Abstract

Metabolic overload by saturated fatty acids (SFA), which comprises β-cell function, and impaired glucose-stimulated insulin secretion are frequently observed in patients suffering from obesity and type 2 diabetes mellitus. The increase of intracellular Ca2+ triggers insulin granule release, therefore several mechanisms regulate Ca2+ efflux within the β-cells, among others, the plasma membrane Ca2+-ATPase (PMCA). In this work, we describe that lipotoxicity mediated mainly by the saturated palmitic acid (PA) (16C) is associated with loss of protein homeostasis (proteostasis) and potentially cell viability, a phenomenon that was induced to a lesser extent by stearic (18C), myristic (14C) and lauric (12C) acids. PA was localized on endoplasmic reticulum, activating arms of the unfolded protein response (UPR), as also promoted by lipopolysaccharides (LPS)-endotoxins. In particular, our findings demonstrate an alteration in PMCA1/4 expression caused by PA and LPS which trigger the UPR, affecting not only insulin release and contributing to β-cell mass reduction, but also increasing reactive nitrogen species. Nonetheless, stearic acid (SA) did not show these effects. Remarkably, the proteolytic degradation of PMCA1/4 prompted by PA and LPS was avoided by the action of monounsaturated fatty acids such as oleic and palmitoleic acid. Oleic acid recovered cell viability after treatment with PA/LPS and, more interestingly, relieved endoplasmic reticulum (ER) stress. While palmitoleic acid improved the insulin release, this fatty acid seems to have more relevant effects upon the expression of regulatory pumps of intracellular Ca2+. Therefore, chain length and unsaturation of fatty acids are determinant cues in proteostasis of β-cells and, consequently, on the regulation of calcium and insulin secretion.

Highlights

  • Type 2 diabetes mellitus (T2DM) is a metabolic disorder characterized by dysfunction and progressive loss of pancreatic β-cells, which are responsible for insulin synthesis, originating tissue damage and several long-term complications [1]

  • The four main saturated fatty acids (SFA) found in the phospholipid membranes and neutral lipids—lauric acid, myristic acid, palmitic acid, and stearic acid—were studied in order to characterize the role of the fatty acid acyl-chain length on β-cell physiology

  • The unfolded protein response (UPR) pathway was activated by the three SFA tested (Figure 1D), palmitic acid showed the major effect on CHOP expression

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Summary

Introduction

Type 2 diabetes mellitus (T2DM) is a metabolic disorder characterized by dysfunction and progressive loss of pancreatic β-cells, which are responsible for insulin synthesis, originating tissue damage and several long-term complications [1]. This pathology could occur in conditions of obesity accompanied with a decrease in cellular response of insulin-dependent tissues. Phenomena such as β-cells proliferation and hyperinsulinemia seem to have a compensatory effect. Pre-proinsulin polypeptides are translocated to the endoplasmic reticulum (ER) to acquire the native folding [7]

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