Diabetes 54:2132-2142, 2005 © 2005 by the American Diabetes Association, Inc. Redox Control of ExocytosisRegulatory Role of NADPH, Thioredoxin, and Glutaredoxin
1 Department of Physiological Sciences, Lund University, Lund, Sweden
Cellular redox state is an important metabolic variable, influencing many aspects of cell function like growth, apoptosis, and reductive biosynthesis. In this report, we identify NADPH as a candidate signaling molecule for exocytosis in neuroendocrine cells. In pancreatic ß-cells, glucose acutely raised the NADPH-to-NADP+ ratio and stimulated insulin release in parallel. Furthermore, intracellular addition of NADPH directly stimulated exocytosis of insulin granules. Effects of NADPH on exocytosis are proposed to be mediated by the redox proteins glutaredoxin (GRX) and thioredoxin (TRX) on the basis of the following evidence: 1) Expression of GRX mRNA is very high in ß-cells compared with other studied tissues, and GRX protein expression is high in islets and in brain; 2) GRX and TRX are localized in distinct microdomains in the cytosol of ß-cells; and 3) microinjection of recombinant GRX potentiated effects of NADPH on exocytosis, whereas TRX antagonized the NADPH effect. We propose that the NADPH/GRX/TRX redox regulation mediates a novel signaling pathway of nutrient-induced insulin secretion.
Address correspondence and reprint requests to Frans C. Schuit, Department of Molecular Cell Biology, Katholieke Universiteit Leuven, Herestraat 49, B-3000 Leuven, Belgium. E-mail: frans.schuit{at}med.kuleuven.ac.be or Erik Renström, Department of Physiological Sciences, Lund University, BMC B11, SE 22184 Lund, Sweden. E-mail: erik.renstrom{at}mphy.lu.se
Abbreviations: GRX, glutaredoxin; KATP channel, ATP-sensitive K+ channel; TRX, thioredoxin Glucose-stimulated insulin release from pancreatic ß-cells is a model for regulated exocytosis in neuroendocrine cells and one of great physiological importance (1–3). Glucose triggers exocytosis via closure of ATP-sensitive K+ channels (KATP channels), causing a rise in cytosolic calcium (4). Pharmacological experiments indicated that KATP channel–independent pathways exist; however, the nature of which is unclear (5). When considering potentially relevant metabolic signaling molecules that may stimulate insulin release independently of closure of KATP channels, the redox state of ß-cells has been correlated to secretory function (6,7), but the causal relation remains undetermined. In particular, the reduced pyridine nucleotides NADH and NADPH are interesting candidate regulators of exocytosis. First, upon stimulation with high glucose, a rapid shift of the redox state of individual pancreatic ß-cells has been observed by fluorescence-activated cell sorting (7,8) as well as fluorescence microscopy techniques (9,10). The redox shift has been linked to a biochemically defined increase in cellular NADPH content (11–13). The difference in the redox state of individual ß-cells (8) was associated to cellular heterogeneity in glucose metabolism (14). In addition to the acute effects, the chronic state of ß-cell secretory performance has been correlated to the activity of metabolic pathways that are instrumental in either NADPH generation, such as citrate cataplerosis (15,16) and pyruvate cycling (17), or glycolysis coupled to mitochondrial NADH shuttle systems (18,19). To date, however, the cellular redox state and secretory capacity of the ß-cell are correlated events without providing evidence if any of the redox nucleotides are directly responsible in the control of insulin release. To address these issues, we measured the acute effects of glucose on the cellular content of the individual nucleotides and assessed their efficacy in potentiating insulin exocytosis. Finally, as glutaredoxin (GRX) and thioredoxin (TRX) are the main redox acceptor proteins for NADPH electrons (20), we assessed the expression of these proteins in islet ß-cells and investigated their functional role in NADPH-mediated exocytosis.
