Abstract

Results Prolonged exposure to palmitate increased the expression of ACE and AngII type 1 receptor (ATR1) and decreased the ACE2 expression, which was partly offset by berberine. In ob/ob mice, berberine increased in tolerance to glucose, improved abnormal β-cell and α-cell distributions, upregulated ACE2 expression, and decreased autophagosomes and the expression of LC3 and SQSTM1/p62. Autophagosomes and expression of LC3 and SQSTM1/p62 were increased in ACE2KO mice. Conclusions We demonstrated that berberine may improve the pancreatic islet function by regulating local RAS-mediated autophagy under metabolic stress.

Highlights

  • Obesity, which is due to a chronic imbalance between energy “input” and “output”, has become a major public health problem because of its epidemic proportions worldwide [1]

  • With the administration of palmitate at 0.2 or 0.4 mmol/L, the angiotensin-converting enzyme 2 (ACE2) mRNA expression was markedly decreased by 23% or 41%, respectively (p < 0:05) (Figure 1(c))

  • Similar to the mRNA expression, the angiotensinconverting enzyme (ACE) expression was significantly upregulated, whereas the ACE2 expression was clearly decreased (Figure 1(f)). These results indicate that palmitate activates the ACE/ATR1 axis and inhibits the ACE2/Mas receptor (Mas) axis dependent on palmitate concentration in isolated islets

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Summary

Introduction

Obesity, which is due to a chronic imbalance between energy “input” and “output”, has become a major public health problem because of its epidemic proportions worldwide [1]. Extensive research has proven that the renin-angiotensin system (RAS) is strongly associated with the energy imbalance and organ dysfunction caused by obesity [2, 3]. The angiotensinconverting enzyme (ACE)/Ang II (angiotensin II)/AngII type 1 receptor (ATR1) axis is responsible for the potent vasoconstriction, proinflammatory, prooxidative, proliferative, and hypertrophic effects. The ACE2/Ang-(1–7)/Mas receptor (Mas) axis constitutes an alternative axis that represents an intrinsic mechanism for inducing inverse actions by regulating the ACE/Ang II/ATR1 axis, inducing many beneficial effects in energy balance and beta-cell protection [4].

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