Diabetes 53:S172-S178, 2004 © 2004 by the American Diabetes Association, Inc.
The Role of Cytosolic Phospholipase A2 in Insulin SecretionFrom the Centre for Reproduction, Endocrinology and Diabetes, GKT School of Biomedical Sciences, Kings College London, London, U.K
Cytosolic phospholipase A2 (cPLA2) comprises a widely expressed family of enzymes, some members of which have the properties required of signal transduction elements in electrically excitable cells. Thus, - and ß-isoforms of cPLA2 are activated by the increases in intracellular Ca2+ concentration ([Ca2+]i) achieved in depolarized cells. Activation is associated with a redistribution of the enzyme within the cell; activation of cPLA2 generates arachidonic acid (AA), a biologically active unsaturated fatty acid that can be further metabolized to generate a plethora of biologically active molecules. Studies using relatively nonselective pharmacological inhibitors have implicated cPLA2 in insulin secretory responses to stimuli that elevate ß-cell [Ca2+]i; therefore, we have investigated the role of cPLA2 in ß-cell function by generating ß-cell lines that under- or overexpress the -isoform of cPLA2. The functional phenotype of the modified cells was assessed by observation of cellular ultrastructure, by measuring insulin gene expression and insulin protein content, and by measuring the effects of insulin secretagogues on cPLA2 distribution, on changes in [Ca2+]i, and on the rate and pattern of insulin secretion. Our results suggest that cPLA2 is not required for the initiation of insulin secretion from ß-cells, but that it plays an important role in the maintenance of ß-cell insulin stores. Our data also demonstrate that excessive production of, or exposure to, AA is deleterious to normal ß-cell secretory function through metabolic dysfunction.
There is a body of literature suggesting that the long-chain polyunsaturated fatty acid arachidonic acid (AA) is involved in the regulation of insulin secretion from pancreatic ß-cells, either as intact AA or as biologically active metabolites generated by the action of oxygenase enzymes (1). The abundance of AA in islets suggests an important roleAA constitutes at least 30% of the fatty acyl content of islet glycerophospholipids, compared with only 15% in the exocrine pancreas (2)and exogenous AA can initiate an insulin secretory response from intact and permeabilized islets (35). One obvious generator of AA as a second messenger is the phospholipase A2 (PLA2) family of proteins. These enzymes catalyze the hydrolysis of membrane glycerophospholipids to release AA and are ubiquitously expressed in mammalian cells. However, earlier studies implicating PLA2 and AA in stimulus-response coupling in ß-cells could not explain how the PLA2 activity was regulated by insulin secretagogues, since the PLA2 enzymes identified at that time required millimolar concentrations of Ca2+ for activation (1). These PLA2 enzymes, also known as secretory PLA2, were classified into two types (I and II) on the basis of their primary structure (6). However, the more recent identification of other ß-cell PLA2 activities that are sensitive to intracellular concentrations of Ca2+ (5,79) or ATP (10) offered effector molecules through which regulated PLA2 activities could control the insulin secretory process by changes in intracellular AA. The ATP-sensitive group VIA PLA2 enzyme, now designated iPLA2ß, is an important islet PLA2 species that is expressed in ß-cells (10,11). The iPLA2ß enzyme does not require Ca2+ for catalytic activity and is inhibited by a bromoenol lactone (BEL) suicide substrate (1114). It is activated by millimolar concentrations of ATP (in the presence of Mg2+) and inhibited by ADP (15); therefore, it is possible that the increased ATP/ADP ratio after nutrient metabolism may activate this enzyme, much in the same way as the ATP-sensitive K+ channels are thought to be sensitive to the ATP/ADP ratio rather than to ATP levels per se. The majority of studies on the role of iPLA2ß in ß-cell function have been performed using rat islets and the HIT-T15 ß-cell line, but iPLA2ß activity has also been quantified in human islets (10). An absolute requirement for iPLA2ß in the physiological regulation of insulin secretion has not been established, but there are several lines of evidence to suggest that it plays an important role. Thus, the secretory response to glucose in rat islets and ß-cell lines is inhibited by BEL (11,16). Loss of glucose responsiveness of ß-cell lines is associated with a decline in iPLA2ß activity (16), and potentiation of insulin release by cholecystokinin may be mediated, at least in part, through the activation of iPLA2ß (17).