Cell purification and culture. Rat ß-cells were purified from male Wistar rats after collagenase digestion of the pancreata, handpicking of the islets of Langerhans, dissociation of islets into single cells by trypsin in calcium-free medium, and autofluorescence-activated cell sorting (7,21). Cell purity and viability were 90%. ß-Cells were reaggregated briefly and cultured for 16 h in serum-free Hams F10 medium containing 1% BSA and 10 mmol/l glucose before experimentation. MIN6 cells (obtained from Drs. H. Ishihara and Y. Oka, Sendai, Japan), which are known to be glucose responsive in terms of metabolism and insulin release (22), were cultured in Dulbeccos modified Eagles medium containing 25 mmol/l glucose and 15% heat-inactivated FCS. Cells were only used below passage number 33. INS-1E cells (passage 65) were cultured in RPMI 1640 medium supplemented with 10% FCS, 100 µg/ml penicillin, 100 µg/ml streptomycin, and 50 µmol/l 2-mercaptoethanol. PC12 cells were cultured in RPMI 1640 medium supplemented with 10 mmol/l HEPES, 1 mmol/l Na-pyruvate, 5% horse serum, 10% FCS, 100 IU/ml penicillin, and 0.1 mg/ml streptomycin. For RNA analysis, expression of GRX1 and TRX1 was studied in freshly isolated islet ß-cells and non–ß-cells and snap-frozen liver, muscle, fat, brain, pituitary, lung, and kidney from male Wistar rats. For Western blots, islets and control tissues were taken from female Sprague Dawley rats.
Measuring pyridine nucleotides.
Insulin release.
Patch-clamp experiments.
mRNA expression analysis. The mRNA expression profile of rat purified ß-cells as well as from control tissues (liver, muscle, fat, brain, lung, pituitary, and kidney) were analyzed using rat 230A microarrays from Affymetrix (Santa Clara, CA). Total RNA was used to prepare biotinylated cRNA according to the standard Affymetrix protocol. Briefly, total RNA was reverse transcribed using the SuperScript Choice System (Invitrogen, Carlsbad, CA) via oligo-dT primers containing a T7 RNA polymerase promotor site. Complementary DNA was in vitro transcribed and labeled using the RNA transcript labeling kit (Enzo, Farmingdale, NY). The concentration of labeled cRNA was measured using the NanoDrop ND-1000 spectrophotometer. Labeled cRNA was fragmented in a fragmentation buffer during 35 min at 94°C. The quality of labeled and fragmented cRNA was analyzed using the Bioanalyzer 2100 (Agilent, Waldbronn, Germany). Fragmented cRNA was hybridized to the array during 16 h at 45°C. The arrays were washed and stained in a fluidics station (Affymetrix) and scanned using the Affymetrix 3000 GeneScanner. Raw data were analyzed using the Affymetrix GCOS software. Signal intensities were scaled using the global scaling method, taking 150 as target intensity value. Scaling factors were less than three times different from each other in all used arrays. Signal intensities for GRX and TRX were compared between individual arrays from ß-cells (n = 3) on the one hand and the eight control tissues (islet non–ß-cells, liver, muscle, fat, brain, pituitary, lung, and kidney; n = 3 each), allowing GCOS analysis of 72 pairwise comparisons between ß-cell samples and the tissue samples. Mean GRX1-to-actin and TRX1-to-actin signal ratios in ß-cells and other tissues were also compared using two-tailed unpaired Students t tests, taking P < 0.01 as threshold for significance. To confirm the microarray data by quantitative RT-PCR, cDNA was prepared from total RNA using random hexamer primers and moloney murine leukemia virus reverse transcriptase (RevertAid H Minus First Strand cDNA synthesis kit; Fermentas, St. Leon-Rot, Germany), following the manufacturers protocol. Primers and dual-labeled probes (Table 1) were designed using OligoAnalyzer 3.0 software (available from http://biotools.idtdna.com/analyzer/). ß-Actin primers and dual-labeled probe were synthesized by Proligo (Paris, France) and those for GRX1 and TRX1 by Eurogentec (Seraing, Belgium). Real-time PCR was performed on a Rotor-Gene 3000 instrument (Corbett Research, Mortlake, Australia), using ABsolute QPCR Mix (ABgene, Epsom, U.K.), according to the manufacturers instructions. Cycle threshold values were determined by Rotor-Gene 6.0.16 software. All samples were amplified in duplicate reactions, and every experiment was repeated using cDNA samples from independent tissue/cell preparations. In each run, two no-template controls were used for the transcripts under investigation to test for contamination of reagents. Real-time PCR cycling conditions were the following for GRX1: initial denaturation/polymerase activation step at 95°C for 15 min, followed by 45 cycles of denaturation at 95°C for 20 s and annealing/elongation at 57°C for 60 s; for TRX1: the same, but annealing/elongation step at 60°C. For each transcript, serial dilutions of a control template were used to generate standard curves (cycle threshold versus cDNA concentration). Reaction efficiencies (E) were calculated from the slopes of the standard curves, according to the following equation: E = 10(–1/slope). All transcripts were amplified with high efficiencies (E ranging from 1.83 to 2.00), and linear regression of all standard curves showed a high linear correlation r2 > 0.990). The relative expression of target mRNA levels were calculated as a ratio relative to the ß-actin reference mRNA (25).
