The siRNA was targeted 624 nucleotides downstream of the start codon. The INS-1 cells were transfected with these siRNAs using the Oligofectamine reagent. The transfection efficiency was checked using, fluorescein-labeled, double-strand RNA (Dharmacon Research) and was determined to be 7080%. The cells transfected with siRNA were assayed 48 h after the transfection.
Statistical analysis
All results were expressed as the mean ± SEM. For multiple comparisons, one-way ANOVA, followed by Tukeys honestly significant difference test was used. For unpaired comparisons of two groups, a t test was used. P < 0.05 denoted significance.
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Results
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Overexpression of SREBP-1c in INS-1 cells with an adenoviral vector
Rat SREBP-1c cDNA encoding amino acids 1403 was directionally transferred into adeno-X viral DNA. Ad-SREBP-1c DNA was transfected into HEK293 cells, and recombinant viral particles were obtained from the cell lysates. The expression of the truncated form of SREBP-1c in INS-1 cells was examined by Western blot analysis using anti-SREBP-1 antibody. The SREBP-1c protein was expressed in a multiplicity of infection (MOI)-dependent manner (Fig. 1A
). To confirm the transcriptional activity of the overexpressed SREBP-1c, a luciferase reporter assay was performed. Infection with Ad-SREBP-1c increased luciferase activity under the transcriptional control of five copies of SREs (Fig. 1B
). Transcriptional activity was increased more than 30-fold at 10 MOI compared with that in controls infected with Ad-LacZ. The amount of cellular protein at 10 MOI after the 48 h of culture was checked. The cellular protein contents in the cells infected with the adenovirus were not different from those in control cells not infected with the adenovirus (Fig. 1C
).

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FIG. 1. Adenovirus-mediated overexpression of SREBP-1c and its transactivating activity in INS-1 cells. A, INS-1 cells were infected with Ad-LacZ or Ad-SREBP-1c at 0, 1, 3, or 10 MOI and incubated for 48 h. The cells were lysed, and the proteins (20 µg each) were separated by SDS-PAGE and subjected to immunoblot analysis with anti-SREBP-1 antibody. B, INS-1 cells infected with Ad-LacZ ( ) or Ad-SREBP-1c ( ) at 1, 3, or 10 MOI were transiently transfected with a plasmid containing the luciferase reporter gene connected downstream of five copies of SRE sequences. After 24-h culture, the cells were lysed, and luciferase activities were measured. Data are shown as relative luciferase activities to those of control cells infected with Ad-LacZ. Values are the mean ± SEM of three experiments. **, P < 0.01. C, INS-1 cells were infected with or without adenovirus at MOI 10 and cultured for 48 h. The cells were lysed, and the protein contents were measured with a BCA protein assay kit (Pierce Chemical Co.). Values are the mean ± SEM of five experiments.
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Expression of genes involved in fatty acid metabolism
To confirm that the expression of the genes involved in lipogenesis was enhanced by overexpression of SREBP-1c, we examined the levels of mRNAs encoded by these genes. Overexpression of SREBP-1c was associated with enhanced expression of all of the lipogenic genes we examined (Fig. 2A
). Quantification of the mRNA levels of these genes was performed by quantitative real-time PCR. The mRNA level for ACL, which converts citrate to acetyl-CoA and oxaloacetate, was increased by 3.8-fold (P < 0.05; Fig. 2B
). The expression of ACC, which produces malonyl-CoA from acetyl-CoA, was increased by 1.9-fold (P < 0.05; Fig. 2C
). Induction of FAS mRNA by SREBP-1c was the strongest among the lipogenic genes examined, and it was increased by 16.4-fold (P < 0.01) compared with the control value (Fig. 2D
). The transcripts for ACS were also increased by 7.5-fold (P < 0.01; Fig. 2E
). These mRNA levels were normalized to the 36B4 mRNA level.

