Inhibition of Id1 Augments Insulin Secretion and Protects Against High-Fat Diet–Induced Glucose Intolerance
OBJECTIVE The molecular mechanisms responsible for pancreatic β-cell dysfunction in type 2 diabetes remain unresolved. Increased expression of the helix-loop-helix protein Id1 has been found in islets of diabetic mice and in vitro models of β-cell dysfunction. Here, we investigated the role of Id1 in insulin secretion and glucose homeostasis.
RESEARCH DESIGN AND METHODS Id1 knockout (Id1−/−) and wild-type mice were fed a chow or high-fat diet. Glucose tolerance, insulin tolerance, β-cell mass, insulin secretion, and islet gene expression were assessed. Small interfering RNA (siRNA) was used to silence Id1 in MIN6 cells, and responses to chronic palmitate treatment were assessed.
RESULTS Id1−/− mice exhibited an improved response to glucose challenge and were almost completely protected against glucose intolerance induced by high-fat diet. This was associated with increased insulin levels and enhanced insulin release from isolated islets, whereas energy intake, body weight, fat pad weight, β-cell mass, and insulin action were unchanged. Islets from Id1−/− mice displayed reduced stress gene expression and were protected against high-fat diet–induced downregulation of β-cell gene expression (pancreatic duodenal homeobox-1, Beta2, Glut2, pyruvate carboxylase, and Gpr40). In MIN6 cells, siRNA-mediated inhibition of Id1 enhanced insulin secretion after chronic palmitate treatment and protected against palmitate-mediated loss of β-cell gene expression.
CONCLUSIONS These findings implicate Id1 as a negative regulator of insulin secretion. Id1 expression plays an essential role in the etiology of glucose intolerance, insulin secretory dysfunction, and β-cell dedifferentiation under conditions of increased lipid supply.
The critical contribution of deficient insulin secretion to the pathogenesis of type 2 diabetes is accepted (1–3). Despite the presence of insulin resistance at the level of peripheral tissues and the liver, the majority of overweight and obese individuals do not develop diabetes because their pancreatic β-cells adequately respond and prevent overt hyperglycemia through increased insulin secretion. Diabetes arises when insulin secretion cannot match insulin demand (1–3). This failure of β-cell compensation is associated with a decline in insulin secretory function, which is manifested primarily as a selective loss of glucose-stimulated insulin secretion (GSIS), and a reduction in β-cell mass, which is linked with an increased rate of apoptosis (1–5).
In animal models of diabetes, β-cells have been found to lose the unique differentiation pattern that optimizes GSIS (6–10). Thus, genes that are highly expressed and thought to be involved in the function and maturation of the β-cell phenotype (insulin, Glut2, pancreatic duodenal homeobox-1 [Pdx1], and others) are decreased with diabetes. In contrast, genes that are normally suppressed and would theoretically interfere with optimal β-cell function are increased. While this altered phenotype may underlie the loss of insulin secretion in diabetes, the cellular and molecular mechanisms causing β-cell dedifferentiation have not been identified. In the db/db mouse model of type 2 diabetes, we recently found that insulin secretory dysfunction and a loss of β-cell differentiation were associated with increased islet expression of the helix-loop-helix (HLH) protein Id1 (8).
Id1 is a member of a family of proteins (Id1–4) that are capable of inhibiting differentiation (11–15). Id proteins are negative regulators of HLH transcription factors (15–17) but can also act via non-HLH proteins (14). Expression of Id1 in other cell types is associated with cell growth, enhanced proliferation, and dedifferentiation (11–15). Id1 has been extensively studied for its potential role in the cancer process, since high Id1 expression along with enhanced proliferation and dedifferentiation characterizes transformed cells (11).
Previous reports have demonstrated that Id1 expression is induced in vitro in chronically fatty acid–treated MIN6 β-cells, a model that is characterized by insulin secretory dysfunction and β-cell dedifferentiation (18). In a similar manner, Id1 expression is induced by glucose in human islets and insulin-secreting cell lines but not in liver or other non–β-cell lines (19,20). However, the role of Id1 expression in the regulation of insulin secretion and β-cell gene expression has not been examined.
