PMID- 31411368 OWN - NLM STAT- MEDLINE DCOM- 20201201 LR - 20201201 IS - 1520-7560 (Electronic) IS - 1520-7552 (Linking) VI - 36 IP - 2 DP - 2020 Feb TI - Liraglutide combined with human umbilical cord mesenchymal stem cell transplantation inhibits beta-cell apoptosis via mediating the ASK1/JNK/BAX pathway in rats with type 2 diabetes. PG - e3212 LID - 10.1002/dmrr.3212 [doi] AB - OBJECTIVE: Accumulating evidence suggests an association between beta-cell apoptosis and the ASK1/JNK/BAX pathway. The aim of this study was to investigate the effects of a combined therapy of liraglutide and human umbilical cord mesenchymal stem cells (hUC-MSCs) on the glucose metabolism and islet beta-cell apoptosis, and further explore its relationship to the ASK1/JNK/BAX pathway. METHOD: Type 2 diabetes mellitus (T2DM) rat model was induced by a high-sugar and high-fat diet and intraperitoneal injection of low-dose streptozotocin (STZ) (30 mg/kg). Three days after STZ injection, diabetic rats were randomly treated with subcutaneous injection of liraglutide (200 mug/kg/12 h) for 8 weeks and or hUC-MSCs (1 x 10(6) /rat) at the first and fifth weeks. Diabetes-related physical and biochemical parameters, pancreatic histopathological changes, immunohistochemical staining, quantitative real-time polymerase chain reaction, and western blot were used to measure the expression of apoptosis signal-regulating kinase 1 (ASK1), Jun N-terminal kinase (JNK), Bcl-2 associated X protein (BAX), and B-cell lymphoma-2 (Bcl-2). RESULTS: Eight weeks after liraglutide or human umbilical cord mesenchymal stem cell administration, FPG, HbA(1c) , glucagon, body weight, and pancreatic ASK1, JNK, and BAX mRNA and proteins were significantly decreased, and the levels of serum C-p, INS and GLP-1, ratio of insulin positive area, and Bcl-2 expression were significantly increased in three treatment groups compared with T2DM group (P<.05). CONCLUSION: Liraglutide combined with hUC-MSCs improve glucose metabolism and inhibit islet beta-cell apoptosis in a ASK1/JNK/BAX pathway-dependent manner. CI - (c) 2019 John Wiley & Sons, Ltd. FAU - Wang, Wei AU - Wang W AD - Fuzong Clinical Medical College, Fujian Medical University, Fuzhou, China. AD - Department of Endocrinology, Fuzhou General Hospital, Fuzhou, China. FAU - Wu, Rong Dan AU - Wu RD AD - Fuzong Clinical Medical College, Fujian Medical University, Fuzhou, China. AD - Department of Endocrinology, Fuzhou General Hospital, Fuzhou, China. FAU - Chen, Pin AU - Chen P AUID- ORCID: 0000-0002-7546-0082 AD - Fuzong Clinical Medical College, Fujian Medical University, Fuzhou, China. AD - Department of Endocrinology, Fuzhou General Hospital, Fuzhou, China. FAU - Xu, Xiang Jin AU - Xu XJ AD - Fuzong Clinical Medical College, Fujian Medical University, Fuzhou, China. AD - Department of Endocrinology, Fuzhou General Hospital, Fuzhou, China. FAU - Shi, Xiao Zhi AU - Shi XZ AD - Fuzong Clinical Medical College, Fujian Medical University, Fuzhou, China. AD - Department of Endocrinology, Fuzhou General Hospital, Fuzhou, China. FAU - Huang, Li Hong AU - Huang LH AD - Fuzong Clinical Medical College, Fujian Medical University, Fuzhou, China. AD - Department of Endocrinology, Fuzhou General Hospital, Fuzhou, China. FAU - Shao, Zhu Lin AU - Shao ZL AD - Department of Endocrinology, Fuzhou General Hospital, Fuzhou, China. FAU - Guo, Wen AU - Guo W AD - Department of Endocrinology, Fuzhou General Hospital, Fuzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190902 PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 RN - 0 (Bax protein, rat) RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Hypoglycemic Agents) RN - 0 (bcl-2-Associated X Protein) RN - 839I73S42A (Liraglutide) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinase 8) RN - EC 2.7.11.25 (MAP Kinase Kinase Kinase 5) SB - IM MH - Animals MH - *Apoptosis MH - Biomarkers/*analysis MH - Blood Glucose/analysis MH - Combined Modality Therapy MH - Diabetes Mellitus, Experimental/metabolism/pathology/*therapy MH - *Gene Expression Regulation MH - Humans MH - Hypoglycemic Agents/pharmacology MH - Insulin-Secreting Cells/metabolism/*pathology MH - Liraglutide/*pharmacology MH - MAP Kinase Kinase Kinase 5/genetics/metabolism MH - Male MH - Mesenchymal Stem Cell Transplantation/*methods MH - Mitogen-Activated Protein Kinase 8/genetics/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Umbilical Cord MH - bcl-2-Associated X Protein/genetics/metabolism OTO - NOTNLM OT - JNK pathway OT - human umbilical cord mesenchymal stem cell OT - islet beta-cell apoptosis OT - liraglutide OT - type 2 diabetes mellitus EDAT- 2019/08/15 06:00 MHDA- 2020/12/02 06:00 CRDT- 2019/08/15 06:00 PHST- 2018/11/11 00:00 [received] PHST- 2019/06/15 00:00 [revised] PHST- 2019/08/09 00:00 [accepted] PHST- 2019/08/15 06:00 [pubmed] PHST- 2020/12/02 06:00 [medline] PHST- 2019/08/15 06:00 [entrez] AID - 10.1002/dmrr.3212 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2020 Feb;36(2):e3212. doi: 10.1002/dmrr.3212. Epub 2019 Sep 2.