The type IV cytosolic phospholipase A2 (cPLA2) enzymes are also phospholipase activities that can be regulated by intracellular signals known to be important in regulating ß-cell function (18,19). Thus, cPLA2 is a family of enzymes comprised of proteins of the predicted molecular masses of 85 kDa (cPLA2
Most studies of cPLA2 have focused on the physiological roles of the
Studies using pharmacological inhibitors of PLA2 cannot be considered as conclusive because of the overlapping specificities of the inhibitors for the many different classes of PLA2 enzymes expressed in most cells. For example, earlier studies on insulin secretion using the then available PLA2 inhibitors are difficult to interpret because many of these compounds have multiple effects, not always related to PLA2 activity (1). Similarly, the newer classes of AA-like PLA2 inhibitors do not differentiate between cPLA2 and the Ca2+-independent PLA2 activity, nor do they discriminate between the cPLA2 isoforms (19). Furthermore, the BEL inhibitor of iPLA2ß suppresses the effect of glucose on the ATP:ADP ratio in mouse islets (23), which may account for some of its inhibitory effects on glucose-induced insulin secretion (11,16). To circumvent the use of pharmacological inhibitors, we chose to investigate the role of cPLA2
Human islets of Langerhans were obtained with appropriate consent from the Human Islet Transplantation Unit at Kings College London (via Dr. G.-C. Huang and Prof. S. Amiel). Rat islets were isolated by collagenase digestion of whole rat pancreas. MIN6 cells were obtained from Dr. Y. Oka and Prof. J.-I. Miyazaki (University of Tokyo) and stably transfected with vectors encoding the full-length mouse cPLA2 cDNA (a gift from Dr. B. Kennedy, Merck Frosst, PQ, Canada) in the pcDNA3.1 vector (Stratagene Europe, Amsterdam, the Netherlands) as described (24). cPLA2 immunoreactivity was detected by Western blotting (24) or fluorescence immunocytochemistry (25) using an anti-cPLA2 antibody (Genetics Institute, Cambridge, MA). PLA2 enzyme activity was measured by quantifying the release of [3H]-AA from the sn-2 position of phosphatidylcholine L -stearoyl-2-[3H]-arachidonyl (3H-PC). Briefly, 3H-PC (2 µmol/l, 4 Ci/mmol) was incubated (10 min, 37°C) with tissue extracts in a final volume of 25 µl Tris buffer (pH 8.0) containing 50% glycerol (vol/vol), 1 mmol/l dithiothreitol, 0.5 mmol/l NaVO4, 0.25 mmol/l NaF, 0.1 mmol/l EDTA, 0.1 mmol/l EGTA, 20 µmol/l E64, 20 µmol/l tosyl-L-lysine chloromethyl ketone, 10 µmol/l okadaic acid, 0.1% ß-mercaptoethanol (vol/vol), and 50 µg/ml leupeptin and supplemented with either 0.8 mmol/l CaCl2 or 1 mmol/l EGTA. Reactions were terminated, and products were extracted by the addition of butanol (40 µl, 4°C). [3H]-AA was separated from an uncleaved substrate by thin-layer chromatography on silica thin-layer gels using petroleum ether:diethyl ether:glacial acetic acid 70:30:1 (vol/vol/vol) and quantified by liquid scintillation counting. Changes in [Ca2+]i in MIN6 cells were assessed by single-cell microfluorimetry of Fura-2 loaded cells (26). Changes in intracellular NAD(P)H were assessed by measuring NAD(P)H autofluorescence in MIN6 cell suspensions. The rate and pattern of insulin release was assessed using a multi-chamber perifusion system at 37°C in a temperature-controlled environment (24). To maximize secretory responses, MIN6 cells were configured as pseudoislets for secretion experiments (27). Insulin content was measured by radioimmunoassay (28), and quantitative measurements of (pre)proinsulin mRNA were obtained using real-time quantitative PCR with GAPDH as an internal standard (29). Electron micrographs were prepared by the Electron Microscope Unit at Kings College London using standard techniques. Data are expressed as means ± SE and were analyzed using ANOVA, Students t test, and Bonferronis multiple comparison test as appropriate. Differences between treatments were considered significant at P < 0.05.
Expression, distribution, and translocation of cPLA2 in ß-cells. As has been reported previously (5,7,8), islets and ß-cell lines express cPLA2 immunoreactivity and enzyme activity. Figure 1A shows immunoreactive cPLA2 in extracts of the mouse MIN6 insulin-secreting cell line (lanes 1 and 3) and human islets (lane 2). Whereas MIN6 cells contain only one immunoreactive protein migrating as cPLA2 , human islets also express another lower molecular weight immunoreactivity that may represent the recently identified cPLA2 isoform (20). At present, it is not known whether this lower molecular weight immunoreactivity is expressed in human ß-cells or in another islet cell type. The cPLA2 enzymes are so named because, in many cell types, they are primarily localized in the cytosol, and enzyme activity is regulated through Ca2+-dependent translocation to membrane compartments enriched in the phosphatidylcholine substrate (18,30). Figure 1B shows Ca2+-dependent and Ca2+-independent PLA2 enzyme activities in fractions prepared from unstimulated rat islets, where the EGTA-inhibited activity most likely reflects the Ca2+-dependent type IV cPLA2 activity. The Ca2+-insensitive PLA2 activity, detected in the presence of EGTA, was largely confined to the cytosol, whereas the Ca2+-sensitive cPLA2 activity was found in both the cytosolic and particulate fractions.
