PMID- 22110477 OWN - NLM STAT- MEDLINE DCOM- 20120325 LR - 20220318 IS - 1687-5303 (Electronic) IS - 1687-5214 (Print) IS - 1687-5214 (Linking) VI - 2012 DP - 2012 TI - Mitochondrial dysfunction and beta-cell failure in type 2 diabetes mellitus. PG - 703538 LID - 10.1155/2012/703538 [doi] LID - 703538 AB - Type 2 diabetes mellitus (T2DM) is the most common human endocrine disease and is characterized by peripheral insulin resistance and pancreatic islet beta-cell failure. Accumulating evidence indicates that mitochondrial dysfunction is a central contributor to beta-cell failure in the evolution of T2DM. As reviewed elsewhere, reactive oxygen species (ROS) produced by beta-cell mitochondria as a result of metabolic stress activate several stress-response pathways. This paper focuses on mechanisms whereby ROS affect mitochondrial structure and function and lead to beta-cell failure. ROS activate UCP2, which results in proton leak across the mitochondrial inner membrane, and this leads to reduced beta-cell ATP synthesis and content, which is a critical parameter in regulating glucose-stimulated insulin secretion. In addition, ROS oxidize polyunsaturated fatty acids in mitochondrial cardiolipin and other phospholipids, and this impairs membrane integrity and leads to cytochrome c release into cytosol and apoptosis. Group VIA phospholipase A(2) (iPLA(2)beta) appears to be a component of a mechanism for repairing mitochondrial phospholipids that contain oxidized fatty acid substituents, and genetic or acquired iPLA(2)beta-deficiency increases beta-cell mitochondrial susceptibility to injury from ROS and predisposes to developing T2DM. Interventions that attenuate ROS effects on beta-cell mitochondrial phospholipids might prevent or retard development of T2DM. FAU - Ma, Zhongmin Alex AU - Ma ZA AD - Division of Experimental Diabetes and Aging, Department of Geriatrics and Palliative Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA. zhongmin.ma@mssm.edu FAU - Zhao, Zhengshan AU - Zhao Z FAU - Turk, John AU - Turk J LA - eng GR - R01 NS063962/NS/NINDS NIH HHS/United States GR - R37 DK034388/DK/NIDDK NIH HHS/United States GR - P30 DK056341/DK/NIDDK NIH HHS/United States GR - R37-DK34388/DK/NIDDK NIH HHS/United States GR - P60 DK020579/DK/NIDDK NIH HHS/United States GR - P30 DK020579/DK/NIDDK NIH HHS/United States GR - P41 RR000954/RR/NCRR NIH HHS/United States GR - P30 DK056341-11/DK/NIDDK NIH HHS/United States GR - R01-NS063962/NS/NINDS NIH HHS/United States GR - P60-DK20579/DK/NIDDK NIH HHS/United States GR - P41-RR00954/RR/NCRR NIH HHS/United States GR - P30-DK56341/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20111109 PL - United States TA - Exp Diabetes Res JT - Experimental diabetes research JID - 101274844 RN - 0 (Fatty Acids, Unsaturated) RN - 0 (Ion Channels) RN - 0 (Mitochondrial Proteins) RN - 0 (Phospholipids) RN - 0 (Reactive Oxygen Species) RN - 0 (UCP2 protein, human) RN - 0 (Uncoupling Protein 2) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - EC 3.1.1.4 (Group IV Phospholipases A2) SB - IM MH - Adenosine Triphosphate/biosynthesis MH - Apoptosis MH - Diabetes Mellitus, Type 2/*physiopathology MH - Fatty Acids, Unsaturated/chemistry MH - Group IV Phospholipases A2/deficiency/physiology MH - Humans MH - Insulin Resistance MH - Insulin-Secreting Cells/*physiology MH - Ion Channels/physiology MH - Lipid Peroxidation MH - Mitochondria/*physiology MH - Mitochondrial Membranes/physiology MH - Mitochondrial Proteins/physiology MH - Oxidation-Reduction MH - Phospholipids/chemistry MH - Reactive Oxygen Species/metabolism MH - Uncoupling Protein 2 PMC - PMC3216264 EDAT- 2011/11/24 06:00 MHDA- 2012/03/27 06:00 PMCR- 2011/11/09 CRDT- 2011/11/24 06:00 PHST- 2011/07/20 00:00 [received] PHST- 2011/09/03 00:00 [accepted] PHST- 2011/11/24 06:00 [entrez] PHST- 2011/11/24 06:00 [pubmed] PHST- 2012/03/27 06:00 [medline] PHST- 2011/11/09 00:00 [pmc-release] AID - 10.1155/2012/703538 [doi] PST - ppublish SO - Exp Diabetes Res. 2012;2012:703538. doi: 10.1155/2012/703538. Epub 2011 Nov 9.