Protein expression analysis for GRX and TRX. Tissue samples (lung, kidney, liver, brain, skeletal muscle [m. soleus], and fat [intraperitoneal]) were collected from female Sprague Dawley rats. Islets of Langerhans were isolated from rats by collagenase digestion of pancreas followed by handpicking. Tissues and islets were quickly frozen in liquid nitrogen and stored in –80°C until homogenization. Tissue samples, islets, and INS-1E cells (obtained from Dr. C.B. Wollheim, University of Geneva, Geneva, Switzerland) were homogenized in 50 mmol/l TES buffer, pH 7.4, containing 250 mmol/l sucrose, 1 mmol/l EDTA, 0.1 µmol/l EGTA, and complete protease inhibitor cocktail (Roche, Stockholm, Sweden) on ice using an ULTRA-TURRAX (IKA-WERK; Janke & Kunkel, Staufen, Germany) or by repeated aspiration through a needle (Ø0.4 µm). After homogenization, tissue debris was removed by centrifugation (20,000g, 15 min, 4°C), and the supernatants were collected. Protein content of the extract was measured using a kit (DC protein assay; Bio-Rad, Hercules, CA). Forty micrograms of total protein content were electrophoresed on 12% SDS-PAGE, and the separated proteins were transferred onto a polyvinylidine fluoride membrane (Amersham Pharmacia Biotech, Uppsala, Sweden). The membrane was blocked with 5.0% nonfat dry milk in Tris-buffered saline with Tween (pH 7.4; 0.15 mol/l NaCl, 10 mmol/l Tris-HCl, and 0.1% Tween 20) for 1 h at room temperature or overnight at 4°C. After blocking, the membrane was incubated with polyclonal rabbit anti-GRX (1:250) and anti-TRX antibody (1:1,000) (a gift from Dr. Barcena, University of Cordoba, Cordoba, Spain [26]) and monoclonal mouse anti-ß actin (1:15,000) in Tris-buffered saline with Tween for 1 h at room temperature. After washing with Tris-buffered saline with Tween, the membrane was incubated with peroxidase-linked anti-rabbit IgG (dilution 1:5,000; Amersham Bioschience) or peroxidase-linked anti-mouse IgG (dilution 1:20,000; Jackson ImmunoResearch,West Groove, PA) for 1 h at room temperature. Detection was done by an enhanced chemiluminescence kit (Amersham). Quantification of protein band densities was calculated by Scion Image software (Scion, Frederick, MD).
Light microscopic GRX and TRX immunostaining.
Electron microscopy and analysis of electron micrographs.
The biochemical analysis consisted of cellular extractions and determination of pyridine nucleotide levels after 30-min incubations at different glucose concentrations, using a sensitive enzymatic cycling method. Overall rates of glucose oxidation accelerated about fourfold in both fluorescence-activated cell sorter–purified rat ß-cells and in the glucose-responsive murine ß-cell line MIN6 when the extracellular substrate level was raised from 1 to 10 mmol/l (data not shown). In both primary ß-cells and MIN6 cells, glucose consistently increased the cellular NADPH content (Fig. 1A). Assuming a water space of 0.6 pl per rat ß-cell (28) and a uniform nucleotide distribution in the cellular water space, the average NADPH concentration in primary rat ß-cells was noted to increase from 42 µmol/l in 1 mmol/l glucose to 69 µmol/l at 10 mmol/l glucose, which is close to previous biochemical measurements of the NAPDH content in rat islets (13). The steepest increase occurred between the physiological interval of 5–10 mmol/l glucose (Fig. 1A), while a further rise up to 80 µmol/l was observed in the presence of 20 mmol/l glucose. The sum of NADPH and NADP+ was unchanged when glucose levels were increased, indicating that a shift of redox state from NADP+ to NADPH occurs, as was expected (Fig. 1A). Elevation of glucose caused a significant increase in NADPH and a decrease in NADP+ in both primary ß-cells (Fig. 1A) and INS1 cells (Fig. 1B). Consequently, the glucose-induced rise in the NADPH-to-NADP+ ratio (Fig. 2A) was more prominent (almost fourfold over the whole concentration range tested) than that of NADPH content (twofold increase between 1 and 20 mmol/l glucose). In rat ß-cells, the ratios averaged 0.40 ± 0.05 vs. 0.93 ± 0.20 at 1 and 10 mmol/l glucose, respectively (n = 5, P = 0.03). Insulin release was measured during static incubations from the same cell types during the same time period as the analysis of pyridine nucleotide content (Fig. 2B). The cellular NADPH-to-NADP+ ratio correlated strongly to the measured rates of insulin release (R2 = 0.87, P = 0.0001; Fig. 2C). Interestingly, the dose-response curves of the glucose-dependent rise in the NADPH-to-NADP+ ratio and insulin release were hyperbolic in MIN6 cells and sigmoidal in rat ß-cells (Fig. 2A and B).