These biochemical measurements are supported by our fluorescence immunocytochemical localization of cPLA2 in monolayer MIN6 cells, as shown in Fig. 1C. Under unstimulated conditions (2 mmol/l glucose), cPLA2 immunoreactivity was distributed throughout the cell, including the nuclear compartment, as shown in the left panel of Fig. 1C, and elevations in [Ca2+]i caused a redistribution of the cPLA2 immunoreactivity in MIN6 ß-cells. In these experiments, exposure to tolbutamide (100 µmol/l) caused a time-dependent redistribution of cPLA2 immunoreactivity from the nuclei of MIN6 cells to the cytoplasm (Fig. 1C, right panel), and a similar response was caused by exposure to a depolarizing concentration of KCl and, to a lesser extent, to a stimulatory concentration of glucose (25). Although unusual, this distribution of cPLA2 is not unique to ß-cells because bovine endothelial cells are reported to exhibit a basal nuclear localization of cPLA2, which translocates from the nucleus in response to Ca2+-mobilizing stimuli (31). We suggest that the redistribution of cPLA2 in stimulated ß-cells may allow agents that increase [Ca2+]i to rapidly increase cPLA2 activity in the cytoplasm by promoting its translocation from the nucleus, in a similar manner to the regulation of hepatic glucokinase by its export from the nucleus to the cytoplasm (32,33). Whatever the functional significance of the Ca2+-induced translocation of ß-cell cPLA2 from the nucleus, it is consistent with a stimulus-dependent activation of the enzyme, and the subsequent generation of AA, being involved in stimulus-secretion coupling. In support of this chain of events, Fig. 1D shows that exogenously applied AA (50 µmol/l) stimulated insulin secretion from human islets in the presence of a substimulatory concentration of glucose (2 mmol/l), suggesting that elevated levels of AA are sufficient to initiate a secretory response.
Functional phenotype of cPLA2-deficient ß-cells.
Although they appeared able to respond normally to nutrient and nonnutrient stimuli, the cPLA2-deficient cells were unable to mount prolonged secretory responses to maintained stimulation, as shown in Fig. 2B. Thus, a subsequent exposure to the adenylate cyclase activator forskolin in the presence of 20 mmol/l glucose caused a further increase in the rate of insulin secretion that was maintained in control cells, but was both lesser ( 8-fold vs. 18-fold) and transient in cPLA2-deficient cells, returning to preforskolin rates within 10 min. The inability to maintain a high rate of secretion was independent of the stimulus, and similar results were obtained with the protein kinase C activator phorbol myristate acetate in combination with glucose, tolbutamide, or KCl (24). The lower basal rate of insulin secretion and the inability to maintain secretion correlated well with the severely reduced insulin content of the cPLA2-deficient MIN6 cells: the clone used for the secretion experiments in Fig. 2 contained only 8.1 ± 1.6% (n = 5) of the insulin content of control MIN6 cells transfected with an empty vector. We therefore suggest that the cPLA2 underexpressing ß-cells have sufficient intracellular stores of insulin for an initial secretory response (albeit reduced in mass in accordance with the reduced insulin content) but insufficient to maintain secretion in response to a strong prolonged stimulus. It is not immediately apparent why cPLA2 deficiency should cause such marked reductions in insulin content, but it cannot be accounted for by reduced insulin gene transcription because quantitative RT-PCR demonstrated similar levels of preproinsulin mRNA in cPLA2-deficient and control cells (cPLA2-deficient 84 ± 16% control, n = 3), suggesting a defect in translation, processing, or packaging of (pre)proinsulin. In other tissues, cPLA2 has been implicated in maintaining the stability of the Golgi apparatus to enable appropriate intracellular vesicle trafficking (34), and this would be consistent with reported changes in ultrastructure of cPLA2-deficient MIN6 cells (24). Thus, in accordance with their reduced insulin content, these cells contained very few typical dense-cored insulin-containing secretory vesicles and large numbers of nonelectron dense vesicles (24). Further studies are required to determine whether the reduced content of insulin-containing dense-cored secretory vesicles is due to defective packaging of the vesicles or to defective processing and crystallization of insulin.
