PMID- 31668381 OWN - NLM STAT- MEDLINE DCOM- 20200526 LR - 20200526 IS - 2212-8778 (Electronic) IS - 2212-8778 (Linking) VI - 29 DP - 2019 Nov TI - Roux-en-Y gastric bypass enhances insulin secretion in type 2 diabetes via FXR-mediated TRPA1 expression. PG - 1-11 LID - S2212-8778(19)30558-7 [pii] LID - 10.1016/j.molmet.2019.08.009 [doi] AB - OBJECTIVE: Roux-en-Y gastric bypass surgery (RYGB) improves the first phase of glucose-stimulated insulin secretion (GSIS) in patients with type 2 diabetes. How it does so remains unclear. Farnesoid X receptor (FXR), the nuclear receptor of bile acids (BAs), is implicated in bariatric surgery. Moreover, the transient receptor potential ankyrin 1 (TRPA1) channel is expressed in pancreatic beta-cells and involved in insulin secretion. We aimed to explore the role of BAs/FXR and TRPA1 in improved GSIS in diabetic rats after RYGB. METHODS: RYGB or sham surgery was conducted in spontaneous diabetic Goto-Kakizaki (GK) rats, or FXR or TRPA1 transgenic mice. Gene and protein expression of islets were assessed by qPCR and western blotting. Electrophysiological properties of single beta-cells were studied using patch-clamp technique. Binding of FXR and histone acetyltransferase steroid receptor coactivator-1 (SRC1) to the TRPA1 promoter, acetylated histone H3 (ACH3) levels at the TRPA1 promoter were determined using ChIP assays. GSIS was measured using enzyme-linked immunosorbent assays or intravenous glucose tolerance test (IVGTT). RESULTS: RYGB increases GSIS, particularly the first-phase of GSIS in both intact islets and GK rats in vivo, and ameliorates hyperglycemia of GK rats. Importantly, the effects of RYGB were attenuated in TRPA1-deficient mice. Moreover, GK beta-cells displayed significantly decreased TRPA1 expression and current. Patch-clamp recording revealed that TRPA1(-/-) beta-cells displayed a marked hyperpolarization and decreased glucose-evoked action potential firing, which was associated with impaired GSIS. RYGB restored TRPA1 expression and current in GK beta-cells. This was accompanied by improved glucose-evoked electrical activity and insulin secretion. Additionally, RYGB-induced TRPA1 expression involved BAs/FXR-mediated recruitment of SRC1, promoting ACH3 at the promoter of TRPA1. CONCLUSIONS: The BAs/FXR/SRC1 axis-mediated restoration of TRPA1 expression plays a critical role in the enhanced GSIS and remission of diabetes in GK rats after RYGB. CI - Copyright (c) 2019 The Authors. Published by Elsevier GmbH.. All rights reserved. FAU - Kong, Xiangchen AU - Kong X AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China. FAU - Tu, Yifan AU - Tu Y AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China. FAU - Li, Bingfeng AU - Li B AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China. FAU - Zhang, Longmei AU - Zhang L AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China. FAU - Feng, Linxian AU - Feng L AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China. FAU - Wang, Lixiang AU - Wang L AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China. FAU - Zhang, Lin AU - Zhang L AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China. FAU - Zhou, Huarong AU - Zhou H AD - Key laboratory of System Biology, Shanghai Institutes for Biological Sciences, Chinese Academy of Sciences, Shanghai, PR China. FAU - Hua, Xianxin AU - Hua X AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China; University of Pennsylvania Perelman School of Medicine, 421 Curie Blvd, Philadelphia, PA 19104, USA. FAU - Ma, Xiaosong AU - Ma X AD - Shenzhen University Diabetes Institute, School of Medicine, Shenzhen University, Shenzhen 518060, PR China. Electronic address: xsma@szu.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190815 PL - Germany TA - Mol Metab JT - Molecular metabolism JID - 101605730 RN - 0 (Histones) RN - 0 (RNA, Small Interfering) RN - 0 (Receptors, Cytoplasmic and Nuclear) RN - 0 (TRPA1 Cation Channel) RN - 0C5V0MRU6P (farnesoid X-activated receptor) RN - EC 2.3.1.48 (Nuclear Receptor Coactivator 1) SB - IM MH - Animals MH - Diabetes Mellitus, Type 2/metabolism/*pathology/surgery/veterinary MH - Evoked Potentials MH - Gastric Bypass MH - Histones/metabolism MH - *Insulin Secretion MH - Insulin-Secreting Cells/cytology/physiology MH - Male MH - Mice MH - Mice, Inbred C57BL MH - Mice, Knockout MH - Nuclear Receptor Coactivator 1/antagonists & inhibitors/genetics/metabolism MH - Promoter Regions, Genetic MH - RNA Interference MH - RNA, Small Interfering/metabolism MH - Rats MH - Rats, Wistar MH - Rats, Zucker MH - Receptors, Cytoplasmic and Nuclear/antagonists & inhibitors/genetics/*metabolism MH - TRPA1 Cation Channel/genetics/*metabolism PMC - PMC6728758 OTO - NOTNLM OT - Diabetes OT - FXR OT - Insulin secretion OT - RYGB OT - TRPA1 EDAT- 2019/11/02 06:00 MHDA- 2020/05/27 06:00 PMCR- 2019/08/15 CRDT- 2019/11/01 06:00 PHST- 2019/06/13 00:00 [received] PHST- 2019/08/12 00:00 [revised] PHST- 2019/08/12 00:00 [accepted] PHST- 2019/11/01 06:00 [entrez] PHST- 2019/11/02 06:00 [pubmed] PHST- 2020/05/27 06:00 [medline] PHST- 2019/08/15 00:00 [pmc-release] AID - S2212-8778(19)30558-7 [pii] AID - 10.1016/j.molmet.2019.08.009 [doi] PST - ppublish SO - Mol Metab. 2019 Nov;29:1-11. doi: 10.1016/j.molmet.2019.08.009. Epub 2019 Aug 15.