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The balance between adaptive and apoptotic unfolded protein responses regulates beta-cell death under ER stress conditions through XBP1, CHOP and JNK


Endoplasmic reticulum (ER) stress and the subsequent unfolded protein response (UPR) have been implicated in beta-cell death in type 1 and type 2 diabetes. However, the UPR is also a fundamental mechanism required for beta-cell adaptation and survival. The mechanisms regulating the transition from adaptive to apoptotic UPR remain to be clarified. Here, we investigated the relationships between XBP1, CHOP and JNK in the transition from adaptive to apoptotic UPR and beta-cell death in models of type 1 and type 2 diabetes. XBP1 inhibition potentiated cell death induced by pro-inflammatory cytokines or the saturated fatty acid palmitate in MIN6 beta-cells. This response was prevented by CHOP inhibition. IRE1/XBP1 inhibition led to alterations in islets from diabetes-resistant ob/ob mice that resemble those found in diabetes, including increases in cell death and inflammation and antioxidant gene expression. Similarly, IRE1/XBP1 inhibition increased cell death in islets from NOD mice. On the other hand, JNK inhibition: 1) increased adaptive UPR and reduced cell death in islets from diabetic db/db mice, and 2) restored adaptive UPR while protecting against apoptotic UPR gene expression and beta-cell death and dysfunction following cytokine exposure. These findings suggest that the balance between XBP1-mediated adaptive and CHOP-dependent apoptotic UPR is critically important for beta-cell survival during ER stress. JNK activation regulates the transition from adaptive to apoptotic UPR, thus providing a mechanism for beta-cell propensity to cell death rather than ER stress adaptation in type 1 and type 2 diabetes.

Type Journal
ISBN 1872-8057 (Electronic) 0303-7207 (Linking)
Authors Chan, J. Y. ; Luzuriaga, J. ; Maxwell, E. L. ; West, P. K. ; Bensellam, M. ; Laybutt, D. R.;
Published Date 2015-01-01
Published Volume 413
Published Pages 189-201
Status Published in-print
URL link to publisher's version
OpenAccess link to author's accepted manuscript version