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FIG. 2. Expression of genes for lipogenesis and TG accumulation in INS-1 cells overexpressing SREBP-1c. A, INS-1 cells were infected with Ad-LacZ or Ad-SREBP-1c at 10 MOI and cultured for 48 h. The mRNAs were extracted with TRIzol reagent and separated on 1% agarose gels containing formaldehyde. Samples were transferred to Hybond N+ nylon membranes and blotted with the respective probes. BE, INS-1 cells were infected with Ad-LacZ or Ad-SREBP-1c at 10 MOI and cultured for 48 h. The mRNAs were extracted, and first strand cDNAs were synthesized from 1 µg mRNAs. The template cDNAs (100 ng) were subjected to quantitative real-time PCR with TaqMan primer and probe: B, rat ACL (NM_016987); C, rat ACC (NM_022193); D, rat FAS (NM_17332); E, rat ACS (NM_130739) and rat 36B4 (NM_022402). The mRNA levels were normalized to the 36B4 mRNA level. Values are the mean ± SEM of three experiments. *, P < 0.05; **, P < 0.01.
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Intracellular TG accumulation and impaired glucose-stimulated insulin secretion
The up-regulation of lipogenic genes by SREBP-1c overexpression clearly demonstrated that the enzymes required for de novo biosynthesis of TG from citrate were constitutively induced by SREBP-1c overexpression in INS-1 cells. To confirm the activity of these genes, the TG content was measured. Infection of the cells with the Ad-SREBP-1c virus at 3 or more MOI was effective at increasing the TG content, which was increased by 60% at 10 MOI compared with that in controls (Fig. 3A
). Overexpression of LacZ did not affect the intracellular TG content at any MOI. We next studied insulin secretion from INS-1 cells overexpressing SREBP-1c. Insulin secretion in response to 10 mM glucose was decreased by 13% at 1 MOI compared with that in controls, and the secretion was progressively attenuated with increasing MOI. At 10 MOI, insulin secretion was decreased by 42% compared with that in controls (Fig. 3B
). In contrast, basal insulin secretion in response to 1 mM glucose was increased by 64% at 10 MOI (Fig. 3C
). Insulin content was not affected by adenovirus infection (Fig. 3D
).

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FIG. 3. TG content and glucose-stimulated insulin secretion in INS-1 cells overexpressing SREBP-1c. A, INS-1 cells were infected with Ad-LacZ ( ) or Ad-SREBP-1c ( ) at 0, 1, 3, or 10 MOI and cultured for 48 h. TG was extracted with chloroform and methanol (2:1) and measured with triolein as a standard. B and C, Insulin secretion in INS-1 cells overexpressing SREBP-1c. INS-1 cells were infected with Ad-LacZ ( ) or Ad-SREBP-1c ( ) at 0, 1, 3, or 10 MOI and cultured for 48 h. For the insulin secretion assay, the cells were preincubated at 37 C for 30 min in KRB buffer containing 1 mM glucose. Then the cells were incubated in KRB buffer containing 10 mM glucose (B) or 1 mM glucose (C) at 37 C for 60 min. Insulin secretion was normalized to the cellular protein content. D, Intracellular insulin was extracted with acid-ethanol solution and measured by RIA using rat insulin as a standard. Values are the mean ± SEM of three experiments in AC and six experiments in D. *, P < 0.05; **, P < 0.01.
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Up-regulation of UCP-2 and the intracellular ATP/ADP ratio
UCP-2, which is expressed ubiquitously in body tissues and plays a role in dissipating the mitochondrial electrochemical driving force, has been known as a negative regulator of glucose-stimulated insulin secretion in ß-cells, as demonstrated in UCP-2 knockout mice (30). Recently, it was reported that the promoter region of the UCP-2 gene possessed the SRE sequence (31), and UCP-2 gene expression was enhanced by exposure to FFA (32). We postulated that overexpression of SREBP-1c and fat accumulation may be associated with up-regulated expression of the UCP-2 gene, and this invoked an increase in leakage of the mitochondrial driving force. In fact, the expression of the UCP-2 gene was significantly enhanced by overexpression of SREBP-1c (Fig. 4A
). Quantification of the mRNA level of UCP-2 was performed by quantitative real-time PCR. The UCP-2 mRNA level was increased by 2.4-fold (P < 0.05) in INS-1 cells overexpressing SREBP-1c compared with that in control cells (Fig. 4B
). The UCP-2 protein level was also increased by 38% (P < 0.01; Fig. 4D
). The up-regulation of UCP-2 in SREBP-1c-overexpressing cells was predicted to be coupled with a decrease in the intracellular ATP/ADP ratio. To determine the intracellular ATP/ADP ratio, INS-1 cells were preincubated at 37 C for 30 min in KRB buffer containing 1 mM glucose and incubated at 37 C for 30 min in KRB buffer containing 10 mM glucose. The ATP/ADP ratio was decreased by 45% in SREBP-1c-overexpressing cells compared with that in control cells overexpressing LacZ (Fig. 4C
).