To assess if changes in the cytosolic NADPH concentration directly influence exocytosis, we next used the standard whole-cell configuration of the patch-clamp technique combined with capacitance measurements of exocytosis (23). As illustrated in Fig. 3, addition of 100 µmol/l NADPH stimulated the increase in membrane capacitance elicited by trains of ten voltage-clamp depolarizations by 84 and 102% over that observed using the control patch electrode solution in both mouse and rat ß-cells, respectively. The dose and time dependency of this effect is compatible with a rapid and physiological effect on insulin release for the following reasons. First, significant acceleration of exocytosis was detected well within 1 min of injection of the pyridine nucleotide, indicating a prompt effect on the insulin release machinery (24). Second, the concentration-response curve (Fig. 3G and H) indicates that 100 µmol/l NADPH is a saturating concentration, and half-maximal activation is attained at 45 µmol/l (i.e., close to the mean concentration estimated in intact ß-cells during incubations with physiological glucose concentrations). In the absence of ATP, Ca2+-elicited exocytosis was suppressed and NADPH failed to stimulate release rates (Fig. 4A and B). Our interpretation of this data is that the action of the pyridine nucleotide is distinct from, and requires, ATP-dependent priming of the dense core granules (23,24). Since glucose not only increases NADPH but also decreases NADP+ (Fig. 1A), thereby changing the NADPH-to-NADP+ ratio to a greater extent than that of the absolute NADPH concentration, we next tested if coinjection of NADP+ could also affect exocytosis. Figure 4C and D shows that the effect of the saturating concentration of NADPH (100 µmol/l) was completely abolished by a threefold molar excess of NADP+, while injection of the oxidized nucleotide alone did not influence exocytosis. Since the NADPH-to-NADP+ ratio shifts in intact rat and mouse ß-cells from 0.4 in the absence of glucose to 1.5 in the presence of 20 mmol/l glucose (Fig. 2A), NADP+ appears to be an antagonist of the effect of NADPH so that glucose has two actions on the putative pyridine nucleotide–sensitive target(s): 1) generation of an activator and 2) removal of an inactivator. This situation would be analogous to the glucose-induced shift in the adenine nucleotides ADP and ATP (29), which have inverse effects on KATP channels (30). To further clarify the roles of pyridine nucleotides as putative signaling molecules for exocytosis, glucose-induced changes in NADH were measured and effects of NADH on exocytosis were quantified. While glucose raised the content of NADH in rat ß-cells (Fig. 1C) and MIN6 cells (Fig. 1D), this effect was small over the tested range of glucose concentrations. Furthermore, there was no detectable decrease in NAD+ in MIN6 cells, and the measured NADH-to-NAD+ ratios in these cells were between 3 and 10 times lower than in rat ß-cells, the latter being close to that previously reported in rat islets ex vivo (13). Consequently, in the pooled dataset of ß-cells and MIN6 cells, the cellular NADH-to-NAD+ ratio was not correlated to the rate of insulin release (Fig. 2D), but a positive correlation might be present when data of primary ß-cells are considered separately from those of MIN6 cells. Moreover, the glucose depencency of the NADH-to-NAD+ ratio was linear rather than hyperbolic or sigmoidal (Fig. 2A). At the electrophysiological level, the addition of 300 µmol/l NADH in the patch-clamp analysis did not mimic the effects of NADPH. As can been seen in Fig. 4E and F, this condition did not stimulate exocytosis; in fact, a modest but consistent inhibition was observed. As such, these data not only exclude a nonspecific reaction but makes it also unlikely that the effects on insulin exocytosis are causally related to the glycolytic production of NADH (18,19). To address the issue of cellular specificity, our experimental design was repeated in catecholamine-releasing PC12 cells, a well-characterized model of regulated exocytosis (Fig. 4G and H). Similarly, in this model, the intracellular addition of NADPH elevated