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Diabetes 55:305-311, 2006
DOI: 10.2337/diabetes.55.02.06.db04-1383
© 2006 by the American Diabetes Association
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Islet Study

CART Regulates Islet Hormone Secretion and Is Expressed in the ß-Cells of Type 2 Diabetic Rats

Nils Wierup1, Maria Björkqvist1, Michael J. Kuhar2, Hindrik Mulder1, and Frank Sundler1

1 Department of Experimental Medical Science, Division of Diabetes, Metabolism, and Endocrinology, Lund University, Lund, Sweden
2 Yerkes National Primate Research Center of Emory University, Atlanta, Georgia

Address correspondence and reprint requests to Nils Wierup, PhD, Lund University, Department of Experimental Medical Science, Division of Diabetes, Metabolism, and Endocrinology, BMC F10, 22 184, Lund, Sweden. E-mail: nils.wierup{at}med.lu.se

Key Words: CART, cocaine- and amphetamine-regulated transcript • DEX, dexamethasone • GLP-1, glucagon-like peptide-1 • GSIS, glucose-stimulated insulin secretion • HBSS, HEPES-buffered saline solution • IBMX, isobutyl-methylxanthine • PKA, protein kinase A • PP, pancreatic polypeptide • TEM, transmission electron microscope

Cocaine- and amphetamine-regulated transcript (CART) is an anorexigenic peptide widely expressed in the central, peripheral, and enteric nervous systems. CART is also expressed in endocrine cells, including ß-cells during rat development and {delta}-cells of adult rats. We examined the effect of CART 55–102 on islet hormone secretion, using INS-1(832/13) cells and isolated rat islets. In addition, islet CART expression was examined in two rat models of type 2 diabetes: Goto-Kakizaki (GK) rats and dexamethasone (DEX)-treated rats. At high glucose, CART potentiated cAMP-enhanced insulin secretion via the cAMP/protein kinase A-dependent pathway. In the absence of cAMP-elevating agents, CART was without effect on INS-1 cells but modestly inhibited secretion of insulin, glucagon, and somatostatin from isolated islets. CART was markedly upregulated in the ß-cells of both diabetes models. Thus, in DEX-treated rats, islet CART mRNA expression, and the number of CART-immunoreactive ß-cells were 10-fold higher than in control rats. In GK rats, the relative number of CART-expressing ß-cells was 30-fold higher than in control rats. We conclude that CART is a regulator of islet hormone secretion and that CART is upregulated in the ß-cells of type 2 diabetic rats.


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