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Diabetes 54:462-471, 2005
© 2005 by the American Diabetes Association, Inc.

Alteration of the Malonyl-CoA/Carnitine Palmitoyltransferase I Interaction in the ß-Cell Impairs Glucose-Induced Insulin Secretion

Laura Herrero1, Blanca Rubí2, David Sebastián1, Dolors Serra1, Guillermina Asins1, Pierre Maechler2, Marc Prentki3, and Fausto G. Hegardt1

1 Department of Biochemistry and Molecular Biology, University of Barcelona, School of Pharmacy, Barcelona, Spain
2 Department of Cell Physiology and Metabolism, University Medical Centre, Geneva, Switzerland
3 Molecular Nutrition Unit, Department of Nutrition, University of Montreal and the Montreal Diabetes Research Center, Montreal, Quebec, Canada

Carnitine palmitoyltransferase I, which is expressed in the pancreas as the liver isoform (LCPTI), catalyzes the rate-limiting step in the transport of fatty acids into the mitochondria for their oxidation. Malonyl-CoA derived from glucose metabolism regulates fatty acid oxidation by inhibiting LCPTI. To examine directly whether the availability of long-chain fatty acyl-CoA (LC-CoA) affects the regulation of insulin secretion in the ß-cell and whether malonyl-CoA may act as a metabolic coupling factor in the ß-cell, we infected INS(832/13) cells and rat islets with an adenovirus encoding a mutant form of LCPTI (Ad-LCPTI M593S) that is insensitive to malonyl-CoA. In Ad-LCPTI M593S–infected INS(832/13) cells, LCPTI activity increased sixfold. This was associated with enhanced fatty acid oxidation, at any glucose concentration, and a 60% suppression of glucose-stimulated insulin secretion (GSIS). In isolated rat islets in which LCPTI M593S was overexpressed, GSIS decreased 40%. The impairment of GSIS in Ad-LCPTI M593S–infected INS(832/13) cells was not recovered when cells were incubated with 0.25 mmol/l palmitate, indicating the deep metabolic influence of a nonregulated fatty acid oxidation system. At high glucose concentration, overexpression of a malonyl-CoA–insensitive form of LCPTI reduced partitioning of exogenous palmitate into lipid esterification products and decreased protein kinase C activation. Moreover, LCPTI M593S expression impaired KATP channel–independent GSIS in INS(832/13) cells. The LCPTI M593S mutant caused more pronounced alterations in GSIS and lipid partitioning (fat oxidation, esterification, and the level of nonesterified palmitate) than LCPTI wt in INS(832/13) cells that were transduced with these constructs. The results provide direct support for the hypothesis that the malonyl-CoA/CPTI interaction is a component of a metabolic signaling network that controls insulin secretion.


Address correspondence and reprint requests to Fausto G. Hegardt, Department of BiochemistryMolecular Biology, School of Pharmacy, Diagonal 643, E-08028 Barcelona, Spain. E-mail: fgarciaheg{at}ub.edu

Abbreviations: ACC, acetyl-CoA carboxylase; ASP, acid-soluble product; CE, cholesterol ester; CPTI, carnitine palmitoyltransferase I; DAG, diacylglycerol; ECF, enhanced chemifluorescence; FFA, free fatty acid; GSIS, glucose-stimulated insulin secretion; KRBH, Krebs-Ringer bicarbonate HEPES; LC-CoA, long-chain fatty acyl-CoA; LCPTI, liver carnitine palmitoyltransferase I; MCD, malonyl-CoA decarboxylase; MCDc, MCD in the cytosol; NEFA, nonesterified fatty acid; NE palm, nonesterified labeled palmitate; PKC, protein kinase C


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