A growing body of evidence has underlined the significance of endoplasmic reticulum (ER) stress in the pathogenesis of diabetes mellitus. ER oxidoreductin 1 (ERO1) is a pancreas-specific disulfide oxidase that is known to be upregulated in response to ER stress and to promote protein folding in pancreatic  cells. It has recently been demonstrated that ERO1 promotes insulin biogenesis in  cells and thus contributes to physiological glucose homeostasis, though it is unknown if ERO1 is involved in the pathogenesis of diabetes mellitus. Here we show that in diabetic model mice, ERO1 expression is paradoxically decreased in  cells despite the indications of increased ER stress. However, overexpression of ERO1 in  cells led to the upregulation of unfolded protein response genes and markedly enlarged ER lumens, indicating that ERO1 overexpression caused ER stress in the  cells. Insulin contents were decreased in the  cells that overexpressed ERO1, leading to impaired insulin secretion in response to glucose stimulation. These data indicate the importance of the fine-tuning of the ER redox state, the disturbance of which would compromise the function of  cells in insulin synthesis and thus contribute to the pathogenesis of diabetes mellitus.
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