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Diabetes 53:1942-1948, 2004
© 2004 by the American Diabetes Association, Inc.


Perspectives in Diabetes

Does the Glucose-Dependent Insulin Secretion Mechanism Itself Cause Oxidative Stress in Pancreatic ß-Cells?

Leonid E. Fridlyand, and Louis H. Philipson

From the Department of Medicine, University of Chicago, Chicago, Illinois

Glucose-dependent insulin secretion (GDIS), reactive oxygen species (ROS) production, and oxidative stress in pancreatic ß-cells may be tightly linked processes. Here we suggest that the same pathways used in the activation of GDIS (increased glycolytic flux, ATP-to-ADP ratio, and intracellular Ca2+ concentration) can dramatically enhance ROS production and manifestations of oxidative stress and, possibly, apoptosis. The increase in ROS production and oxidative stress produced by GDIS activation itself suggests a dual role for metabolic insulin secretagogues, as an initial sharp increase in insulin secretion rate can be accompanied by progressive ß-cell injury. We propose that therapeutic strategies targeting enhancement of GDIS should be carefully considered in light of possible loss of ß-cell function and mass.


Address correspondence and reprint requests to Louis H. Philipson, Department of Medicine, MC 1027, University of Chicago, 5841 S. Maryland Ave., Chicago, IL 60637. E-mail: l-philipson{at}uchicago.edu


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