title: Autocrine insulin action activates Akt and increases survival of isolated human islets.
abstract: OBJECTIVE
  The phosphatidylinositol 3-kinase (PI3K)/Akt pathway plays a critical role in promoting the survival of pancreatic beta cells. Akt becomes activated in isolated human islets following overnight culture despite significant levels of cell death. The aim of the current study was to identify the cause of the observed increase in Akt phosphorylation in isolated islets. We hypothesised that a factor secreted by the islets in culture was acting in an autocrine manner to activate Akt.
  
  
  METHODS
  In order to identify the stimulus of the PI3K/Akt pathway in culture, we examined the effects of different culture conditions on Akt phosphorylation and islet survival during the immediate post-isolation period.
  
  
  RESULTS
  We demonstrated that islet-conditioned medium induced Akt phosphorylation in freshly isolated human islets, whereas frequent medium replacement decreased Akt phosphorylation. Following overnight culture, islet-conditioned medium contained significantly elevated levels of insulin, indicating that insulin may be responsible for the observed increase in Akt phosphorylation. Indeed, treatment with an anti-insulin antibody or with inhibitors of insulin receptor/IGF receptor 1 kinase activity suppressed Akt phosphorylation, leading to decreased islet survival. In addition, dispersion of islets into single cells also suppressed Akt phosphorylation and induced islet cell death, indicating that islet integrity is also required for maximal Akt phosphorylation.
  
  
  CONCLUSIONS
  Our findings demonstrate that insulin acts in an autocrine manner to activate Akt and mediate the survival of isolated human islets. These findings provide new information on how culturing islets prior to transplantation may be beneficial to their survival by allowing for autocrine activation of the pro-survival Akt pathway.
authors.affiliation: Department of Surgery, McGill University, Montreal, QC, Canada.
authors.forename: R
authors.initials: R
authors.lastname: Aikin
authors.forename: S
authors.initials: S
authors.lastname: Hanley
authors.forename: D
authors.initials: D
authors.lastname: Maysinger
authors.forename: M
authors.initials: M
authors.lastname: Lipsett
authors.forename: M
authors.initials: M
authors.lastname: Castellarin
authors.forename: S
authors.initials: S
authors.lastname: Paraskevas
authors.forename: L
authors.initials: L
authors.lastname: Rosenberg
mesh_terms: D002102:Cadaver; D002470:Cell Survival; D002478:Cells, Cultured; D017077:Culture Media, Conditioned; D004789:Enzyme Activation; D006801:Humans; D007328:Insulin / Q000494:pharmacology*; D007515:Islets of Langerhans / Q000166:cytology* / Q000187:drug effects; D007700:Kinetics; D008875:Middle Aged; D008928:Mitochondria / Q000187:drug effects / Q000378:metabolism; D009929:Organ Size; D010179:Pancreas / Q000033:anatomy & histology; D010766:Phosphorylation; D051057:Proto-Oncogene Proteins c-akt / Q000378:metabolism*
chemical_list: D017077:Culture Media, Conditioned; D007328:Insulin; D051057:Proto-Oncogene Proteins c-akt