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Publication : Hyperthermia with mild electrical stimulation protects pancreatic β-cells from cell stresses and apoptosis.

First Author  Kondo T Year  2012
Journal  Diabetes Volume  61
Issue  4 Pages  838-47
PubMed ID  22362176 Mgi Jnum  J:196732
Mgi Id  MGI:5489828 Doi  10.2337/db11-1098
Citation  Kondo T, et al. (2012) Hyperthermia with mild electrical stimulation protects pancreatic beta-cells from cell stresses and apoptosis. Diabetes 61(4):838-47
abstractText  Induction of heat shock protein (HSP) 72 improves metabolic profiles in diabetic model mice. However, its effect on pancreatic beta-cells is not known. The current study investigated whether HSP72 induction can reduce beta-cell stress signaling and apoptosis and preserve beta-cell mass. MIN6 cells and db/db mice were sham-treated or treated with heat shock (HS) and mild electrical stimulation (MES) (HS+MES) to induce HSP72. Several cellular markers, metabolic parameters, and beta-cell mass were evaluated. HS+MES treatment or HSP72 overexpression increased HSP72 protein levels and decreased tumor necrosis factor (TNF)-alpha-induced Jun NH(2)-terminal kinase (JNK) phosphorylation, endoplasmic reticulum (ER) stress, and proapoptotic signal in MIN6 cells. In db/db mice, HS+MES treatment for 12 weeks significantly improved insulin sensitivity and glucose homeostasis. Upon glucose challenge, a significant increase in insulin secretion was observed in vivo. Compared with sham treatment, levels of HSP72, insulin, pancreatic duodenal homeobox-1, GLUT2, and insulin receptor substrate-2 were upregulated in the pancreatic islets of HS+MES-treated mice, whereas JNK phosphorylation, nuclear translocation of forkhead box class O-1, and nuclear factor-kappaB p65 were reduced. Apoptotic signals, ER stress, and oxidative stress markers were attenuated. Thus, HSP72 induction by HS+MES treatment protects beta-cells from apoptosis by attenuating JNK activation and cell stresses. HS+MES combination therapy may preserve pancreatic beta-cell volume to ameliorate glucose homeostasis in diabetes.
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