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Publication : Cannabinoids induce pancreatic β-cell death by directly inhibiting insulin receptor activation.

First Author  Kim W Year  2012
Journal  Sci Signal Volume  5
Issue  216 Pages  ra23
PubMed ID  22434934 Mgi Jnum  J:259538
Mgi Id  MGI:6141858 Doi  10.1126/scisignal.2002519
Citation  Kim W, et al. (2012) Cannabinoids induce pancreatic beta-cell death by directly inhibiting insulin receptor activation. Sci Signal 5(216):ra23
abstractText  Cannabinoid 1 (CB1) receptors have been previously detected in pancreatic beta cells, where they attenuate insulin action. We now report that CB1 receptors form a heteromeric complex with insulin receptors and the heterotrimeric guanosine triphosphate-binding protein alpha subunit Galpha(i). Galpha(i) inhibited the kinase activity of the insulin receptor in beta cells by directly binding to the activation loop in the tyrosine kinase domain of the receptor. Consequently, phosphorylation of proapoptotic protein Bad was reduced and its apoptotic activity was stimulated, leading to beta-cell death. Pharmacological blockade or genetic deficiency of CB1 receptors enhanced insulin receptor signaling after injury, leading to reduced blood glucose concentrations and activation of Bad, which increased beta-cell survival. These findings provide direct evidence of physical and functional interactions between CB1 and insulin receptors and suggest a mechanism whereby peripherally acting CB1 receptor antagonists improve insulin action in insulin-sensitive tissues independent of the other metabolic effects of CB1 receptors.
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