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Publication : Insulin protects acinar cells during pancreatitis by preserving glycolytic ATP supply to calcium pumps.

First Author  Bruce JIE Year  2021
Journal  Nat Commun Volume  12
Issue  1 Pages  4386
PubMed ID  34282152 Mgi Jnum  J:325382
Mgi Id  MGI:6725688 Doi  10.1038/s41467-021-24506-w
Citation  Bruce JIE, et al. (2021) Insulin protects acinar cells during pancreatitis by preserving glycolytic ATP supply to calcium pumps. Nat Commun 12(1):4386
abstractText  Acute pancreatitis (AP) is serious inflammatory disease of the pancreas. Accumulating evidence links diabetes with severity of AP, suggesting that endogenous insulin may be protective. We investigated this putative protective effect of insulin during cellular and in vivo models of AP in diabetic mice (Ins2(Akita)) and Pancreatic Acinar cell-specific Conditional Insulin Receptor Knock Out mice (PACIRKO). Caerulein and palmitoleic acid (POA)/ethanol-induced pancreatitis was more severe in both Ins2(Akita) and PACIRKO vs control mice, suggesting that endogenous insulin directly protects acinar cells in vivo. In isolated pancreatic acinar cells, insulin induced Akt-mediated phosphorylation of 6-phosphofructo-2-kinase/fructose-2,6-biphosphatase 2 (PFKFB2) which upregulated glycolysis thereby preventing POA-induced ATP depletion, inhibition of the ATP-dependent plasma membrane Ca(2+) ATPase (PMCA) and cytotoxic Ca(2+) overload. These data provide the first mechanistic link between diabetes and severity of AP and suggest that phosphorylation of PFKFB2 may represent a potential therapeutic strategy for treatment of AP.
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