Maladaptive positive feedback production of ChREBPβ underlies glucotoxic β-cell failure
nature communications, 2022•nature.com
Preservation and expansion of β-cell mass is a therapeutic goal for diabetes. Here we show
that the hyperactive isoform of carbohydrate response-element binding protein (ChREBPβ)
is a nuclear effector of hyperglycemic stress occurring in β-cells in response to prolonged
glucose exposure, high-fat diet, and diabetes. We show that transient positive feedback
induction of ChREBPβ is necessary for adaptive β-cell expansion in response to metabolic
challenges. Conversely, chronic excessive β-cell-specific overexpression of ChREBPβ …
that the hyperactive isoform of carbohydrate response-element binding protein (ChREBPβ)
is a nuclear effector of hyperglycemic stress occurring in β-cells in response to prolonged
glucose exposure, high-fat diet, and diabetes. We show that transient positive feedback
induction of ChREBPβ is necessary for adaptive β-cell expansion in response to metabolic
challenges. Conversely, chronic excessive β-cell-specific overexpression of ChREBPβ …
Abstract
Preservation and expansion of β-cell mass is a therapeutic goal for diabetes. Here we show that the hyperactive isoform of carbohydrate response-element binding protein (ChREBPβ) is a nuclear effector of hyperglycemic stress occurring in β-cells in response to prolonged glucose exposure, high-fat diet, and diabetes. We show that transient positive feedback induction of ChREBPβ is necessary for adaptive β-cell expansion in response to metabolic challenges. Conversely, chronic excessive β-cell-specific overexpression of ChREBPβ results in loss of β-cell identity, apoptosis, loss of β-cell mass, and diabetes. Furthermore, β-cell “glucolipotoxicity” can be prevented by deletion of ChREBPβ. Moreover, ChREBPβ-mediated cell death is mitigated by overexpression of the alternate CHREBP gene product, ChREBPα, or by activation of the antioxidant Nrf2 pathway in rodent and human β-cells. We conclude that ChREBPβ, whether adaptive or maladaptive, is an important determinant of β-cell fate and a potential target for the preservation of β-cell mass in diabetes.
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