Here we studied the effects of Id1 deletion on glucose tolerance, insulin secretion, and β-cell gene expression in mice. We also studied the consequences of small interfering RNA (siRNA)-mediated inhibition of Id1 in the MIN6 cell model of chronic fatty acid exposure. The studies provide novel evidence that Id1 expression inhibits insulin secretion and plays a crucial role in the development of glucose intolerance and β-cell dedifferentiation under conditions of chronic lipid oversupply.
RESEARCH DESIGN AND METHODS
Wild-type (C57BL/6/129/Sv), Id1−/−, and Id3−/− mice (21) were bred in-house using animals provided by Professor Robert Benezra (Memorial Sloan-Kettering Cancer Center, New York, NY). Animals were kept under conventional conditions with free access to food and water. Ethical approval for mouse studies was granted by the Garvan Institute/St. Vincent’s Hospital Animal Experimentation Ethics Committee, following guidelines issued by the National Health and Medical Research Council of Australia. Mice were fed ad libitum with either a standard chow diet (8% calories from fat; Gordon’s Specialty Stockfeeds, Yanderra, Australia) or a high-fat diet containing lard/sucrose (45% calories from fat, based on rodent diet D12451; Research Diets, New Brunswick, NJ) commencing at 7–9 weeks of age. Food intake and body weight were measured for the determination of energy intake. Blood samples were taken via tail prick for measurement of glucose and insulin levels. Blood collected in EDTA via a terminal heart bleed was used for measurement of plasma glucagon, triglyceride, and nonesterified fatty acid (NEFA) levels. An insulin resistance index, homeostasis model assessment of insulin resistance (HOMA-IR), was calculated from glucose and insulin levels [glucose concentration (mmol/L) × insulin concentration (mU/L) ÷ 22.5].
Metabolic studies and assays.
Intraperitoneal glucose tolerance tests (GTTs; 2 g/kg glucose) and insulin tolerance tests (ITTs; 0.75 units/kg insulin) were performed in conscious male mice after 6 h of fasting. Blood glucose was measured using an Accu-Chek Performa glucose monitor (Roche Diagnostics, Castle Hill, Australia), and insulin was measured using an ELISA (Crystal Chem Inc., Downers Grove, IL). Plasma glucagon was measured using a radioimmunoassay (Millipore, Billerica, MA). Plasma triglyceride was measured using an enzymatic colorimetric method (glycerol-3-phosphate oxidase p-aminophenazone [GPO-PAP] reagent, Roche Diagnostics). Plasma NEFA was measured by an acyl-CoA oxidase–based colorimetric method (Wako Pure Chemical Industries, Osaka, Japan).
Measurement of β-cell mass, islet number, and apoptosis.
Sections (5 μm thick) of pancreata were stained for insulin (I2018; dilution 1:200; Sigma Aldrich, St. Louis, MO) and counterstained with hematoxylin. Whole slide digital images were captured using Aperio Scansope XT (Aperio Technologies, Vista, CA). β-Cell mass and islet number were quantified using ImageScope software (Aperio Technologies). Four sections separated by at least 100 µm were used for each mouse. β-Cell mass was calculated from relative cross-sectional β-cell area and total pancreas mass. Islet number was quantified as number of islets per mm2 of total pancreas. Apoptosis was assessed in pancreas sections using the terminal deoxynucleotidyl transferase-mediated dUTP nick end labeling technique (In Situ Cell Death Detection Kit, POD, Roche).
Insulin secretion assay.
Isolated islets were washed in Krebs-Ringer HEPES buffer (KRHB; containing 5 mmol/L NaHCO3, 1 mmol/L CaCl2, 2.8 mmol/L glucose, 10 mmol/L HEPES, and 10% FCS). Groups of five islets, with at least four replicates per animal, were incubated for 1 h at 37°C in KRHB containing 2.8 or 16.7 mmol/L glucose. Insulin was measured in an aliquot of the buffer by radioimmunoassay (Millipore).
Cell culture and transfection.