Ca2+-elicited membrane capacitance by 50%, suggesting that this pyridine nucleotide plays a novel and thus far unrecognized role in the potentiation of Ca2+-regulated exocytosis. To explore the mechanism of the NADPH-mediated actions on the exocytotic machinery, we assessed the possibility that particular redox acceptor proteins (20) might mediate the effect of NADPH on exocytosis. In line with this hypothesis, we examined the expression level of the GRX1 and TRX1 genes at both the mRNA (Fig. 5A) and protein (Fig. 5B) levels. Using Affymetrix microarrays, we observed that expression signals of GRX1 mRNA were significantly higher in pancreatic ß-cells than in flow-sorted islet non–ß-cells as well as seven tested extrapancreatic tissues (Fig. 5A; P < 0.01 for all comparisons). Moreover, all 72 pairwise comparisons of the 3 ß-cell samples, with 24 samples from other cells and tissue (Affymetrix GCOS program), gave "increased in ß-cells" calls, the mean signal log ratio of these comparisons being 1.7 and the lowest value 0.9. On the contrary, TRX1 mRNA signals in ß-cells were significantly lower than those in liver, fat, lung, and kidney (P < 0.001); Fig. 5B). These data were corroborated by quantitative RT-PCR analaysis, with a few minor differences like a higher GRX1 mRNA signal in liver and a lower TRX1 signal in adipose tissue. At the protein level, we observed high expression of GRX in both pancreatic islets and in INS1 cells as well as in brain (Fig. 5B) and intermediate signals in adipose tissue. Interestingly, the TRX1 protein level was highest in islets and INS1 cells and lowest in liver and muscle, while the inverse situation was observed for mRNA levels.
To assess whether islet TRX and GRX can be localized in ß-cells, we performed light microscopic analysis of dissociated islet rat cells. Figure 6A shows that TRX and GRX immunostaining of ß-cells using polyclonal TRX and GRX antibodies (26) exhibits a punctuate distribution pattern. Higher-resolution immunostaining of the inner face of the plasma membrane suggests the two redox proteins are present in a nonuniform clustered distribution that is disctinct from SNAP25 in lipid rafts (Fig. 6B). At the electron microscopic level, it was further documented that GRX preferentially localizes in particular subcellular domains such as the nucleus and secretory granules (Fig. 6C and D).
To assess the potential functional relevance of GRX and TRX for insulin secretion, we next studied the effect of an altered GRX-to-TRX ratio upon NADPH-induced exocytosis by coadministration of GRX or TRX together with NADPH (100 µmol/l) in the intracellular pipette solution. As is shown in Fig. 7A and B, a supplement of GRX (1 µmol/l) further augmented NADPH- and depolarization-elicited exocytosis by 54% (P < 0.05); on the contrary, addition of extra TRX (1 µmol/l) completely counteracted the stimulatory action of NADPH and reduced the exocytotic response by 66% (P < 0.01). It was verified that the stimulation of insulin release by GRX was specific for NADPH. Indeed, when NADH (100 µmol/l) was included in the intracellular solution instead of NADPH, GRX failed to enhance depolarization-evoked exocytosis (172 ± 28 fF, n = 6 and 210 ± 44, n = 13, with and without GRX, respectively, means ± SE). Moreover, in the presence of a permissive NADPH concentration (100 µmol/l) but in the presence of a threefold molar excess of NADP+, GRX failed to enhance depolarization-evoked exocytosis (average capacitance increase 405 ± 35 and 408 ± 32 fF without and with GRX, respectively, n = 5).
The activity of GRX is under the control of the glutathione system (31) to mediate several important NADPH-dependent cellular processes, such as DNA synthesis (32), protein folding and transcriptional regulation (33), signal transduction (31), as well as defense against oxidative stress and apoptosis (34,35). Therefore, it can be anticipated that the reduced form of glutathione, acting as an intermediate between NADPH and reduced GRX, would also potentiate Ca2+-dependent exocytosis. As is shown in Fig. 7C and D, intracellular addition of glutathione (1 mmol/l) stimulated exocytosis by 46% (P < 0.05).
