PMID- 31258514 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200225 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 10 DP - 2019 TI - Braving the Element: Pancreatic beta-Cell Dysfunction and Adaptation in Response to Arsenic Exposure. PG - 344 LID - 10.3389/fendo.2019.00344 [doi] LID - 344 AB - Type 2 diabetes mellitus (T2DM) is a serious global health problem, currently affecting an estimated 451 million people worldwide. T2DM is characterized by hyperglycemia and low insulin relative to the metabolic demand. The precise contributing factors for a given individual vary, but generally include a combination of insulin resistance and insufficient insulin secretion. Ultimately, the progression to diabetes occurs only after beta-cells fail to meet the needs of the individual. The stresses placed upon beta-cells in this context manifest as increased oxidative damage, local inflammation, and ER stress, often inciting a destructive spiral of beta-cell death, increased metabolic stress due to further insufficiency, and additional beta-cell death. Several pathways controlling insulin resistance and beta-cell adaptation/survival are affected by a class of exogenous bioactive compounds deemed endocrine disrupting chemicals (EDCs). Epidemiological studies have shown that, in several regions throughout the world, exposure to the EDC inorganic arsenic (iAs) correlates significantly with T2DM. It has been proposed that a lifetime of exposure to iAs may exacerbate problems with both insulin sensitivity as well as beta-cell function/survival, promoting the development of T2DM. This review focuses on the mechanisms of iAs action as they relate to known adaptive and maladaptive pathways in pancreatic beta-cells. FAU - Carmean, Christopher M AU - Carmean CM AD - Division of Molecular and Metabolic Medicine, Department of Physiology and Cell Biology, Kobe University Graduate School of Medicine, Kobe, Japan. AD - Division of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of Illinois at Chicago, Chicago, IL, United States. FAU - Seino, Susumu AU - Seino S AD - Division of Molecular and Metabolic Medicine, Department of Physiology and Cell Biology, Kobe University Graduate School of Medicine, Kobe, Japan. LA - eng PT - Journal Article PT - Review DEP - 20190614 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 PMC - PMC6587364 OTO - NOTNLM OT - arsenic OT - diabetes OT - endocrine disrupters OT - glucose tolerance OT - insulin secretion OT - pancreas OT - reactive oxygen species OT - beta-cells EDAT- 2019/07/02 06:00 MHDA- 2019/07/02 06:01 PMCR- 2019/01/01 CRDT- 2019/07/02 06:00 PHST- 2018/10/03 00:00 [received] PHST- 2019/05/13 00:00 [accepted] PHST- 2019/07/02 06:00 [entrez] PHST- 2019/07/02 06:00 [pubmed] PHST- 2019/07/02 06:01 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2019.00344 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2019 Jun 14;10:344. doi: 10.3389/fendo.2019.00344. eCollection 2019.