Interleukin-6 enhances insulin secretion by increasing glucagon-like peptide-1 secretion from L cells and alpha cells

被引:708
作者
Ellingsgaard, Helga [1 ,2 ]
Hauselmann, Irina [1 ,2 ]
Schuler, Beat [3 ,4 ]
Habib, Abdella M. [5 ,6 ]
Baggio, Laurie L. [7 ]
Meier, Daniel T. [1 ,2 ]
Eppler, Elisabeth [8 ]
Bouzakri, Karim [9 ]
Wueest, Stephan [4 ,10 ]
Muller, Yannick D. [11 ]
Hansen, Ann Maria Kruse [12 ]
Reinecke, Manfred [8 ]
Konrad, Daniel [4 ,10 ]
Gassmann, Max [3 ,4 ]
Reimann, Frank [5 ,6 ]
Halban, Philippe A. [9 ]
Gromada, Jesper [13 ]
Drucker, Daniel J. [7 ]
Gribble, Fiona M. [5 ,6 ]
Ehses, Jan A. [14 ]
Donath, Marc Y. [1 ,2 ]
机构
[1] Univ Basel Hosp, Clin Endocrinol Diabet & Metab, CH-4031 Basel, Switzerland
[2] Univ Basel Hosp, Dept Biomed, CH-4031 Basel, Switzerland
[3] Univ Zurich, Inst Vet Physiol, Vetsuisse Fac, Zurich, Switzerland
[4] Univ Zurich, Zurich Ctr Integrat Human Physiol, Zurich, Switzerland
[5] Addenbrookes Hosp, Cambridge Inst Med Res, Cambridge, England
[6] Addenbrookes Hosp, Dept Clin Biochem, Cambridge, England
[7] Mt Sinai Hosp, Samuel Lunenfeld Res Inst, Dept Med, Toronto, ON M5G 1X5, Canada
[8] Univ Zurich, Inst Anat, Res Grp Neuroendocrine Immune Interact, Zurich, Switzerland
[9] Univ Geneva, Univ Med Ctr, Dept Genet Med & Dev, Geneva, Switzerland
[10] Univ Zurich, Univ Childrens Hosp, Div Pediat Endocrinol & Diabetol, Zurich, Switzerland
[11] Univ Geneva, Univ Med Ctr, Dept Surg, Cell Isolat & Transplantat Ctr, Geneva, Switzerland
[12] Novo Nordisk AS, Diabet Res Unit, Malov, Denmark
[13] Novartis Inst Biomed Res, Cardiovasc & Metab Dis Area, Cambridge, MA USA
[14] Univ British Columbia, Dept Surg, Fac Med, Child & Family Res Inst, Vancouver, BC V6T 1W5, Canada
基金
瑞士国家科学基金会; 英国惠康基金; 加拿大健康研究院;
关键词
BETA-CELL; SKELETAL-MUSCLE; IN-VITRO; GLUCOSE-HOMEOSTASIS; BENEFICIAL ROLE; EXPRESSION; HORMONE; GLP-1; PROGLUCAGON; EXERCISE;
D O I
10.1038/nm.2513
中图分类号
Q5 [生物化学]; Q7 [分子生物学];
学科分类号
071010 ; 081704 ;
摘要
Exercise, obesity and type 2 diabetes are associated with elevated plasma concentrations of interleukin-6 (IL-6). Glucagon-like peptide-1 (GLP-1) is a hormone that induces insulin secretion. Here we show that administration of IL-6 or elevated IL-6 concentrations in response to exercise stimulate GLP-1 secretion from intestinal L cells and pancreatic alpha cells, improving insulin secretion and glycemia. IL-6 increased GLP-1 production from alpha cells through increased proglucagon (which is encoded by GCG) and prohormone convertase 1/3 expression. In models of type 2 diabetes, the beneficial effects of IL-6 were maintained, and IL-6 neutralization resulted in further elevation of glycemia and reduced pancreatic GLP-1. Hence, IL-6 mediates crosstalk between insulin-sensitive tissues, intestinal L cells and pancreatic islets to adapt to changes in insulin demand. This previously unidentified endocrine loop implicates IL-6 in the regulation of insulin secretion and suggests that drugs modulating this loop may be useful in type 2 diabetes.
引用
收藏
页码:1481 / U1500
页数:10
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