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FIG. 4. Up-regulation of UCP-2 and reduction of the ATP/ADP ratio in INS-1 cells overexpressing SREBP-1c. INS-1 cells were infected with Ad-LacZ or Ad-SREBP-1c at 10 MOI and cultured for 48 h. A, The mRNAs were extracted and subjected to Northern blot analysis with the UCP-2 probe and 36B4 probe. B, Quantification of UCP-2 gene expression was performed by real-time PCR with TaqMan primer and probe for rat UCP-2 (NM_019353). The mRNA level was normalized to the 36B4 mRNA level (NM_022402). C, After preincubation at 37 C for 30 min in KRB buffer containing 1 mM glucose, INS-1 cells were incubated at 37 C for 30 min in KRB buffer containing 10 mM glucose. The ATP content and ADP content were measured as described in Materials and Methods, and the ATP/ADP ratio was calculated. D, The cells were lysed, and the proteins (50 µg each) were separated by SDS-PAGE and subjected to immunoblot analysis with anti-UCP-2 antibody. The band intensity was quantified using Scion Image software. Values are the mean ± SEM of four experiments in B and C and three experiments in D. *, P < 0.05.
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Inhibition of UCP-2 expression and recovery of insulin secretion by siRNA
To clarify the role of UCP-2 in the cells affected by lipotoxicity, we attempted to inhibit the expression of UCP-2 using siRNA technology. The up-regulated expression of UCP-2 in INS-1 cells overexpressing SREBP-1c was suppressed by treatment with siRNA (Fig. 5A
). The mRNA level of UCP-2 was quantified by quantitative real-time PCR. Overexpression of Ad-SREBP-1c was associated with a 2.1-fold increase in the UCP-2 mRNA expression level (P < 0.01 compared with that in controls infected with Ad-LacZ; Fig. 5B
). The enhanced UCP-2 gene expression in association with SREBP-1c overexpression was suppressed 40% by siRNA treatment (P < 0.05 compared with that in the control cells overexpressing SREBP-1c treated with control siRNA). Under these conditions, the decreased intracellular ATP/ADP ratio observed in association with SREBP-1c overexpression was increased by 1.8-fold by siRNA treatment (P < 0.05 compared with that in control cells overexpressing SREBP-1c treated with control siRNA; Fig. 5C
). Overexpression of SREBP-1c was associated with an approximately 53% decrease in 10 mM-glucose-stimulated insulin secretion (P < 0.01 compared with that in controls infected with Ad-LacZ; Fig. 6A
). The impaired glucose-stimulated insulin secretion was increased 1.7-fold by siRNA treatment (P < 0.05 compared with that in control cells overexpressing SREBP-1c treated with control siRNA; Fig. 6A
). Although overexpression of SREBP-1c increased insulin secretion in response to 1 mM glucose, siRNA treatment did not affect insulin secretion in response to 1 mM glucose (Fig. 6B
). Under these conditions, accumulation of intracellular TG failed to change with siRNA treatment (Fig. 6C
).

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FIG. 5. Down-regulation of UCP-2 gene and recovery of the ATP/ADP ratio by administration of siRNA for UCP-2. INS-1 cells were infected with Ad-LacZ or Ad-SREBP-1c at 10 MOI. The siRNA for UCP-2 was transfected into the cells infected with Ad-SREBP-1c and cultured for 48 h. A, The mRNAs were extracted and subjected to Northern blot analysis with a probe for UCP-2. B, Quantification of UCP-2 gene expression was performed by real-time PCR with TaqMan primer and probe for rat UCP-2 (NM_019353). The mRNA level was normalized by the 36B4 mRNA level (NM_022402). C, After preincubation at 37 C for 30 min in KRB buffer containing 1 mM glucose, INS-1 cells were incubated at 37 C for 30 min in KRB buffer containing 10 mM glucose. The ATP content and ADP content were measured as described in Materials and Methods, and the ATP/ADP ratio was calculated. Values are the mean ± SEM of three (B) and four (C) experiments. *, P < 0.05; **, P < 0.01 (vs. control cells overexpressing LacZ). #, P < 0.05 (vs. control cells overexpressing Ad-LacZ or Ad-SREBP-1c treated with control siRNA).
