The diet‐derived short chain fatty acid propionate improves beta‐cell function in humans and stimulates insulin secretion from human islets in vitro

Abstract

Pingitore, A. et al. (2017) The diet-derived short chain fatty acid propionate improves beta-cell function in humans and stimulates insulin secretion from human islets in vitro. Diabetes, Obesity and Metabolism, 19(2), pp. 257-265. (doi:10.1111/dom.12811) This is the author's final accepted version.There may be differences between this version and the published version. You are advised to consult the publisher's version if you wish to cite from it.http://eprints.gla.ac.uk/130703/ Accepted ArticleThe diet-derived short chain fatty acid propionate improves beta-cell function in humans and stimulates insulin secretion from human islets in vitro. This article is protected by copyright. All rights reserved.This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. propionate on β-cell function in humans and the direct effects of propionate on isolated human islets in vitro. Materials and Methods:For 24 weeks human subjects ingested an inulinpropionate ester that delivers propionate to the colon. Acute insulin, GLP-1 and nonesterified fatty acid (NEFA) levels were quantified pre-and post-supplementation in response to a mixed meal test. Expression of the SCFA receptor FFAR2 in human islets was determined by western blotting and immunohistochemistry. Dynamic insulin secretion from perifused human islets was quantified by radioimmunoassay and islet apoptosis was determined by quantification of caspase 3/7 activities.Results: Colonic propionate delivery in vivo was associated with improved β-cell function with increased insulin secretion that was independent of changes in GLP-1 levels. Human islet β-cells expressed FFAR2 and propionate potentiated dynamic glucose-stimulated insulin secretion in vitro, an effect that was dependent on signalling via protein kinase C. Propionate also protected human islets from apoptosis induced by the NEFA sodium palmitate and inflammatory cytokines. Conclusions:Our results indicate that propionate has beneficial effects on β-cell function in vivo, and in vitro analyses demonstrated that it has direct effects to potentiate glucose-stimulated insulin release and maintain β-cell mass through

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“…Propionate has beneficial effects on β-cell function, potentiating glucose-stimulated insulin release and maintaining β-cell mass through inhibition of apoptosis [59]. On the other hand, propionate has been shown to inhibit adipogenesis [60], and the link might be represented by reduced insulin levels.…”

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“…SCFAs have also been shown to modulate appetite regulation and energy intake via receptor-mediated mechanisms [145]. Propionate has beneficial effects in humans acting on β-cell function [146] and attenuating reward-based eating behaviour via striatal pathways [147]. Microbial metabolites other than SCFAs have been reported to have an impact on intestinal barrier functions, epithelium proliferation and the immune system [148].…”

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