GLP-1 analog liraglutide enhances proinsulin processing in pancreatic β-cells via a PKA-dependent pathway

L Wang, Y Liu, J Yang, H Zhao, J Ke, Q Tian… - …, 2014 - academic.oup.com
L Wang, Y Liu, J Yang, H Zhao, J Ke, Q Tian, L Zhang, J Wen, R Wei, T Hong
Endocrinology, 2014academic.oup.com
Hyperproinsulinemia has gained increasing attention in the development of type 2 diabetes.
Clinical studies have demonstrated that glucagon-like peptide-1 (GLP-1)-based therapies
significantly decrease plasma proinsulin/insulin ratio in patients with type 2 diabetes.
However, the underlying mechanism remains unclear. Prohormone convertase (PC)-1/3 and
PC2 are primarily responsible for processing proinsulin to insulin in pancreatic β-cells. We
have recently reported that Pax6 mutation down-regulated PC1/3 and PC2 expression …
Abstract
Hyperproinsulinemia has gained increasing attention in the development of type 2 diabetes. Clinical studies have demonstrated that glucagon-like peptide-1 (GLP-1)-based therapies significantly decrease plasma proinsulin/insulin ratio in patients with type 2 diabetes. However, the underlying mechanism remains unclear. Prohormone convertase (PC)-1/3 and PC2 are primarily responsible for processing proinsulin to insulin in pancreatic β-cells. We have recently reported that Pax6 mutation down-regulated PC1/3 and PC2 expression, resulting in defective proinsulin processing in Pax6 heterozygous mutant (Pax6m/+) mice. In this study, we investigated whether and how liraglutide, a novel GLP-1 analog, modulated proinsulin processing. Our results showed that liraglutide significantly up-regulated PC1/3 expression and decreased the proinsulin to insulin ratio in both Pax6m/+ and db/db diabetic mice. In the cultured mouse pancreatic β-cell line, Min6, liraglutide stimulated PC1/3 and PC2 expression and lowered the proinsulin to insulin ratio in a dose- and time-dependent manner. Moreover, the beneficial effects of liraglutide on PC1/3 and PC2 expression and proinsulin processing were dependent on the GLP-1 receptor-mediated cAMP/protein kinase A signaling pathway. The same mechanism was recapitulated in isolated mouse islets. In conclusion, liraglutide enhanced PC1/3- and PC2-dependent proinsulin processing in pancreatic β-cells through the activation of the GLP-1 receptor/cAMP/protein kinase A signaling pathway. Our study provides a new mechanism for improvement of pancreatic β-cell function by the GLP-1-based therapy.
Oxford University Press