2008
DOI: 10.1210/en.2008-0483
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Protective Role of Autophagy in Palmitate-Induced INS-1 β-Cell Death

Abstract: Autophagy, a vacuolar degradative pathway, constitutes a stress adaptation that avoids cell death or elicits the alternative cell-death pathway. This study was undertaken to determine whether autophagy is activated in palmitate (PA)-treated beta-cells and, if activated, what the role of autophagy is in the PA-induced beta-cell death. The enhanced formation of autophagosomes and autolysosomes was observed by exposure of INS-1 beta-cells to 400 microm PA in the presence of 25 mm glucose for 12 h. The formation o… Show more

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Cited by 180 publications
(201 citation statements)
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“…Primarily, we provide the first direct evidence that high-fat feeding stimulates autophagic flux in beta cells in vivo. This has been previously inferred from electron microscopy studies demonstrating increases in autophagosomes and vacuole formation [2], consistent with analyses of islets from db/db mice [2], patients with diabetes [6] and in vitro models of beta cell lipotoxicity [3][4][5]. However, interpretation of these morphological changes is problematic because an accumulation of autophagosomes could result from impaired lysosomal clearance rather than an enhancement of upstream autophagy.…”
Section: Discussionsupporting
confidence: 82%
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“…Primarily, we provide the first direct evidence that high-fat feeding stimulates autophagic flux in beta cells in vivo. This has been previously inferred from electron microscopy studies demonstrating increases in autophagosomes and vacuole formation [2], consistent with analyses of islets from db/db mice [2], patients with diabetes [6] and in vitro models of beta cell lipotoxicity [3][4][5]. However, interpretation of these morphological changes is problematic because an accumulation of autophagosomes could result from impaired lysosomal clearance rather than an enhancement of upstream autophagy.…”
Section: Discussionsupporting
confidence: 82%
“…Although it is commonly assumed, based on genetic models [12,13], that modulation of ER stress explains the reciprocal relationship between autophagy and beta cell apoptosis [2,4,14], we believe our CHOP data are the first to confirm this mechanistic link in the context of high-fat feeding. Our results would also tend to counter the idea, suggested by some in vitro studies [3] that lipotoxic ER stress is actually triggered by autophagy.…”
Section: Discussioncontrasting
confidence: 64%
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“…8 Increased beclin 1 expression, which correlated with the onset of protection, has been previously reported in an in vivo model of myocardial stunning, 19 and a recent paper that studied the role of autophagy in palmitate-induced beta cell death concluded, according to our hypothesis, that autophagy delays beta cell loss in type 2 diabetes. 20 Thus, although still speculative, we suggest that moderate overactivation of autophagic pathways may represent a potential mechanism set in motion by different cell types to delay overlap. This greater complexity is also seen with the evidence that signals that induce apoptosis also increase autophagy, and autophagic pathways are upregulated also by necrosis-inducing stimuli.…”
mentioning
confidence: 82%
“…Whether any of the diabetogenic factors such as nutrition and obesity impair autophagy is yet unclear. In various animal models (including mice fed high fat diet) (9, 14) and cellular models of diabetes (including glucotoxicity and lipotoxicity) (9,(13)(14)(15)(16), the number of APs has been reported to increase. Whether this increase reflects an increase or a decrease in autophagic turnover is unresolved.…”
mentioning
confidence: 99%