Ontology highlight
ABSTRACT: Context
Reduced β-cell mass, impaired islet function, and dedifferentiation are considered causal to development of hyperglycemia and type 2 diabetes. In human cohort studies, changes of islet cell-specific expression patterns have been associated with diabetes but not directly with in vivo insulin secretion.Objective
This study investigates alterations of islet gene expression and corresponding gene variants in the context of in vivo glycemic traits from the same patients.Methods
Fasting blood was collected before surgery, and pancreatic tissue was frozen after resection from 18 patients undergoing pancreatectomy. Islet tissue was isolated by laser capture microdissection. Islet transcriptome was analyzed using microarray and quantitative RT-PCR. Proteins were examined by immunohistochemistry and western blotting. The association of gene variants with insulin secretion was investigated with oral glucose tolerance test (OGTT)-derived insulin secretion measured in a large cohort of subjects at increased risk of type 2 diabetes and with hyperglycemic clamp in a subset.Results
Differential gene expression between islets from normoglycemic and hyperglycemic patients was prominent for the glycolytic enzyme ALDOB and the obesity-associated gene FAIM2. The mRNA levels of both genes correlated negatively with insulin secretion and positively with HbA1c. Islets of hyperglycemic patients displayed increased ALDOB immunoreactivity in insulin-positive cells, whereas α- and δ-cells were negative. Exposure of isolated islets to hyperglycemia augmented ALDOB expression. The minor allele of the ALDOB variant rs550915 associated with significantly higher levels of C-peptide and insulin during OGTT and hyperglycemic clamp, respectively.Conclusion
Our analyses suggest that increased ALDOB expression in human islets is associated with lower insulin secretion.
SUBMITTER: Gerst F
PROVIDER: S-EPMC6915830 | biostudies-literature | 2018 Dec
REPOSITORIES: biostudies-literature

Gerst Felicia F Jaghutriz Benjamin A BA Staiger Harald H Schulte Anke M AM Lorza-Gil Estela E Kaiser Gabriele G Panse Madhura M Haug Sieglinde S Heni Martin M Schütz Monika M Stadion Mandy M Schürmann Annette A Marzetta Flavia F Ibberson Mark M Sipos Bence B Fend Falko F Fleming Thomas T Nawroth Peter P PP Königsrainer Alfred A Nadalin Silvio S Wagner Silvia S Peter Andreas A Fritsche Andreas A Richter Daniela D Solimena Michele M Häring Hans-Ulrich HU Ullrich Susanne S Wagner Robert R
The Journal of clinical endocrinology and metabolism 20181201 12
<h4>Context</h4>Reduced β-cell mass, impaired islet function, and dedifferentiation are considered causal to development of hyperglycemia and type 2 diabetes. In human cohort studies, changes of islet cell-specific expression patterns have been associated with diabetes but not directly with in vivo insulin secretion.<h4>Objective</h4>This study investigates alterations of islet gene expression and corresponding gene variants in the context of in vivo glycemic traits from the same patients.<h4>Me ...[more]