Todd Clark Brelje

Regulation of Islet β-Cell Proliferation by Prolactin in Rat Islets

This study examined the effects of prolactin on β-cell proliferation in pancreatic islet of Langerhans. Insulin secretion and β-cell proliferation were significantly increased from neonatal rat islets cultured for 4 days in the presence of either 500 ng/ml ovine prolactin (oPRL) or rat prolactin (rPRL). These effects could be prevented by including anti-oPRL serum in the culture media. Although insulin secretion and β-cell proliferation were slightly higher during the first 24 h of exposure to rPRL, maximal response was observed after 4 days for insulin secretion and 6–10 days for β-cell proliferation. The initial mitogenic response of β-cell to rPRL occurred by the limited recruitment of nondividing β-cells into the cell cycle and by most daughter cells proceeding directly into additional cell division cycles. Subsequently, the maximal effect of rPRL on β-cell proliferation was maintained by a higher rate of recruitment of previously nondividing β-cells into cell cycle with only one fourth of the daughter cells continuing to divide. These observations are difficult to reconcile with the proposal that a limited pool of β-cells capable of undergoing cell division exists in islets. Instead, these observations suggest that individual β-cells are transiently re-entering the cell cycle and dividing infrequently in response to rPRL. In this case, the majority of the β-cells would not be expected to be in an irreversible Go phase. We also demonstrated that the effects of rPRL on β-cell proliferation occur at normal serum glucose concentrations and are affected by inhibitors of polyamine metabolism. Additional studies on the effects of rPRL on β-cells should provide important information on the regulation of β-cell proliferation during conditions of increased insulin demand.

Three-Dimensional Imaging of Intact Isolated Islets of Langerhans With Confocal Microscopy

We present a new technique for analyzing the three-dimensional structure of intact isolated islets of Langerhans. Adult rat and human islets were stained with whole-mount immunofluorescence techniques and optically sectioned with a confocal microscope. This has several advantages over traditional methods: 1) the technical difficulties in serial sectioning and handling the large numbers of sections are avoided, 2) optical sectioning by confocal microscopy gives improved resolution and strongly suppresses light from out-of-focus structures, and 3) entire islets can be rapidly imaged for the presence of positive staining. This new technique should facilitate the study of the three-dimensional structure of islets of Langerhans.

Regulation of glucokinase in pancreatic islets by prolactin: a mechanism for increasing glucose-stimulated insulin secretion during pregnancy

Glucokinase activity is increased in pancreatic islets during pregnancy and in vitro by prolactin (PRL). The underlying mechanisms that lead to increased glucokinase have not been resolved. Since glucose itself regulates glucokinase activity in beta-cells, it was unclear whether the lactogen effects are direct or occur through changes in glucose metabolism. To clarify the roles of glucose metabolism in this process, we examined the interactions between glucose and PRL on glucose metabolism, insulin secretion, and glucokinase expression in insulin 1 (INS-1) cells and rat islets. Although the PRL-induced changes were more pronounced after culture at higher glucose concentrations, an increase in glucose metabolism, insulin secretion, and glucokinase expression occurred even in the absence of glucose. The presence of comparable levels of insulin secretion at similar rates of glucose metabolism from both control and PRL-treated INS-1 cells suggests the PRL-induced increase in glucose metabolism is responsible for the increase in insulin secretion. Similarly, increases in other known PRL responsive genes (e.g. the PRL receptor, glucose transporter-2, and insulin) were also detected after culture without glucose. We show that the upstream glucokinase promoter contains multiple STAT5 binding sequences with increased binding in response to PRL. Corresponding increases in glucokinase mRNA and protein synthesis were also detected. This suggests the PRL-induced increase in glucokinase mRNA and its translation are sufficient to account for the elevated glucokinase activity in beta-cells with lactogens. Importantly, the increase in islet glucokinase observed with PRL is in line with that observed in islets during pregnancy.