MIN6 cells were grown in Dulbecco’s modified Eagle’s medium (Invitrogen, Carlsbad, CA) containing 25 mmol/L glucose, 10 mmol/L HEPES, 10% FCS, 50 units/mL penicillin, and 50 µg/mL streptomycin. Cells were seeded at 2 × 105 cells per well in 24-well plates. Id1 ON-TARGETplus SMARTpool siRNA or control Non-Targeting siRNA were transfected into MIN6 cells using DharmaFECT Transfection Reagent 3 (Dharmacon, Lafayette, CO). After 24-h, cells were treated with either 0.92% BSA or 0.92% BSA coupled to 0.4 mmol/L palmitate for 48-h as previously described (18). For insulin secretion assay, cells were incubated for 1 h at 37°C in KRHB containing 2.8 or 25 mmol/L glucose in the presence of 0.4 mmol/L palmitate. Immunoblotting was performed as previously described (22) using an antibody for Id1 (Id1 [C-20] sc-488, Santa Cruz Biotechnology, Santa Cruz, CA).
Total RNA was extracted using RNeasy Mini Kit (Qiagen, Doncaster, Australia), and cDNA was synthesized using QuantiTect Reverse Transcription Kit (Qiagen). Real-time PCR was performed using oligonucleotide primers (sequences listed in Supplementary Table 1) in a LightCycler (Roche Diagnostics). The value obtained for each specific product was normalized to the control gene (cyclophilin A) and expressed as a percent of the value in control extracts. Xbp1 splicing was assessed as previously described (22).
All results are presented as means ± SEM. Statistical analyses were performed using Student t test or ANOVA with Bonferroni post hoc tests.
Metabolic characteristics of wild-type and Id1−/− mice fed a chow or a high-fat diet.
In mice fed a chow diet, body weight, epididymal fat pad weight, liver weight, and energy intake were not significantly different in wild-type and Id1−/− mice (Fig. 1A–D). In a similar manner, blood glucose, insulin, plasma glucagon, triglyceride, and NEFA levels were unchanged, although a trend toward slightly lower blood glucose levels was observed in Id1−/− mice (Table 1). Thus, consistent with previous descriptions (12), Id1−/− mice develop without obvious metabolic abnormalities. High-fat feeding of wild-type and Id1−/− mice for 6 weeks led to significant increases in body weight, fat pad weight, and energy intake, which was similar in both genotypes (Fig. 1A–D). Liver weight was not affected by high-fat feeding in either genotype (Fig. 1C). Insulin and triglyceride levels were significantly increased by high-fat feeding in both genotypes, whereas glucagon and NEFA levels were unchanged (Table 1). There was a tendency for slightly higher blood glucose levels in both wild-type and Id1−/− mice after high-fat feeding (Table 1). HOMA-IR scores (calculated from blood glucose and insulin levels) were increased by fat feeding irrespective of genotype (Table 1), suggestive of fat-induced insulin resistance in both groups of mice. Thus, Id1−/− mice displayed several characteristic features of metabolic disorder induced by high-fat diet, including increased body weight and fat accumulation, elevated circulating triglycerides, and insulin resistance.
Id1−/− mice exhibit improved glucose tolerance.
To determine whether Id1 plays a role in the regulation of glucose tolerance, we performed intraperitoneal GTT in wild-type and Id1−/− mice fed a chow or a high-fat diet for 6 weeks. After 6 h of fasting, blood glucose levels were similar among the diets and genotypes (indicated at 0 min) (Fig. 2A). After intraperitoneal glucose administration in mice fed a chow diet, blood glucose levels (Fig. 2A) and the resultant area under the curve (AUC) for glucose values from 0–90 min (Fig. 2B) were significantly reduced in Id1−/− mice compared with wild-type mice. This indicates that Id1 deletion leads to improved glucose tolerance in chow-fed mice (Fig. 2A and B). Compared with chow-fed mice, high-fat feeding of wild-type mice led to significantly increased blood glucose levels after the intraperitoneal bolus (Fig. 2A and B), indicating that as expected, a 6-week exposure to a high-fat diet results in marked glucose intolerance. It is striking that Id1−/− mice were almost completely protected from glucose intolerance induced by high-fat diet (Fig. 2A and B). After the glucose challenge, the blood glucose levels of fat-fed Id1−/− mice were only slightly elevated compared with levels in chow-fed Id1−/− mice, and they remained below the range observed in chow-fed wild-type mice (Fig. 2A and B). These data provide the first evidence that deletion of Id1 confers protection against diet-induced glucose intolerance. This protective effect in Id1−/− mice was also observed after a prolonged 18-week period of high-fat feeding (Supplementary Fig. 1).
