期刊
DIABETES
卷 63, 期 9, 页码 3009-3021出版社
AMER DIABETES ASSOC
DOI: 10.2337/db13-1607
关键词
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资金
- Diabetes UK R.D. Lawrence Research Fellowship [12/0004431]
- Wellcome Trust [WT098424AIA]
- Medical Research Council [MR/J0003042/1]
- Diabetes UK Project [11/0004210]
- Royal Society Wolfson Research Merit award
- JDRF [31-2008-416, 31-2008-413, 37-2011-21]
- National Institute for Health Research Biomedical Research Centre, Oxford
- National Institutes of Health [R01-GM-077593]
- Innovative Medicines Initiative Joint Undertaking [155005]
- European Union
- Alberta Innovates [201201154] Funding Source: researchfish
- Diabetes UK [12/0004431] Funding Source: researchfish
- Medical Research Council [MR/K001981/1] Funding Source: researchfish
- MRC [MR/K001981/1] Funding Source: UKRI
Single nucleotide polymorphisms (SNPs) within the ADCY5 gene, encoding adenylate cyclase 5, are associated with elevated fasting glucose and increased type 2 diabetes (T2D) risk. Despite this, the mechanisms underlying the effects of these polymorphic variants at the level of pancreatic -cells remain unclear. Here, we show firstly that ADCY5 mRNA expression in islets is lowered by the possession of risk alleles at rs11708067. Next, we demonstrate that ADCY5 is indispensable for coupling glucose, but not GLP-1, to insulin secretion in human islets. Assessed by in situ imaging of recombinant probes, ADCY5 silencing impaired glucose-induced cAMP increases and blocked glucose metabolism toward ATP at concentrations of the sugar >8 mmol/L. However, calcium transient generation and functional connectivity between individual human -cells were sharply inhibited at all glucose concentrations tested, implying additional, metabolism-independent roles for ADCY5. In contrast, calcium rises were unaffected in ADCY5-depleted islets exposed to GLP-1. Alterations in -cell ADCY5 expression and impaired glucose signaling thus provide a likely route through which ADCY5 gene polymorphisms influence fasting glucose levels and T2D risk, while exerting more minor effects on incretin action.
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