PMID- 29589392 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 2093-596X (Print) IS - 2093-5978 (Electronic) IS - 2093-596X (Linking) VI - 33 IP - 1 DP - 2018 Mar TI - Pioglitazone Attenuates Palmitate-Induced Inflammation and Endoplasmic Reticulum Stress in Pancreatic beta-Cells. PG - 105-113 LID - 10.3803/EnM.2018.33.1.105 [doi] AB - BACKGROUND: The nuclear receptor peroxisome proliferator-activator gamma (PPARgamma) is a useful therapeutic target for obesity and diabetes, but its role in protecting beta-cell function and viability is unclear. METHODS: To identify the potential functions of PPARgamma in beta-cells, we treated mouse insulinoma 6 (MIN6) cells with the PPARgamma agonist pioglitazone in conditions of lipotoxicity, endoplasmic reticulum (ER) stress, and inflammation. RESULTS: Palmitate-treated cells incubated with pioglitazone exhibited significant improvements in glucose-stimulated insulin secretion and the repression of apoptosis, as shown by decreased caspase-3 cleavage and poly (adenosine diphosphate [ADP]-ribose) polymerase activity. Pioglitazone also reversed the palmitate-induced expression of inflammatory cytokines (tumor necrosis factor alpha, interleukin 6 [IL-6], and IL-1beta) and ER stress markers (phosphor-eukaryotic translation initiation factor 2alpha, glucose-regulated protein 78 [GRP78], cleaved-activating transcription factor 6 [ATF6], and C/EBP homologous protein [CHOP]), and pioglitazone significantly attenuated inflammation and ER stress in lipopolysaccharide- or tunicamycin-treated MIN6 cells. The protective effect of pioglitazone was also tested in pancreatic islets from high-fat-fed KK-Ay mice administered 0.02% (wt/wt) pioglitazone or vehicle for 6 weeks. Pioglitazone remarkably reduced the expression of ATF6alpha, GRP78, and monocyte chemoattractant protein-1, prevented alpha-cell infiltration into the pancreatic islets, and upregulated glucose transporter 2 (Glut2) expression in beta-cells. Moreover, the preservation of beta-cells by pioglitazone was accompanied by a significant reduction of blood glucose levels. CONCLUSION: Altogether, these results support the proposal that PPARgamma agonists not only suppress insulin resistance, but also prevent beta-cell impairment via protection against ER stress and inflammation. The activation of PPARgamma might be a new therapeutic approach for improving beta-cell survival and insulin secretion in patients with diabetes mellitus. CI - Copyright (c) 2018 Korean Endocrine Society. FAU - Hong, Seok Woo AU - Hong SW AUID- ORCID: 0000-0002-3288-1901 AD - Institute of Medical Research, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Lee, Jinmi AU - Lee J AD - Institute of Medical Research, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Cho, Jung Hwan AU - Cho JH AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Kwon, Hyemi AU - Kwon H AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Se Eun AU - Park SE AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Rhee, Eun Jung AU - Rhee EJ AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Cheol Young AU - Park CY AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Oh, Ki Won AU - Oh KW AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Park, Sung Woo AU - Park SW AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. FAU - Lee, Won Young AU - Lee WY AUID- ORCID: 0000-0002-1082-7592 AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. drlwy@hanmail.net. LA - eng PT - Journal Article PL - Korea (South) TA - Endocrinol Metab (Seoul) JT - Endocrinology and metabolism (Seoul, Korea) JID - 101554139 PMC - PMC5874186 OTO - NOTNLM OT - Endoplasmic reticulum stress OT - Glucolipotoxicity OT - Inflammation OT - Insulin-secreting cells OT - Pioglitazone COIS- No potential conflict of interest relevant to this article was reported. EDAT- 2018/03/29 06:00 MHDA- 2018/03/29 06:01 PMCR- 2018/03/01 CRDT- 2018/03/29 06:00 PHST- 2017/12/05 00:00 [received] PHST- 2018/01/08 00:00 [revised] PHST- 2018/01/09 00:00 [accepted] PHST- 2018/03/29 06:00 [entrez] PHST- 2018/03/29 06:00 [pubmed] PHST- 2018/03/29 06:01 [medline] PHST- 2018/03/01 00:00 [pmc-release] AID - 33.105 [pii] AID - 10.3803/EnM.2018.33.1.105 [doi] PST - ppublish SO - Endocrinol Metab (Seoul). 2018 Mar;33(1):105-113. doi: 10.3803/EnM.2018.33.1.105.