In summary, the functional phenotype of ß-cells deficient in cPLA2
Functional phenotype of cPLA2-overexpressing ß-cells.
Measurements of NAD(P)H autofluorescence as an indirect assessment of oxidative phosphorylation revealed a major metabolic defect in the cPLA2-overexpressing cells. Thus, exposure to 25 mmol/l glucose caused a rapid and reversible increase in NAD(P)H autofluorescence in control MIN6 cells that was almost completely absent in the cPLA2-overexpressing cells (data not shown). These observations may explain the defective secretory phenotype of the cPLA2-overexpressing cells, since uncoupling nutrient metabolism from ATP production will prevent the ATP-dependent depolarization that initiates the insulin secretory response. The underlying cause of this defective metabolism is likely to be the chronic overproduction of the long-chain unsaturated fatty acid AA by the overexpressed cPLA2 in the sense transfects. There is a growing body of evidence that prolonged exposure to fatty acids can compromise ß-cell function (35,36), with inhibition of glucose-induced insulin secretion being caused by sustained exposure to high levels of free fatty acids (37,38). The inhibitory effects on secretion appear to be confined to nutrient stimuli, with normal responses being maintained to nonnutrients (37,38), suggesting that excessive exposure to fatty acids perturbs ß-cell metabolic pathways proximal to elevated [Ca2+]i, in accordance with the secretory phenotype of our cPLA2-overexpressing MIN6 cells. One link between fatty acid excess and mitochondrial dysfunction is uncoupling protein 2 (UCP2), which dissipates mitochondrial proton gradients, thus increasing the activity of respiratory chain complex enzymes and the oxidation of NADH. High concentrations of fatty acids, including AA (39,40), can upregulate expression of UCP2 in a number of tissues, including ß-cells (41,42), and UCP2 upregulation is associated with reduced nutrient-induced insulin secretion (4345) Our measurements of UCP2 mRNA demonstrate an upregulation of UCP2 expression in the cPLA2-overexpressing cells, with mRNA levels of up to 256 ± 28% control values (P < 0.001), presumably in response to the high local concentrations of AA in these cells. These results suggest that the uncoupling of oxidative phosphorylation from mitochondrial ATP generation is responsible for the defective secretory phenotype of the cPLA2-overexpressing cells and are consistent with UCP2 upregulation being involved in ß-cell dysfunction in type 2 diabetes (44,45). The cPLA2-overexpressing MIN6 cells may offer a useful experimental model in which to study the effects of chronic exposure to fatty acids on ß-cell (dys)function.
In conclusion, our expectation at the outset of these studies was to confirm an important role for cPLA2
We are grateful to Diabetes UK for project grant support (RD97/0001525). C.J.B. is a Diabetes Research and Wellness Foundation fellow. V.D.B. was funded by the Eli Lilly International Foundation. H.M.R.-M. was funded by a Biotechnology and Biological Sciences Research Counsel Animal Sciences Committee postgraduate studentship. We are grateful to Dr. Paul Squires (Warwick University, U.K.) for measurements of [Ca2+]i, to Dr. K.J. Parker (Kings College London) for the PLA2 enzyme assay, and to Nicholas Evans (Kings College London) for measurements of NAD(P)H autofluorescence in MIN6 cells. We thank Dr. Y. Oka and Prof. J.I. Miyazaki (University of Tokyo) for provision of the MIN6 cells, Dr. B. Kennedy (Merck Frosst, PQ, Canada) for the cPLA2 cDNA, Dr. R. Kramer (Eli Lilly, Indianapolis, IL) for the cPLA2 antiserum, and Dr. G.-C. Huang and Prof. S. Amiel (Kings College London) for the human islets.
This article is based on a presentation at a symposium. The symposium and the publication of this article were made possible by an unrestricted educational grant from Les Laboratoires Servier. Address correspondence and reprint requests to P.M. Jones, Room 3.2A, New Hunts House, CRED, GKT School of Biomedical Sciences, Kings College London, London SE1 1UL, U.K. E-mail: peter.jones{at}kcl.ac.uk Received for publication March 13, 2003 and accepted in revised form May 1, 2003
Abbreviations: AA, arachidonic acid; BEL, bromoenol lactone; [Ca2+]i, intracellular Ca2+ concentration; cPLA2, cytosolic phospholipase A2; PLA2, phospholipase A2; UPC2, uncoupling protein 2
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