In contrast, deletion of Id3 did not affect glucose tolerance in chow- or fat-fed mice (Supplementary Fig. 2). Taken together, the data suggest a specific role of Id1, and not its closely related Id3 family member (12,23), in the regulation of glucose tolerance in mice.
Improved glucose tolerance in Id1−/− mice is associated with increased insulin levels.
During the intraperitoneal GTT, insulin levels (Fig. 2C) and the resultant AUC for insulin (Fig. 2D) were significantly increased in Id1−/− mice compared with wild-type controls. This was particularly evident after high-fat feeding. Compared with chow-fed controls, fat-fed wild-type mice exhibited higher fasting insulin levels (indicated at 0 min) (Fig. 2C), but these did not increase further after intraperitoneal glucose administration (Fig. 2C), despite the presence of marked hyperglycemia (Fig. 2A). In contrast, in fat-fed Id1−/− mice, insulin levels were significantly increased after intraperitoneal glucose administration (Fig. 2C and D). These findings indicate that the ability of Id1−/− mice to improve glucose tolerance is associated with enhanced circulating insulin levels, especially in the face of insulin resistance induced by high-fat diet.
Id1 deletion does not affect insulin action.
To investigate whether changes in insulin action contribute to the improved glucose tolerance in Id1−/− mice, we performed intraperitoneal ITT in wild-type and Id1−/− mice fed a chow or a high-fat diet. Chow-fed wild-type and Id1−/− mice exhibited similar time-course changes in blood glucose levels after insulin injection (Fig. 3A). Accordingly, the AUC of glucose values from 0–30 min after insulin injection were similar in both genotypes (Fig. 3B). After high-fat feeding, the blood glucose response to insulin was delayed in both wild-type and Id1−/− mice, indicating that diet-induced insulin resistance was not affected by the deletion of Id1. This suggests that the improved glucose tolerance in Id1−/− mice is a consequence of increased insulin levels, rather than changes in insulin action. Id1 might therefore inhibit insulin secretion, particularly under conditions of increased lipid supply.
Id1 deletion does not affect β-cell mass or islet number.
We next investigated potential mechanisms responsible for the increased insulin levels observed after a glucose challenge in Id1−/− mice. To determine whether Id1 plays a role in the regulation of β-cell mass, we performed morphometric analyses of pancreas sections from wild-type and Id1−/− mice fed a chow or a high-fat diet. There were no differences in β-cell mass or in the number of islets between wild-type and Id1−/− mice fed a chow diet (Fig. 4A and B). As observed previously (24), β-cell mass was increased in fat-fed mice, but this occurred irrespective of the genotype (Fig. 4A). In a similar manner, high-fat feeding increased the number of islets in both genotypes (Fig. 4B). We found no evidence of β-cell apoptosis irrespective of genotype or diet. These data suggest that changes in β-cell capacity do not contribute to the increased insulin levels in Id1−/− mice.
Islets from Id1−/− mice display enhanced insulin secretion.
To investigate the role of Id1 in insulin secretion, we assessed GSIS in islets isolated from wild-type and Id1−/− mice fed either a chow or a high-fat diet. Compared with chow-fed mice, insulin secretion at a low stimulatory level of glucose (2.8 mmol/L) was significantly increased in islets isolated from fat-fed mice (Fig. 5). This fat diet–induced enhancement of insulin secretion at low glucose was greater in islets from Id1−/− mice compared with wild-type controls, suggesting that Id1 expression inhibits basal secretion under conditions of lipid oversupply. At a high stimulatory level of glucose (16.7 mmol/L), insulin secretion in islets isolated from Id1−/− mice was significantly increased compared with wild-type controls (Fig. 5), especially after high-fat feeding. Note, islet insulin content (Supplementary Fig. 3) and total protein levels (Supplementary Fig. 4) were similar between the genotypes, and no differences were detected in KCl-stimulated insulin secretion (Supplementary Fig. 5). These results suggest that Id1 expression inhibits GSIS in mouse islets, particularly under conditions of lipid oversupply and/or insulin resistance. The increased insulin levels in mice with Id1 deletion are therefore likely the result of enhanced insulin release from islets.
Id1−/− mice are protected against diet-induced loss of β-cell gene expression.