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FIG. 6. Recovered glucose-stimulated insulin secretion by administration of siRNA for UCP-2. INS-1 cells were infected with Ad-LacZ or Ad-SREBP-1c at 10 MOI. The siRNA for UCP-2 was transfected into the cells infected with adenovirus. After 48 h, the cells were incubated in KRB buffer containing 10 mM glucose (A) or 1 mM glucose (B) at 37 C for 60 min. Insulin secretion was normalized to the protein content. C, TG was extracted with chloroform and methanol (2:1) and measured with triolein as a standard. Values are the mean ± SEM of six experiments. *, P < 0.05; **, P < 0.01 (vs. control cells overexpressing LacZ). #, P < 0.05 (vs. control cells overexpressing Ad-SREBP-1c treated with control siRNA).
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Release of lipotoxicity by aminoimidazole-4-carboxamide-1-ß-D-ribofuranoside (AICAR)
AICAR, an agonist of AMP kinase, is known to increase fatty acid oxidation in hepatocytes (33) and muscle (34). We presumed that AICAR might play a role in reducing TG accumulation and rescuing the impaired glucose-stimulated insulin secretion in cells overexpressing SREBP-1c. To test this assumption, the effects of AICAR on insulin secretion, ß-oxidation of fatty acids, and TG accumulation were studied. AICAR was effective in decreasing TG content by 33% in cells overexpressing SREBP-1c, whereas no significant effect of AICAR was detected in cells overexpressing LacZ (Fig. 7A
). For insulin secretion, AICAR did not have any effect on insulin secretion in cells overexpressing LacZ. In contrast, impaired glucose-stimulated insulin secretion in cells overexpressing SREBP-1c was increased 1.5-fold by exposure to AICAR (Fig. 7B
). The decreased TG content associated with AICAR treatment was considered to be due in part to increased ß-oxidation of FFA. Thus, oxidation of [1-14C]palmitic acid in cells overexpressing SREBP-1c was increased 1.7-fold in response to 1 mM glucose (Fig. 7C
) and 2.6-fold fold in response to 10 mM glucose (Fig. 7D
) by AICAR treatment. Enhancement of FFA oxidation by AICAR was also observed in the cells overexpressing LacZ, but it did not contribute to the reduction of TG content.
Phosphorylation of AMPK and ACC by AICAR
It is known that AICAR activates AMPK by phosphorylation, and in turn, AMPK inactivates ACC by phosphorylation. Inactivation of ACC leads to a decrease in the production of malonyl-CoA. Malonyl-CoA is a substrate for fatty acid synthase and plays a role as a negative regulator of ß-oxidation. To examine whether AICAR modulated the AMPK cascade in our lipotoxicity model, the phosphorylation level of AMPK and ACC was examined using anti-phospho-AMPK antibody and anti-phospho-ACC antibody. AICAR increased the phosphorylation level of
-subunits of AMPK by 1.5-fold in both SREBP-1c- and LacZ-overexpressing cells compared with that in controls not exposed to AICAR (Fig. 8
, A and C). The amount of AMPK protein was not changed by infection with Ad-SREBP-1c or addition of AICAR (Fig. 8
, A and B). AICAR also increased the phosphorylation level of ACC in SREBP-1c- and LacZ-overexpressing cells by 1.7- and 1.6-fold, respectively, compared with that in controls not exposed to AICAR (Fig. 8
, A and E). Although the amount of total ACC protein seemed to be slightly increased by infection with Ad-SREBP-1c, this was not significant and did not change with the addition of AICAR (Fig. 8
, A and D).

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FIG. 8. Phosphorylation of AMPK and ACC by AICAR. INS-1 cells infected with Ad-LacZ or Ad-SREBP-1c at 10 MOI were cultured for 72 h without ( ) or with ( ) 300 µM AICAR. A, The cells were lysed, and the proteins (20 µg each) were separated by SDS-PAGE and subjected to immunoblot analysis with anti-AMPK antibody, anti-phospho-AMPK antibody, anti-ACC antibody, or anti-phospho-ACC antibody. BD, The band intensities of AMPK protein, phospho-AMPK protein, ACC protein, and phospho-ACC protein were quantified using Scion Image software. Values are the mean ± SEM of three experiments. **, P < 0.01.
