Diabetes, Vol 46, Issue 2 232-236, Copyright © 1997 by American Diabetes Association
Low stress response enhances vulnerability of islet cells in diabetes-prone BB rats
K Bellmann, L Hui, J Radons, V Burkart and H Kolb
Diabetes Research Institute at the University of Dusseldorf, Germany.
In islet cells isolated from normal outbred Wistar rats, the known high
vulnerability of islet cells toward oxygen radicals or nitric oxide can be
abolished by inducing a stress response, such as by heat shock. We show
here that islet cells from diabetes-prone BB rats are unable to mount such
a protective response. Islet cells from diabetes-prone BB rats without
recognizable insulitis were heat stressed. Subsequently, cells were exposed
to nitric oxide, to oxygen radicals, or to the beta-cell toxin
streptozotocin. While prior heat shock substantially increased the survival
of toxin-treated Wistar rat islet cells, no protective stress response was
noted for islet cells from diabetes-prone BB rats. Islet cells from
diabetes-resistant BB rats were protected by heat stress to the same extent
as Wistar rats. A survey of four additional major histocompatibility
complex (MHC)-disparate rat strains confirmed the existence of a low and
high responder type to stress. Parallel analysis of heat shock protein
(hsp)70 induction by Western blot showed a low and high hsp70 response
phenotype. A high hsp70 response coincided with a protective stress
response. The presence (or absence) of a protective stress response
correlated with the preservation (or loss) of intracellular NAD+ in
toxin-treated islet cells. The lack of a protective stress response in
islet cells from diabetes-prone BB rats, but not in diabetes-resistant BB
rats, may promote beta-cell lysis and autoantigen release, and hence could
be important for initiation or propagation of the disease process.