Mitochondrial dysfunction contributes to impaired insulin secretion in INS-1 cells with dominant-negative mutations of HNF-1alpha and in HNF-1alpha-deficient islets.
Maturity Onset Diabetes of the Young-type 3 (MODY-3) has been linked to mutations in the transcription factor hepatic nuclear factor (HNF)-1alpha, resulting in deficiency in glucose-stimulated insulin secretion. In INS-1 cells overexpressing doxycycline-inducible HNF-1alpha dominant-negative (DN-) gene mutations, and islets from Hnf-1alpha knock-out mice, insulin secretion was impaired in response to glucose (15 mm) and other nutrient secretagogues. Decreased rates of insulin secretion in response to glutamine plus leucine and to methyl pyruvate, but not potassium depolarization, indicate defects specific to mitochondrial metabolism. To identify the biochemical mechanisms responsible for impaired insulin secretion, we used (31)P NMR measured mitochondrial ATP synthesis (distinct from glycolytic ATP synthesis) together with oxygen consumption measurements to determine the efficiency of mitochondrial oxidative phosphorylation. Mitochondrial uncoupling was significantly higher in DN-HNF-1alpha cells, such that rates of ATP synthesis were decreased by approximately one-half in response to the secretagogues glucose, glutamine plus leucine, or pyruvate. In addition to closure of the ATP-sensitive K(+) channels with mitochondrial ATP synthesis, mitochondrial production of second messengers through increased anaplerotic flux has been shown to be critical for coupling metabolism to insulin secretion. (13)C-Isotopomer analysis and tandem mass spectrometry measurement of Krebs cycle intermediates revealed a negative impact of DN-HNF-1alpha and Hnf-1alpha knock-out on mitochondrial second messenger production with glucose but not amino acids. Taken together, these results indicate that, in addition to reduced glycolytic flux, uncoupling of mitochondrial oxidative phosphorylation contributes to impaired nutrient-stimulated insulin secretion with either mutations or loss of HNF-1alpha.
Pongratz
Rebecca L
RL
From the Departments of Internal Medicine, New Haven, Connecticut 06520.
Kibbey
Richard G
RG
From the Departments of Internal Medicine, New Haven, Connecticut 06520.
Kirkpatrick
Clare L
CL
Departments of Cell Physiology and Metabolism, University of Geneva, CH-1211 Geneva 4, Switzerland.
Zhao
Xiaojian
X
From the Departments of Internal Medicine, New Haven, Connecticut 06520.
Pontoglio
Marco
M
Department of Developmental Biology, Unité Recherche Associée 1644 du CNRS, Institut Pasteur, 75724 Paris Cedex, France.
Yaniv
Moshe
M
Department of Developmental Biology, Unité Recherche Associée 1644 du CNRS, Institut Pasteur, 75724 Paris Cedex, France.
Wollheim
Claes B
CB
Departments of Cell Physiology and Metabolism, University of Geneva, CH-1211 Geneva 4, Switzerland.
Shulman
Gerald I
GI
From the Departments of Internal Medicine, New Haven, Connecticut 06520; Cellular and Molecular Physiology, New Haven, Connecticut 06520; Howard Hughes Medical Institute, Yale University School of Medicine, New Haven, Connecticut 06520.
Cline
Gary W
GW
From the Departments of Internal Medicine, New Haven, Connecticut 06520. Electronic address: gary.cline@yale.edu.
D000255:Adenosine Triphosphate / Q000096:biosynthesis; D000818:Animals; D001483:Base Sequence; D002460:Cell Line; D017931:DNA Primers / Q000235:genetics; D003924:Diabetes Mellitus, Type 2 / Q000235:genetics / Q000503:physiopathology; D005260:Female; D005947:Glucose / Q000494:pharmacology; D051273:Glucose Transporter Type 2 / Q000235:genetics; D005973:Glutamine / Q000494:pharmacology; D006019:Glycolysis; D051538:Hepatocyte Nuclear Factor 1-alpha / Q000172:deficiency* / Q000235:genetics* / Q000378:metabolism; D006801:Humans; D007328:Insulin / Q000378:metabolism*; D000078790:Insulin Secretion; D007515:Islets of Langerhans / Q000187:drug effects / Q000378:metabolism*; D007930:Leucine / Q000494:pharmacology; D008297:Male; D051379:Mice; D018345:Mice, Knockout; D008928:Mitochondria / Q000187:drug effects / Q000378:metabolism*; D009154:Mutation; D010085:Oxidative Phosphorylation; D019289:Pyruvic Acid / Q000494:pharmacology; D012333:RNA, Messenger / Q000235:genetics / Q000378:metabolism; D051381:Rats
D017931:DNA Primers; D051273:Glucose Transporter Type 2; D051538:Hepatocyte Nuclear Factor 1-alpha; D007328:Insulin; D012333:RNA, Messenger; C495683:Slc2a2 protein, rat; D005973:Glutamine; D019289:Pyruvic Acid; D000255:Adenosine Triphosphate; D007930:Leucine; D005947:Glucose