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Publication : α-Synuclein Regulates Peripheral Insulin Secretion and Glucose Transport.

First Author  Wijesekara N Year  2021
Journal  Front Aging Neurosci Volume  13
Pages  665348 PubMed ID  34393754
Mgi Jnum  J:320637 Mgi Id  MGI:6817966
Doi  10.3389/fnagi.2021.665348 Citation  Wijesekara N, et al. (2021) alpha-Synuclein Regulates Peripheral Insulin Secretion and Glucose Transport. Front Aging Neurosci 13:665348
abstractText  Aim: Population based studies indicate a positive association between type 2 diabetes (T2D) and Parkinson's disease (PD) where there is an increased risk of developing PD in patients with T2D. PD is characterized by the abnormal accumulation of intraneuronal aggregated alpha-synuclein (alpha-syn) in Lewy bodies, which negatively impact neuronal viability. alpha-syn is also expressed in both pancreatic islets and skeletal muscle, key players in glucose regulation. Therefore, we examined the functional role of alpha-syn in these tissues. Methods: Using mice lacking, overexpressing or transiently injected with alpha-syn, effects on glucose and insulin tolerance and insulin secretion were determined, with further characterization of the effects on GLUT4 translocation using GLUT4myc myotubes. Results: Mice genetically ablated for alpha-syn became glucose intolerant and insulin resistant with hyperinsulinemia and reduced glucose-stimulated insulin secretion (GSIS). Mice overexpressing human alpha-syn are more insulin senstive and glucose tolerant compared to controls with increased GSIS. Injection of purified alpha-syn monomers also led to improved glucose tolerance and insulin sensitivity with hightened GSIS. alpha-syn monomer treatments increased surface GLUT4 levels in myotubes but without any significant change in Akt phosphorylation. The increase in cell surface GLUT4 was largely due to a large reduction in GLUT4 endocytosis, however, with a compensatory reduction in GLUT4 exocytosis. Conclusion: Cumulatively, this data suggests that alpha-syn modulates both pancreatic beta cell function and glucose transport in peripheral tissues, thereby playing a pivitol role in the maintenance of normal glucose homeostasis.
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