POITOUT25_03_2013 ANNONCE
Transcription
POITOUT25_03_2013 ANNONCE
CPER Cardio-diabète Diabète : du syndrome métabolique aux complications vasculaires Conférences Lundi 25 mars 2013 – 11h00 Amphi A Faculté de Médecine – Pôle recherche Place de Verdun - Lille (métro ligne 1 CHR Oscar Lambret) Vincent Poitout, DVM, PhD Montreal Diabetes Research Center, Canada à l’invitation des Pr. Philippe Froguel, François Pattou, Bart Staels The pancreatic beta-cell response to metabolic stress Simultaneously elevated levels of circulating glucose and fatty acids have been postulated to contribute to the deterioration of pancreatic beta-cell function during the course of type 2 diabetes, a phenomenon often referred to as glucolipotoxicity. In vitro, exposure of isolated rat islets to chronically elevated levels of glucose and fatty acids impairs glucoseinduced insulin secretion, inhibits insulin gene expression and, under some circumstances, leads to beta-cell death by apoptosis. Previous studies in our laboratory have shown that the decrease in insulin gene expression in response to elevated fatty acids and glucose in isolated rodent islets occurs at the transcriptional level; is due to nuclear exclusion of the transcription factor pancreas-duodenum homeobox-1 (PDX-1) and reduced expression of the transcription factor MafA. Glucolipotoxicity at the insulin gene in this model is mediated by de novo synthesis of ceramide and, at least in part, inhibition of expression of the enzyme PAS kinase. In normal Wistar rats, cyclical and alternate infusions of glucose and Intralipid lead to an early decrease in insulin gene expression accompanied by relocalization of PDX-1 to the perinuclear compartment, confirming that the molecular mechanisms of glucolipotoxicity identified in isolated islets are also operative in vivo. Further, combined and continuous infusions of glucose and Intralipid in 6-month old Wistar rats lead to a coordinated impairment of second-phase glucose-induced insulin secretion, proinsulin biosynthesis, and insulin gene expression. Surprisingly, this is accompanied by a marked increase in beta-cell proliferation and mass. These findings led us to conclude that the beta-cell response to metabolic stress in vivo involves a compensatory increase in beta-cell mass which is, however, insufficient to adequately compensate for insulin resistance and is associated with beta-cell dysfunction, characterized by an early impairment of insulin gene expression. Comité de suivi et de coordination - Prs. Philippe Froguel, François Pattou, Bart Staels ; Contacts : [email protected] et [email protected] - Tél. 03.20.97.42.16