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Publication : The apoptosis inhibitor ARC alleviates the ER stress response to promote β-cell survival.

First Author  McKimpson WM Year  2013
Journal  Diabetes Volume  62
Issue  1 Pages  183-93
PubMed ID  22933109 Mgi Jnum  J:208493
Mgi Id  MGI:5563612 Doi  10.2337/db12-0504
Citation  McKimpson WM, et al. (2013) The apoptosis inhibitor ARC alleviates the ER stress response to promote beta-cell survival. Diabetes 62(1):183-93
abstractText  Type 2 diabetes involves insulin resistance and beta-cell failure leading to inadequate insulin secretion. An important component of beta-cell failure is cell loss by apoptosis. Apoptosis repressor with caspase recruitment domain (ARC) is an inhibitor of apoptosis that is expressed in cardiac and skeletal myocytes and neurons. ARC possesses the unusual property of antagonizing both the extrinsic (death receptor) and intrinsic (mitochondria/endoplasmic reticulum [ER]) cell death pathways. Here we report that ARC protein is abundant in cells of the endocrine pancreas, including >99.5% of mouse and 73% of human beta-cells. Using genetic gain- and loss-of-function approaches, our data demonstrate that ARC inhibits beta-cell apoptosis elicited by multiple inducers of cell death, including ER stressors tunicamycin, thapsigargin, and physiological concentrations of palmitate. Unexpectedly, ARC diminishes the ER stress response, acting distal to protein kinase RNA-like ER kinase (PERK) and inositol-requiring protein 1alpha, to suppress C/EBP homologous protein (CHOP) induction. Depletion of ARC in isolated islets augments palmitate-induced apoptosis, which is dramatically rescued by deletion of CHOP. These data demonstrate that ARC is a previously unrecognized inhibitor of apoptosis in beta-cells and that its protective effects are mediated through suppression of the ER stress response pathway.
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