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Effects of AICAR on UCP-2 expression and the ATP/ADP ratio
We examined whether AICAR affected UCP-2 expression and the cellular ATP/ADP ratio. The effect of AICAR on UCP-2 expression was examined by Northern blot analysis. AICAR did not affect UCP-2 expression (Fig. 9A
) and failed to affect the cellular ATP/ADP ratio in either cells overexpressing LacZ or those overexpressing SREBP-1c (Fig. 9B
).

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FIG. 9. The effect of AICAR on UCP2 expression and the ATP/ADP ratio. INS-1 cells were infected with Ad-LacZ or Ad-SREBP-1c at 10 MOI and incubated for 72 h with or without 300 µM AICAR. A, The mRNAs were extracted and subjected to Northern blot analysis with a probe for UCP-2. B, After preincubation at 37 C for 30 min in KRB buffer containing 1 mM glucose, INS-1 cells were incubated at 37 C for 30 min in KRB buffer containing 10 mM glucose. ATP and ADP contents were measured as described in Materials and Methods, and the ATP/ADP ratio was calculated. Values are the mean ± SEM of three experiments
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Discussion
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The present study was designed to establish a ß-cell line (INS-1) lipotoxicity model. This model was useful to elucidate the possible mechanisms of ß-cell dysfunction induced by lipotoxicity and to develop therapeutic agents for the treatment of diabetic patients with ß-cell lipotoxicity. SREBP-1c is well known as a master regulatory transcription factor of fatty acid and TG synthesis in liver and adipocytes. The enhanced expression of SREBP-1c and lipogenic genes such as FAS and ACC has been reported in pancreatic islets of obese ZDF (fa/fa) rats, which is a ß-cell lipotoxicity model with systemic adiposity and dyslipidemia (27, 35). In this model, however, the abnormality of the leptin receptor or the dyslipidemia may also affect ß-cell functions by mechanisms other than enhancement of SREBP-1c expression. To examine the primary effect of SREBP-1c overexpression per se in ß-cells, a constitutively active form of SREBP-1c was overexpressed in INS-1 cells, and we demonstrated that this genetic manipulation caused ß-cell lipotoxicity. In our model the expression of lipogenic genes, such as ACC and FAS, which have been reported to have SREs in their promoter regions, was markedly induced, and cellular TG accumulated. Unger et al. (6) reported that excessive TG accumulation (50-fold higher than normal) caused lipoapotosis. However, in our model, TG accumulation was only 1.6-fold higher than that in control cells, and cell viability was normal. Under these conditions, insulin secretion in response to a high concentration of glucose was severely blunted. Recently, Andreolas et al. (36) reported that adenoviral vector-mediated overexpression of the constitutively active form of SREBP-1c in mouse insulinoma MIN6 cells was associated with enhanced expression of the ACC gene, accumulation of intracellular lipid, and decreased glucose-stimulated insulin secretion, consistent with our data. We also showed that overexpression of SREBP-1c increased insulin secretion in response to a basal concentration of glucose. These insulin secretory characteristics in response to glucose were also reported in other lipotoxicity models of pancreatic ß-cell lines and isolated rat islets chronically cultured in the presence of fatty acids (16, 17, 18), suggesting that they might be a common feature seen under the condition of lipotoxicity. Our data thus clearly indicated that overactivity of SREBP-1c represented a primary model of ß-cell lipotoxicity, which was genetically determined, and served as a versatile model for studies of the molecular mechanisms involved and the development of appropriate therapeutic agents.