We next examined expression of several genes involved in the maintenance and specialized function of the β-cell phenotype. mRNA levels were assessed in islets isolated from wild-type and Id1−/− mice fed a chow or a high-fat diet. Id1 mRNA levels were increased by twofold in islets from fat-fed mice compared with chow-fed controls (Fig. 6A). Id1 mRNA levels were undetectable in islets from Id1−/− mice (not shown). Expression of the islet hormones, insulin and glucagon, were not affected by either diet or genotype (Fig. 6B). Pdx1 and Beta2 are transcription factors that are important for the maintenance of β-cell differentiation (25). mRNA levels of Pdx1 and Beta2 were significantly reduced in islets of fat-fed wild-type mice; Pdx1 was downregulated by ∼40% and Beta2 by ∼30% (Fig. 6B). It is striking that in islets from fat-fed Id1−/− mice, expression of Pdx1 and Beta2 were maintained at levels observed in chow-fed mice (Fig. 6B). We next evaluated several genes involved in β-cell glucose metabolism. The glucose transporter Glut2 and the anaplerotic enzyme pyruvate carboxylase (Pc) were downregulated in islets from fat-fed wild-type mice, whereas these metabolic genes were not affected by high-fat feeding in Id1−/− islets (Fig. 6B). Not all genes involved in glucose metabolism were altered; glucokinase mRNA levels were unchanged by diet or genotype. The G-protein–coupled receptor Gpr40 may play a role in both fatty acid and glucose stimulation of insulin secretion (26–28). Consistent with previous findings (26), we found that Gpr40 expression was downregulated by ∼50% in fat-fed wild-type mice (Fig. 6B). In contrast, Gpr40 expression was unchanged after fat feeding in Id1−/− mice (Fig. 6B). These data demonstrate that islets from Id1−/− mice are protected against high-fat diet–induced loss of β-cell gene expression, suggesting a role for Id1 in β-cell dedifferentiation under conditions of increased lipid supply.
mRNA levels of stress genes are reduced in islets of Id1−/− mice.
The role of cellular stress and stress response mediators in the failure of β-cells in diabetes has been the subject of much recent attention (29,30). BiP is an endoplasmic reticulum (ER) chaperone and key regulator of the ER stress response (31), and XBP1 and Chop are ER stress-inducible transcription factors (30,32). It is interesting that both BiP and Chop mRNA levels were significantly reduced in islets from Id1−/− mice compared with wild-type controls (Fig. 6B). Also reduced in Id1−/− islets were levels of the spliced (activated) form of Xbp1 mRNA (fold change, wild-type chow: 1.00 ± 0.02; wild-type fat: 1.04 ± 0.04; Id1−/− chow: 0.94 ± 0.04; Id1−/− fat: 0.92 ± 0.03; P < 0.05 for genotype effect). The antioxidant heme oxygenease-1 (Ho-1) is induced by oxidative stress (33). Ho-1 mRNA levels were significantly reduced in islets of Id1−/− mice compared with wild-type controls (Fig. 6B). These data indicate that the augmentation of insulin secretion is accompanied by reduced stress gene expression in islets from Id1−/− mice.
Id1 plays a role in regulating insulin secretory changes that accompany chronic palmitate exposure in MIN6 cells.
To examine the role of Id1 in insulin secretion in β-cells, we used the highly differentiated and glucose responsive mouse insulinoma β-cell line, MIN6 (34). Chronic exposure of MIN6 cells to elevated fatty acids has previously been shown to induce mild insulin secretory dysfunction and changes in gene expression consistent with a loss of β-cell differentiation (18). Exposure of MIN6 cells to the saturated fatty acid palmitate (0.4 mmol/L palmitate coupled to 0.92% BSA) for 48 h led to a twofold increase in Id1 mRNA levels (Fig. 7A). MIN6 cells were transfected with Id1 or control siRNA. Id1 siRNA transfection led to reduced Id1 mRNA (Fig. 7A) and protein (Fig. 7B) levels in MIN6 cells exposed to palmitate or BSA. We next assessed insulin secretion under these experimental conditions. In control siRNA-treated cells, chronic palmitate exposure significantly reduced the subsequent insulin secretory response to high glucose stimulation (Fig. 7C). In contrast, the insulin secretory response to high glucose stimulation was maintained in palmitate-treated MIN6 cells after knockdown of Id1 with siRNA (Fig. 7C), suggesting a requirement of Id1 expression in the fatty acid–mediated decrease in insulin secretion. We also measured cellular insulin content in these treatment groups. Consistent with previous studies (18,35,36), cellular insulin content was significantly reduced in fatty acid–treated cells (Fig. 7D). However, this was not affected by Id1 knockdown; chronic palmitate treatment led to a similar depletion of cellular insulin content in control siRNA- and Id1 siRNA-transfected cells (Fig. 7D). The recalculation of insulin secretion as a function of total insulin content negated the change in insulin secretion as a result of palmitate exposure in control siRNA-transfected cells (Fig. 7E). However, the data emphasize the significantly increased insulin secretory response to high glucose stimulation in palmitate-pretreated MIN6 after knockdown of Id1 (Fig. 7E). In a similar manner, increased insulin secretion was found in palmitate-pretreated islets with Id1 deletion (Supplementary Fig. 6). Taken together, the data suggest that Id1 expression inhibits secretory function without affecting insulin content under conditions of increased lipid supply.
