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Fatty Acid Signaling in the ß-Cell and Insulin Secretion

¹ Department of Endocrinology, The Canberra Hospital, and the Medical School, The Australian National University, Garran, Australia
² Molecular Nutrition Unit and the Montreal Diabetes Research Center, University of Montreal, and the Centre Hospitalier de l’Université de Montréal, Montreal, Quebec, Canada

Address correspondence and reprint requests to Marc Prentki, CR-CHUM, Pavillon de Sève Y-4603, 1560 Sherbrooke Est, Montreal, Quebec H2L 4M1, Canada. E-mail: marc.prentki{at}umontreal.ca

Abbreviations: AA, arachidonic acid; AMPK, AMP-activated protein kinase; CPT, carnitine palmitoyl-transferase; DAG, diacylglycerol; FA, fatty acid; FFA, free fatty acid; FFAR, free fatty acid receptor; GSIS, glucose-stimulated insulin secretion; HSL, hormone-sensitive lipase; iPLA₂, calcium-independent ATP-stimulated phospholipase A₂; K_ATP channel, ATP-sensitive K⁺ channel; LC-CoA, long-chain acyl-CoA; MCD, malonyl-CoA decarboxylase; RNAi, RNA interference; TG, triglyceride

Fatty acids (FAs) and other lipid molecules are important for many cellular functions, including vesicle exocytosis. For the pancreatic ß-cell, while the presence of some FAs is essential for glucose-stimulated insulin secretion, FAs have enormous capacity to amplify glucose-stimulated insulin secretion, which is particularly operative in situations of ß-cell compensation for insulin resistance. In this review, we propose that FAs do this via three interdependent processes, which we have assigned to a "trident model" of ß-cell lipid signaling. The first two arms of the model implicate intracellular metabolism of FAs, whereas the third is related to membrane free fatty acid receptor (FFAR) activation. The first arm involves the AMP-activated protein kinase/malonyl-CoA/long-chain acyl-CoA (LC-CoA) signaling network in which glucose, together with other anaplerotic fuels, increases cytosolic malonyl-CoA, which inhibits FA partitioning into oxidation, thus increasing the availability of LC-CoA for signaling purposes. The second involves glucose-responsive triglyceride (TG)/free fatty acid (FFA) cycling. In this pathway, glucose promotes LC-CoA esterification to complex lipids such as TG and diacylglycerol, concomitant with glucose stimulation of lipolysis of the esterification products, with renewal of the intracellular FFA pool for reactivation to LC-CoA. The third arm involves FFA stimulation of the G-protein–coupled receptor GPR40/FFAR1, which results in enhancement of glucose-stimulated accumulation of cytosolic Ca²⁺ and consequently insulin secretion. It is possible that FFA released by the lipolysis arm of TG/FFA cycling is partly "secreted" and, via an autocrine/paracrine mechanism, is additive to exogenous FFAs in activating the FFAR1 pathway. Glucose-stimulated release of arachidonic acid from phospholipids by calcium-independent phospholipase A₂ and/or from TG/FFA cycling may also be involved. Improved knowledge of lipid signaling in the ß-cell will allow a better understanding of the mechanisms of ß-cell compensation and failure in diabetes.

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