In this study we found that UCP-2 gene expression was enhanced in our lipotoxicity model. UCP-2 is ubiquitously expressed in mammalian tissues, including in the pancreatic islets (37), and has been hypothesized to be involved in dissipation of the mitochondrial proton gradient (38). It has been reported that the UCP-2 gene has the SRE sequence on its promoter region, suggesting that its expression may be regulated by direct interaction of SREBP-1c with the cis-acting element (31, 39, 40). Recently, adenovirus-mediated overexpression of UCP-2 in isolated islets or INS-1 cells was reported to suppress glucose-stimulated insulin secretion (41, 42, 43). Furthermore, glucose-stimulated insulin secretion was reported to be elevated in UCP-2-deficient mice (30, 44). These complementary results indicate that UCP-2 may be a negative regulator of ß-cell insulin secretion in response to the fuel secretagogue. However, contrary to these findings, Wang et al. (45) reported that adenovirus-mediated UCP-2 overexpression improved glucose-stimulated insulin secretion in islets from ZDF rats. In this case, as the overexpression of UCP-2 increased fatty acid oxidation (43, 45), ß-cell lipotoxicity in ZDF rats might be ameliorated by unloading lipid from ß-cells despite the decreased cellular ATP/ADP ratio in response to glucose. In our lipotoxicity model overexpressing SREBP-1c, up-regulation of UCP-2 was evident, and the cellular ATP/ADP ratio was significantly decreased. It has been known that the cellular ATP/ADP ratio is important in the regulation of insulin secretion due to its influence in inhibition of the KATP channel (46). To examine the causal relationship between UCP-2 up-regulation and decreased ATP/ADP ratio, we used a novel knockdown technology of target gene expression using a small, double-strand RNA (2123 mer long) (47, 48, 49), called siRNA. Treatment with siRNA specific for UCP-2 of cells compromised by lipotoxicity suppressed the enhancement of UCP-2 expression, and concurrently the ATP/ADP ratio recovered without any change in cellular TG accumulation. As a result, the impaired glucose-stimulated insulin secretion recovered partially. The partial suppression of UCP-2 gene expression led to considerable recovery of the ATP/ADP ratio and glucose-stimulated insulin secretion. Thus, UCP-2 did play a key causal role in the impaired insulin secretory function in this model. At present, it remains to be ascertained whether the impaired glucose-stimulated insulin secretion can be fully corrected if UCP-2 expression is completely suppressed. The relationship between up-regulation of UCP-2 expression and lipotoxicity is still not clear. Nevertheless, up-regulation of UCP-2 has also been reported in the islets of obese animals (37) and in ß-cells treated with fatty acids (39, 40). Therefore, such up-regulation of UCP-2 expression may have an important role in lipotoxicity.
The siRNA treatment was unable to reduce the lipid content. To unload the excess lipid, AICAR, a well characterized agonist of AMPK was used. AMPK belongs to a family of serine-threonine kinases (50). AMPK is allosterically activated by high concentrations of AMP (51, 52). It has been reported that activation of AMPK causes FFA oxidation in primary hepatocytes (53) and skeletal muscle (34, 53, 54) and decreases lipogenesis in adipocytes (55). AICAR is an AMP analog that mimics the effect of AMP on AMPK, causing activation of AMPK (52, 56, 57, 58). AICAR has been reported to inhibit lipogenesis and increase fatty acid oxidation via AMPK activation in hepatocytes and muscle (33, 34, 53). In our ß-cell lipotoxicity model overexpressing SREBP-1c, exposure to AICAR was associated with increased oxidation of FFA, decreased TG content, and improved impaired insulin secretion in response to glucose. We observed that AICAR phosphorylated AMPK and ACC; on the other hand, it did not affect UCP-2 gene expression or the ATP/ADP ratio. These data suggest that disposal of the accumulated lipid by AICAR could release ß-cells from lipotoxicity. Although Li et al. (59) reported that the increased fatty acid oxidation by AICAR was associated with increased UCP-2 expression, UCP-2 expression by AICAR might be due to the influence of experimental conditions. Li et al. (59) also reported decreased fatty acid oxidation in response to high concentrations of glucose (27 mM). Under these conditions, AICAR failed to increase fatty acid oxidation. We also demonstrated that 10 mM glucose decreased fatty acid oxidation to a greater extent than 1 mM glucose. We cultured ß-cells in the presence of 11.1 mM glucose before the effect of AICAR was examined. Thus, experimental conditions under which fatty acid oxidation is attenuated may affect the influence of AICAR on UCP-2 expression. The relationship between TG content and UCP2 expression is not fully understood, although these are important factors in lipotoxicity, and additional studies are needed to clarify this relationship.