The present report has studied redox regulation of insulin release following the hypothesis that the reducing power of the cells, in combination with the expression of the redox proteins GRX1 and TRX1, is critical for the amplification of the glucose-induced Ca2+-mediated signaling pathway. Our biochemical analysis of the four pyridine nucleotides confirms earlier studies (12,13) showing that both NADPH/NADP+ and NADH/NAP+ acutely increase in ß-cells when glucose in the extracellular medium rises. To our knowledge, however, this study is the first to demonstrate via electrophysiological recordings that an experimentally imposed rise in the NADPH-to-NADP+ ratio in itself does cause exocytosis, amplifying the Ca2+- and ATP-mediated response. The specificity of this phenomenon is underlined by showing that 1) alterations in the NADH-to-NAD+ ratio do not have such an effect and 2) that the effectiveness of the NADPH-to-NADP+ ratio upon exocytosis can be further modulated by GRX1 and TRX1, the two best-known acceptor proteins for NADPH electrons (20). GRX1 has previously been proposed to play a role in exocytosis on basis of its immunohistochemical localization in synaptic terminals in the neurohypophysis (26), and an increased NADPH-to-NADP+ ratio has been linked to the intense wave of exocytosis of cortical granules oocyte fertilization (36). Redox-regulated posttranslational modification of exocytosis-regulating t-SNARE proteins has been proposed to result in an increased rate of maturation, or priming, of secretory vesicles in yeast (37). A similar accelerated formation of mature insulin granules by NADPH/GRX may provide an explanation for the potentiating affect of NADPH on exocytosis evoked by Ca2+ and ATP in neuroendocrine cells, and we propose in this report that regulated exocytosis is linked to cellular metabolism via the cellular redox state. The sequence of events seems to be nutrient-induced reduction of NADP+ and flow of electrons from NADPH to glutathione, GRX1, and TRX1. This pathway would be particularly important for the pancreatic ß-cell, which has to match the extracellular glucose concentration to the rate of insulin release. Indeed, this idea is consistent with previous reports that cataplerosis of citrate (15) as well as pyruvate cycling (17) in ß-cells is linked to insulin secretion. Furthermore, ß-cells with a high insulin secretory competence upregulate mRNA expression encoding NADPH-generating pathways such as glucose-6-phosphate dehydrogenase (16) and ATP-citrate lyase (16).
Our results (mRNA/protein expression studies and electrophysiological analysis of exocytosis) suggest that both the expression level of GRX/TRX in the ß-cell as well as the NADPH/NADP+ redox status are important factors for the regulation of exocytosis. It is conceivable that such redox regulatory system is further regulated by accessory proteins such as the thioredoxin regulatory protein (VDUP1), whose expression is glucose dependent (38,39). Our data are of particular interest in the context of human type 2 diabetes, in which there is dysregulation of insulin release by glucose. In addition to initiating electrical activity by ATP-dependent closure of the ß-cell KATP channels, glucose metabolism also exerts a potentiating action on the insulin release apparatus via a KATP channel–independent pathway (5). The latter pathway is impaired in animal models of type 2 diabetes (40) and appears to be defective in human type 2 diabetic patients (41). The identity of the alternative metabolic signal that amplifies insulin secretion has remained an unsettled issue, particularly with respect to the question of whether glutamate (formed from the citric acid cycle intermediate
This work was supported by grants from the Swedish Research Council (no. 12234), the European Foundation for the Study of Diabetes, and the Novo Nordisk and Crafoord Foundations to E.R. and from the Fonds voor Wetenschappelijk Onderzoek-Vlaanderen (FWO-Vlaanderen) (G.0130.99), the Juvenile Diabetes Research Foundation (1-2002-801), and the Katholieke Universiteit-Leuven (GOA/2004/11) to F.S. The position of R.I. was partly funded by Lund University, and those of S.D. (research assistant) and F.S. (research professor) were supported by the FWO-Vlaanderen. MIN6 cells were kindly donated by H. Ishihara and Y. Oka (Tohoku University Graduate School of Medicine, Sendai, Japan). INS-1E cells were a gift from Dr. C.B. Wollheim (University of Geneva, Geneva, Switzerland). Affinity-purified polyclonal rabbit anti-rat GRX and TRX antisera were kindly provided by Dr. J.A. Barcena (Department of Biochemistry and Molecular Biology, University of Cordoba, Cordoba, Spain; see [26]). All experiments were approved by the ethical committees at Lund University, Lund, Sweden; the Katholieke Universiteit, Leuven, Belgium; and the Vrije Universiteit, Brussels, Belguim. We thank G. Stangé for rat ß-cell purifications, V. Berger and G. Schoonjans for help with the insulin assays, L. Van Lommel for help with the microarray RNA analysis, L. Eliasson for help with the electron microscopy, S. Hinke for manuscript review, and H. Mulder for valuable discussions. Received for publication September 14, 2004 and accepted in revised form April 18, 2005
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