Id1 plays a role in regulating gene expression changes that accompany chronic palmitate exposure in MIN6 cells.
We next investigated the role of Id1 in the regulation of gene expression in MIN6 cells. Chronic (48-h) palmitate treatment of control MIN6 cells led to reduced expression of Pdx1, Pc, Gpr40, and Glut2, whereas insulin mRNA levels were not affected (Fig. 8). It is striking that the knockdown of Id1 in MIN6 cells prevented the palmitate-mediated downregulation of Pdx1, Pc, and Gpr40 (Fig. 8). On the other hand, Glut2 was not affected by Id1 siRNA. Knockdown of Id1 in palmitate-treated cells significantly increased Pdx1 by ∼50%, Pc by ∼20%, and Gpr40 by ∼40% compared with control palmitate-treated cells. Although not reduced by palmitate treatment in control MIN6 cells, Beta2 mRNA levels were significantly increased by ∼20% in palmitate-treated cells after knockdown of Id1 (Fig. 8). These results suggest that Id1 expression is necessary for the downregulation of several important β-cell genes under conditions of chronic lipid oversupply. In addition, the knockdown of Id1 prevented the palmitate-mediated upregulation of stress genes BiP, Chop, Ho-1 (Fig. 8), and spliced Xbp1; palmitate treatment induced the levels of spliced Xbp1 mRNA by 1.07 ± 0.01 fold in control cells and by 1.03 ± 0.003 fold in cells with Id1 knockdown (P < 0.05 for effect of Id1 siRNA).
The molecular mechanisms by which factors such as lipids and glucose contribute to β-cell failure in type 2 diabetes have been the subject of much attention. We have shown that ablation of Id1 improves whole body glucose disposal by augmenting insulin secretion. This enhanced insulin release compensates for insulin resistance and is associated with reduced stress gene expression within islets and protection from lipid-mediated β-cell dedifferentiaton. These findings suggest a novel role of Id1 in the development of β-cell dysfunction and glucose intolerance.
The improved glucose tolerance with ablation of Id1 is likely the result of direct effects in β-cells. Energy intake, body weight, fat accumulation, glucagon levels, and insulin action were similar in the absence of Id1 expression, and an equivalent degree of insulin resistance was evident after high-fat feeding. Furthermore, the phenotype of enhanced insulin secretion and protection against β-cell dedifferentiaton in Id1−/− mice is broadly recapitulated in MIN6 cells after knockdown of Id1 using siRNA. It is interesting that enhanced GSIS was dependent on prior lipid exposure in MIN6 cells and was also most apparent in fat-fed mice. These striking outcomes likely represent the effects of chronically elevated Id1 expression under conditions of prolonged lipid oversupply compared with the more subtle effects of low-level Id1 expression in normal β-cells. While conditions of chronic lipid oversupply were examined in the current study, we do not rule out the possibility that Id1 expression is also involved in the β-cell secretory dysfunction induced by other factors, including chronically increased glucose levels (8).