The precise effects of AICAR on insulin secretion remain controversial. Akkan and Malaisse (60) first described the effect of AICAR on insulin secretion. They reported that AICAR increased glucose-stimulated insulin secretion in isolated islets and perfused pancreases from rats. On the other hand, da Silva Xavier et al. (61) reported that AICAR inhibited glucose-stimulated insulin secretion. In yet another study, Zhan and Kim (62) reported no effect of AICAR on glucose-stimulated insulin secretion in a pancreatic ß-cell line. Interestingly, Salt et al. (63) reported that AICAR had both inhibitory and stimulatory effects on glucose-stimulated insulin secretion. Thus, acute exposure (10 min) to AICAR increased glucose-stimulated insulin secretion, but prolonged exposure inhibited glucose-stimulated insulin secretion in INS-1 cells. They also reported that AICAR enhanced insulin secretion in response to a low glucose concentration, but inhibited it in response to a high glucose concentration in rat islets. These reports suggest that the effects of AICAR on insulin secretion may be easily influenced by experimental conditions, such as the duration of incubation and the ambient glucose concentration.
Recently, Eto et al. (64) reported that a constitutively active form of the AMPK-
1 subunit decreased glucose-stimulated insulin secretion despite reducing the TG content. These results seem to be incompatible with the results described here. However, there is a very important difference between the two experimental conditions, that is, in the extent of the accumulated intracellular lipid. It is known that lipid metabolism is important in the regulation of insulin secretion (11, 65). Depletion of lipid has been reported to be associated with decreased glucose-stimulated insulin secretion (66, 67). Under normal culture conditions, overexpression of AMPK seemed to cause depletion of the intracellular lipid and decreased glucose-stimulated insulin secretion (64). However, our lipotoxicity model overexpressing SREBP-1c showed accumulation of intracellular lipid. Under these conditions, activation of AMPK by AICAR normalized the accumulated lipid and improved glucose-stimulated insulin secretion, suggesting that there is a critical range of lipid accumulation for ß-cells to maintain their normal secretory function.
In summary, we have reported that ß-cell-specific overexpression of a constitutively active form of SREBP-1c up-regulated the expression of lipogenic genes and increased TG accumulation and glucose-stimulated insulin secretion. These results suggest that SREBP-1c may play a crucial role in the development of ß-cell lipotoxicity. Inhibition of the downstream pathways of SREBP-1c by down-regulating UCP-2 expression or facilitating disposal of the accumulated lipid by activating AMPK could be novel targets for protecting and rescuing ß-cells from the lipotoxicity seen in cases of type 2 diabetes.
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Acknowledgments
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We thank K. Motojima for generously providing us with the cDNA probes for ACS, FAS, and UCP-2.
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Footnotes
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Current address for S.Y. and M.N.: Toranomon Hospital, 2-2-2 Toranomon Minato-ku, Tokyo 105-8470, Japan.
Abbreviations: ACC, Acetyl-coenzyme A carboxylase; ACL, ATP citrate-lyase; ACS, acyl-CoA synthase; AICAR, aminoimidazole-4-carboxamide-1-ß-D-ribofuranoside; AMPK, AMP-activated protein kinase; BCA, bicinchoninic acid; CoA, coenzyme A; FAS, fatty acid synthase; FFA, free fatty acid; KRB, Krebs-Ringer bicarbonate; LacZ, ß-galactosidase; MOI, multiplicity of infection; siRNA, small interfering RNA; SRE, sterol regulatory element; SREBP, sterol regulatory element-binding protein; TG, triglyceride; UCP, uncoupling protein; ZDF, Zucker diabetic fatty.
Received November 25, 2003.
Accepted for publication March 25, 2004.
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H. Zitzer, W. Wente, M. B. Brenner, S. Sewing, K. Buschard, J. Gromada, and A. M. Efanov
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H. Oberkofler, K. Klein, T. K. Felder, F. Krempler, and W. Patsch
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H. Wang, G. Kouri, and C. B. Wollheim
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S. Lee, D.-K. Lee, E. Choi, and J. W. Lee
Identification of a Functional Vitamin D Response Element in the Murine Insig-2 Promoter and Its Potential Role in the Differentiation of 3T3-L1 Preadipocytes
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A. Takahashi, K. Motomura, T. Kato, T. Yoshikawa, Y. Nakagawa, N. Yahagi, H. Sone, H. Suzuki, H. Toyoshima, N. Yamada, et al.
Transgenic Mice Overexpressing Nuclear SREBP-1c in Pancreatic {beta}-Cells
Diabetes,
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[Abstract]
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B. B. Lowell and G. I. Shulman
Mitochondrial Dysfunction and Type 2 Diabetes
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V. Poitout
{beta}-Cell Lipotoxicity: Burning Fat into Heat?
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