Prolactin Receptors Are Critical to the Adaptation of Islets to Pregnancy

During pregnancy there is an enhanced need for insulin to accommodate the growing fetal compartment as well as the substantial increase in insulin resistance. Failure of the islets to adapt to this increased demand for insulin leads to gestational diabetes. The report by Huang et al. (1), using an in vivo model of prolactin (PRL) receptor deficiency, provides an important validation of the hypothesis that -cell PRL receptors are central to mechanisms whereby islets adapt to pregnancy (Fig. 1). This study showed not only that PRL receptor deficiency leads to gestational diabetes, but the genetic phenotype of the mother influences the outcome of islet development in the fetus. That islets undergo changes during pregnancy was observed as early as 1930 (2), when Cramer concluded that islets are a very plastic tissue that undergo considerable changes, especially during pregnancy. The changes he observed included increased secretory activity, islet growth, and neogenesis. Direct evidence for functional changes in islets did not occur until the development of a sensitive insulin assay in the 1960s, when it was reported that there was a progressive increase in both fasting and glucosestimulated insulin secretion throughout the course of human pregnancy (3). This and subsequent research led to the characterization of pregnancy as a condition of elevated serum insulin levels, slightly lower blood glucose levels, and peripheral insulin resistance. The short-term regulation of insulin secretion is achieved by elevating blood glucose. However, if this were the only mechanism available for increasing insulin secretion during pregnancy, there would be a need for persistent hyperglycemia, a condition detrimental both to the mother and the developing fetus. Thus, when there is an increased need for insulin over a prolonged period of time, such as occurs in pregnancy, islets must undergo adaptive changes. The outcome of the up-regulation must be such that there is enhanced insulin secretion at normal glucose levels. There are three basic mechanisms whereby one can increase insulin secretion at normal glucose concentrations: increase the islet -cell mass, increase the sensitivity of insulin secretion in response to glucose, or both. Evidence that there is an increase islet/ -cell mass comes from a number of studies (4–7). These studies indicate that there is an approximate 2-fold increase in islet mass. DNA content per islet also indicates an increase in islet mass, and both morphometric and DNA to protein ratio methods indicate -cell hypertrophy as well as -cell hyperplasia (8– 12). Evidence for increased -cell mitosis comes from tritiated thymidine and bromodeoxyuridine labeling of islets during pregnancy (4, 13, 14). Overall, these reports indicate that islet mass doubles, and the increase is a consequence of new -cell formation as well as an increase in -cell size. There is less information on whether islet neogenesis occurs during pregnancy. One report failed to detect evidence for islet neogenesis during pregnancy but did show that another condition of persistent hyperlactogenemia may result in islet neogenesis (15). There is also evidence for an increase in glucose-sensitive insulin secretion. During rodent pregnancy, fasting serum insulin levels are increased, and glucose levels are decreased (8, 16, 17), similar to that observed in human pregnancy. Green and Taylor (9) showed a leftward shift of the glucose-stimulated insulin secretion response curve in islets isolated from pregnant rats. In a similar study, we used perfused pancreas preparations to examine insulin secretion throughout rat pregnancy. A leftward shift in glucose-responsive insulin secretion as well as above-threshold insulin release was first noted on d 10 and peaked by d 15 (4). The threshold for glucose-stimulated insulin secretion decreased from 5.7–3.3 mM by d 15 pregnancy. The lowering of the threshold for glucose-stimulated insulin secretion is a key feature of islets as they adapt to pregnancy. It is through this maneuver that a large increase in insulin secretion can be achieved at fasting blood glucose levels, as is seen during pregnancy. The most important changes in islet adaptation to pregnancy are enhanced insulin secretion and enhanced -cell mass. Candidate hormones must be shown to induce these changes. Although a variety of hormones increase during pregnancy, only PRL and placental lactogen, which acts through PRL receptors, are capable of inducing the changes that occur in islets during

Prolactin and oleic acid synergistically stimulate β-cell proliferation and growth in rat islets

ABSTRACT Islet adaptation to pregnancy is largely influenced by prolactin and placental lactogens. In addition serum lipids are significantly increased. Here, we report the novel observation that prolactin and oleic acid synergistically stimulate islet cell proliferation and islet growth. In neonatal rat islets, prolactin increased proliferation 6-fold, oleic acid 3.5-fold, and their combination 15-fold. The expression of insulin in these dividing cells establishes them as β-cells. Similar changes were seen in islet growth. This synergy is restricted to monounsaturated fatty acids and does not occur with other islet growth factors. Oleic acid increases prolactin-induced STAT5 phosphorylation, even though by itself it is unable to induce STAT5 phosphorylation. Their effects on Erk1/2 phosphorylation are additive. Some of the synergy requires the formation of oleoyl CoA and/or its metabolites. Unexpectedly, methyl oleic acid, a non-metabolizable analog of oleic acid, also shows synergy with prolactin. In summary, prolactin and oleic acid synergistically stimulate islet cell proliferation and islet growth in rat islets, oleic acid increases prolactin-induced STAT5 activation, and requires both the metabolism of oleic acid and non-metabolized oleic acid. Since oleic acid is the most abundant monounsaturated fatty acid in serum that is elevated during pregnancy, it may contribute to increased β-cell proliferation seen during pregnancy.