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Diabetes 52:2731-2739, 2003
© 2003 by the American Diabetes Association, Inc.

Rapamycin Has a Deleterious Effect on MIN-6 Cells and Rat and Human Islets

Ewan Bell1, Xiaopei Cao1, Jacob A. Moibi1, Scott R. Greene1, Robert Young1, Matteo Trucco1, Zhiyong Gao1, Franz M. Matschinsky2, Shaoping Deng3, James F. Markman3, Ali Naji3, and Bryan A. Wolf1

1 Department of Pathology and Laboratory Medicine, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania
2 Department of Biochemistry and Biophysics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania
3 Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania

Rapamycin (sirolimus) is a macrolide fungicide with immunosuppressant properties that is used in human islet transplantation. Little is known about the effects of rapamycin on MIN-6 cells and islets. Rapamycin had a dose-dependent, time-dependent, and glucose-independent deleterious effect on MIN-6 cell viability. At day 1, using the MTT method, 0.01 nmol/l rapamycin reduced cell viability to 83 ± 6% of control (P < 0.05). Using the calcein AM method, at day 2, 10 nmol/l rapamycin caused a reduction in cell viability to 73 ± 5% of control (P < 0.001). Furthermore, 10 and 100 nmol/l rapamycin caused apoptosis in MIN-6 cells as assessed by the transferase-mediated dUTP nick-end labeling assay. Compared with control, there was a 3.1 ± 0.6-fold increase (P < 0.01) in apoptosis in MIN-6 cells treated with 10 nmol/l rapamycin. A supra-therapeutic rapamycin concentration of 100 nmol/l significantly impaired glucose- and carbachol-stimulated insulin secretion in rat islets and had a deleterious effect on the viability of rat and human islets, causing apoptosis of both {alpha}- and ß-cells.


Address correspondence and reprint requests to Dr. Bryan A. Wolf, Department of Pathology and Laboratory Medicine, Children’s Hospital of Philadelphia, 5135 Main, 34th Street and Civic Center Blvd., Philadelphia, PA 19104-4399. E-mail: wolfb{at}mail.med.upenn.edu


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