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Androgen excess in pancreatic β cells and neurons predisposes female mice to type 2 diabetes
Guadalupe Navarro, Camille Allard, Jamie J. Morford, Weiwei Xu, Suhuan Liu, Adrien J.R. Molinas, Sierra M. Butcher, Nicholas H.F. Fine, Manuel Blandino-Rosano, Venkata N. Sure, Sangho Yu, Rui Zhang, Heike Münzberg, David A. Jacobson, Prasad V. Katakam, David J. Hodson, Ernesto Bernal-Mizrachi, Andrea Zsombok, Franck Mauvais-Jarvis
Guadalupe Navarro, Camille Allard, Jamie J. Morford, Weiwei Xu, Suhuan Liu, Adrien J.R. Molinas, Sierra M. Butcher, Nicholas H.F. Fine, Manuel Blandino-Rosano, Venkata N. Sure, Sangho Yu, Rui Zhang, Heike Münzberg, David A. Jacobson, Prasad V. Katakam, David J. Hodson, Ernesto Bernal-Mizrachi, Andrea Zsombok, Franck Mauvais-Jarvis
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Research Article Endocrinology Metabolism

Androgen excess in pancreatic β cells and neurons predisposes female mice to type 2 diabetes

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Abstract

Androgen excess predisposes women to type 2 diabetes (T2D), but the mechanism of this is poorly understood. We report that female mice fed a Western diet and exposed to chronic androgen excess using dihydrotestosterone (DHT) exhibit hyperinsulinemia and insulin resistance associated with secondary pancreatic β cell failure, leading to hyperglycemia. These abnormalities are not observed in mice lacking the androgen receptor (AR) in β cells and partially in neurons of the mediobasal hypothalamus (MBH) as well as in mice lacking AR selectively in neurons. Accordingly, i.c.v. infusion of DHT produces hyperinsulinemia and insulin resistance in female WT mice. We observe that acute DHT produces insulin hypersecretion in response to glucose in cultured female mouse and human pancreatic islets in an AR-dependent manner via a cAMP- and mTOR-dependent pathway. Acute DHT exposure increases mitochondrial respiration and oxygen consumption in female cultured islets. As a result, chronic DHT exposure in vivo promotes islet oxidative damage and susceptibility to additional stress induced by streptozotocin via AR in β cells. This study suggests that excess androgen predisposes female mice to T2D following AR activation in neurons, producing peripheral insulin resistance, and in pancreatic β cells, promoting insulin hypersecretion, oxidative injury, and secondary β cell failure.

Authors

Guadalupe Navarro, Camille Allard, Jamie J. Morford, Weiwei Xu, Suhuan Liu, Adrien J.R. Molinas, Sierra M. Butcher, Nicholas H.F. Fine, Manuel Blandino-Rosano, Venkata N. Sure, Sangho Yu, Rui Zhang, Heike Münzberg, David A. Jacobson, Prasad V. Katakam, David J. Hodson, Ernesto Bernal-Mizrachi, Andrea Zsombok, Franck Mauvais-Jarvis

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Figure 6

DHT enhances GSIS via an AR/cAMP/mTORC1 pathway.

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DHT enhances GSIS via an AR/cAMP/mTORC1 pathway.
(A) GSIS measured in st...
(A) GSIS measured in static incubation in islets from mice fed a WD for 8 weeks and treated with vehicle (V) or DHT (10 nM) for 48 hours ex vivo. (B) Islet insulin content from A. Results represent 10 islets/condition in triplicate from n ≥ 3 independent experiments. (C) Glucose-stimulated insulin secretion (GSIS) measured after static incubation in islets from female human donors. (D) Islet insulin content from C. Islets were treated V, DHT (10 nM), and or flutamide (Flut, 10 μM) in vitro for 48 hours. Results represent 5 islets per condition of n = 6 independent experiments. (E) Basal and GSIS at the indicated glucose concentrations during a perifusion in WT female islets (vehicle, ethanol; DHT, 10 nM). Islets were isolated from mice at 14 weeks and perifused in batches of 60 per group. (F) Intracellular Ca2+ influx and corresponding AUC from the indicated glucose concentrations in isolated female mouse islets (n = 397 cells for V, n = 360 cells for DHT). (G) 10 nM DHT- and 10 nM Ex-stimulated cAMP concentrations monitored in female mouse islets infected with adenovirus harboring the FRET probe Epac2 camps, with corresponding AUC and representative live cell imaging. Scale bar: 20 μm. (H) GSIS measured in static incubation in islets from WT female mice fed chow or WD, treated with V, DHT (10 nM), rapamycin (RAPA, 10 nM), or DHT+RAPA for 48 hours (n = 12–14 batches of 10 islets/condition, 4 independent experiments). (I) GSIS measured in static incubation in islets from female WT and KD-mTOR mice, treated as in A. Results represent 10 islets per condition of n = 4 independent experiments. (J) WT female mice were exposed to WD for 4 weeks followed by 4 weeks of treatment with V, DHT, or DHT+RAPA (0.5 mg/kg/d; n = 7–8/group). Results represent the mean ± SEM, with dot plots of fasting and fed serum insulin as well as fasting and fed blood glucose. **P < 0.01, ***P < 0.001, 1-way ANOVA.

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