Although additional mechanisms may contribute, reduced levels of cellular stress and protection against loss of β-cell gene expression may underlie the improvement in insulin secretion after Id1 ablation. The loss of β-cell gene expression has been linked to secretory dysfunction in several animal models of diabetes (6–10). The current study demonstrates that Id1 expression is required for the dysregulation of several β-cell genes under conditions of chronic lipid oversupply. This includes the downregulation of important β-cell transcription factors Pdx1 and Beta2, which could contribute to the altered expression of genes essential for GSIS (25). Furthermore, we demonstrate that Id1 expression is required for the downregulation of Gpr40 expression, which has potentially important implications for GSIS and its potentiation by fatty acids (26–28). Cellular stress can play a major role in the severity of β-cell dedifferentiation and dysfunction (29,30,33,37). That Id1 could be involved in oxidative stress is supported by a study in cardiac myocytes (38). Islets from Id1−/− mice may be less susceptible to stress and, consequently, better able to adapt to demanding conditions such as occur with chronic lipid oversupply and insulin resistance. It is noteworthy that forced expression of Id1 in insulinoma cells has been shown to inhibit insulin promoter activity (39). However, the increased levels of Id1 expression in fat-fed mouse islets and lipid-treated MIN6 cells (approximately twofold in both models) are associated with unchanged insulin mRNA levels. Furthermore, the beneficial effects of Id1 inhibition on insulin secretion occur without changes in insulin transcription or insulin content; that is, cellular insulin depletion was not affected by knockdown of Id1 in lipid-treated MIN6 cells (Fig. 7D), and the intensity of insulin staining was similar in pancreas sections of wild-type and Id1−/− mice fed a high-fat diet (not shown). Thus, under the conditions of the current study, abnormalities in the glucose-sensing machinery accompany Id1 expression, whereas insulin expression is better maintained. A similar phenomenon was observed in several animal models of diabetes in which glucose-sensing genes and islet transcription factors were reduced in the early/mild phases of the disease, whereas insulin levels were affected only after progression to more severe stages (6,8,9).
In other cell types, Id proteins are implicated in a number of cellular processes, including cell cycle regulation, growth, and proliferation (11–15,40). It is noteworthy that Id2 expression may play a role in the expansion of pancreatic ductal progenitor cells and β-cells (41,42). Moreover, several cell cycle and early growth response genes that could interact with Id1 are important for the regulation of β-cell growth (43–48). Our studies show that Id1 expression is not required for the establishment of normal β-cell mass in adult mice or for its expansion after high-fat feeding. This suggests that the effects of Id1 expression on β-cell differentiation are direct and independent of proliferation. It is interesting that a role for Id1 in promoting the β-cell phenotype has been proposed (20). Thus, Id1 regulation of the β-cell phenotype may be well correlated with the effects of glucose and fatty acids after both acute (stimulatory) and chronic (inhibitory) exposure.
Whether Id1-mediated inhibition of β-cell differentiation is the result of the ability of Id proteins to sequester HLH transcription factors and inhibit E-box activation of transcription is not known. It is worth noting that HLH transcription factors, such as Beta2, are important for pancreas development and β-cell differentiation (25,49,50). However, an interaction with Beta2 would be expected to also affect insulin gene transcription (51). Possible mechanisms by which Id1 expression mediates its effects include the creation of an imbalance between E proteins and binding partners or interactions with Pax proteins or members of the transforming growth factor-β family (11–15).
In conclusion, we have identified a novel role of Id1 in the negative regulation of insulin secretion and β-cell differentiation. Studies from Id1−/− mice and MIN6 cells demonstrate that the beneficial effects of Id1 inhibition include augmentation of insulin secretion, reduced islet stress, and protection from lipid-induced glucose intolerance and β-cell dedifferentiation. The findings suggest that Id1 expression may provide a molecular link between chronic lipid oversupply and β-cell dedifferentiation and dysfunction. Id1 may therefore represent a new target for interventions aimed at improving disordered glucose homeostasis and β-cell dysfunction.
This work was supported by a grant from the National Health and Medical Research Council (NHMRC) of Australia and a Juvenile Diabetes Research Foundation/NHMRC Program grant.
No potential conflicts of interest relevant to this article were reported.
M.C.Å. designed and performed the experiments and wrote the manuscript. D.R.L. conceived and designed the studies, performed the animal work, and wrote the manuscript.
This article contains Supplementary Data online at http://diabetes.diabetesjournals.org/lookup/suppl/doi:10.2337/db11-0083/-/DC1.
See accompanying commentary, p. 2455.
- Received January 30, 2011.
- Accepted May 17, 2011.
- © 2011 by the American Diabetes Association.
Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. See http://creativecommons.org/licenses/by-nc-nd/3.0/ for details.