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Publication : Estrogen receptor activation reduces lipid synthesis in pancreatic islets and prevents β cell failure in rodent models of type 2 diabetes.

First Author  Tiano JP Year  2011
Journal  J Clin Invest Volume  121
Issue  8 Pages  3331-42
PubMed ID  21747171 Mgi Jnum  J:176160
Mgi Id  MGI:5288562 Doi  10.1172/JCI44564
Citation  Tiano JP, et al. (2011) Estrogen receptor activation reduces lipid synthesis in pancreatic islets and prevents beta cell failure in rodent models of type 2 diabetes. J Clin Invest 121(8):3331-42
abstractText  The failure of pancreatic beta cells to adapt to an increasing demand for insulin is the major mechanism by which patients progress from insulin resistance to type 2 diabetes (T2D) and is thought to be related to dysfunctional lipid homeostasis within those cells. In multiple animal models of diabetes, females demonstrate relative protection from beta cell failure. We previously found that the hormone 17beta-estradiol (E2) in part mediates this benefit. Here, we show that treating male Zucker diabetic fatty (ZDF) rats with E2 suppressed synthesis and accumulation of fatty acids and glycerolipids in islets and protected against beta cell failure. The antilipogenic actions of E2 were recapitulated by pharmacological activation of estrogen receptor alpha (ERalpha) or ERbeta in a rat beta cell line and in cultured ZDF rat, mouse, and human islets. Pancreas-specific null deletion of ERalpha in mice (PERalpha-/-) prevented reduction of lipid synthesis by E2 via a direct action in islets, and PERalpha-/- mice were predisposed to islet lipid accumulation and beta cell dysfunction in response to feeding with a high-fat diet. ER activation inhibited beta cell lipid synthesis by suppressing the expression (and activity) of fatty acid synthase via a nonclassical pathway dependent on activated Stat3. Accordingly, pancreas-specific deletion of Stat3 in mice curtailed ER-mediated suppression of lipid synthesis. These data suggest that extranuclear ERs may be promising therapeutic targets to prevent beta cell failure in T2D.
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