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Publication : Lactogens Reduce Endoplasmic Reticulum Stress-Induced Rodent and Human β-Cell Death and Diabetes Incidence in Akita Mice.

First Author  Li R Year  2020
Journal  Diabetes Volume  69
Issue  7 Pages  1463-1475
PubMed ID  32332156 Mgi Jnum  J:293273
Mgi Id  MGI:6445785 Doi  10.2337/db19-0909
Citation  Li R, et al. (2020) Lactogens Reduce Endoplasmic Reticulum Stress-Induced Rodent and Human beta-Cell Death and Diabetes Incidence in Akita Mice. Diabetes 69(7):1463-1475
abstractText  Diabetes occurs due to a loss of functional beta-cells, resulting from beta-cell death and dysfunction. Lactogens protect rodent and human beta-cells in vitro and in vivo against triggers of beta-cell cytotoxicity relevant to diabetes, many of which converge onto a common pathway of endoplasmic reticulum (ER) stress. However, whether lactogens modulate the ER stress pathway is unknown. This study examines whether lactogens can protect beta-cells against ER stress and mitigate diabetes incidence in Akita (Ak) mice, a rodent model of ER stress-induced diabetes, akin to neonatal diabetes in humans. We show that lactogens protect INS-1 cells, primary rodent and human beta-cells in vitro against two distinct ER stressors, tunicamycin and thapsigargin, through activation of the JAK2/STAT5 pathway. Lactogens mitigate expression of proapoptotic molecules in the ER stress pathway that are induced by chronic ER stress in INS-1 cells and rodent islets. Transgenic expression of placental lactogen in beta-cells of Ak mice drastically reduces the severe hyperglycemia, diabetes incidence, hypoinsulinemia, beta-cell death, and loss of beta-cell mass observed in Ak littermates. These are the first studies in any cell type demonstrating that lactogens modulate the ER stress pathway, causing enhanced beta-cell survival and reduced diabetes incidence in the face of chronic ER stress.
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