Ciliary neurotrophic factor promotes survival of neonatal rat islets via the BCL-2 anti-apoptotic pathway

in Journal of Endocrinology
Authors:
Luiz F Rezende
Search for other papers by Luiz F Rezende in
Current site
Google Scholar
PubMed
Close
,
Luiz F Stoppiglia
Search for other papers by Luiz F Stoppiglia in
Current site
Google Scholar
PubMed
Close
,
Kleber L A Souza
Search for other papers by Kleber L A Souza in
Current site
Google Scholar
PubMed
Close
,
Alessandro Negro
Search for other papers by Alessandro Negro in
Current site
Google Scholar
PubMed
Close
,
Francesco Langone
Search for other papers by Francesco Langone in
Current site
Google Scholar
PubMed
Close
, and
Antonio C Boschero
Search for other papers by Antonio C Boschero in
Current site
Google Scholar
PubMed
Close

(Correspondence should be addressed to A C Boschero; Email: boschero@unicamp.br)
Free access

Sign up for journal news

Ciliary neurotrophic factor (CNTF) belongs to the cytokine family and increases neuron differentiation and/or survival. Pancreatic islets are richly innervated and express receptors for nerve growth factors (NGFs) and may undergo neurotypic responses. CNTF is found in pancreatic islets and exerts paracrine effects in neighboring cells. The aim of this study was to investigate possible effects of CNTF on neonatal rat pancreatic islet differentiation and/or survival. For this purpose, we isolated pancreatic islets from neonatal rats (1–2 days old) by the collagenase method and cultured for 3 days in RPMI medium with (CNTF) or without (CTL) 1 nM CNTF. Thereafter, glucose-stimulated insulin secretion (RIA), general metabolism by (NAD(P)H production; MTS), glucose metabolism (14CO2 production), gene (RT-PCR), protein expression (western blotting), caspase-3 activity (Asp–Glu–Val–Asp (DEVD)), and apoptosis (DNA fragmentation) were analyzed. Our results showed that CNTF-treated islets demonstrated reduced glucose-induced insulin secretion. CNTF treatment did not affect glucose metabolism, as well as the expression of mRNAs and proteins that are crucial for the secretory process. Conversely, CNTF significantly increased mRNA and protein levels related to cell survival, such as Cx36, PAX4, and BCL-2, reduced caspase-3 activity, and islet cells apoptosis, suggesting that CNTF does not affect islet cell differentiation and, instead, acts as a survival factor reducing apoptosis by increasing the expression of the anti-apoptotic BCL-2 protein and decreasing caspase-3 activity.

Abstract

Ciliary neurotrophic factor (CNTF) belongs to the cytokine family and increases neuron differentiation and/or survival. Pancreatic islets are richly innervated and express receptors for nerve growth factors (NGFs) and may undergo neurotypic responses. CNTF is found in pancreatic islets and exerts paracrine effects in neighboring cells. The aim of this study was to investigate possible effects of CNTF on neonatal rat pancreatic islet differentiation and/or survival. For this purpose, we isolated pancreatic islets from neonatal rats (1–2 days old) by the collagenase method and cultured for 3 days in RPMI medium with (CNTF) or without (CTL) 1 nM CNTF. Thereafter, glucose-stimulated insulin secretion (RIA), general metabolism by (NAD(P)H production; MTS), glucose metabolism (14CO2 production), gene (RT-PCR), protein expression (western blotting), caspase-3 activity (Asp–Glu–Val–Asp (DEVD)), and apoptosis (DNA fragmentation) were analyzed. Our results showed that CNTF-treated islets demonstrated reduced glucose-induced insulin secretion. CNTF treatment did not affect glucose metabolism, as well as the expression of mRNAs and proteins that are crucial for the secretory process. Conversely, CNTF significantly increased mRNA and protein levels related to cell survival, such as Cx36, PAX4, and BCL-2, reduced caspase-3 activity, and islet cells apoptosis, suggesting that CNTF does not affect islet cell differentiation and, instead, acts as a survival factor reducing apoptosis by increasing the expression of the anti-apoptotic BCL-2 protein and decreasing caspase-3 activity.

Introduction

Ciliary neurotrophic factor (CNTF) is a member of the IL-6 family of cytokines that includes IL-11, leukemia inhibitory factor, cardiotrophin-1, oncostatin-M, CNTF, and IL-6 itself, all using gp130 as a signal-transducing element in the functional receptor complexes and a specific receptor for each of them (CNTF-Rα for CNTF; Smith et al. 1993, Schulz-Key et al. 2002, Duff & Baile 2003).

CNTF is distributed all over the rat central nervous system in neurons and glial cells and also in high concentrations in Schwann cells in the peripheral nervous system. The peptide is known for its neurotrophic effects, being a survival factor for sympathetic, sensory, hippocampal and motor neurons in vitro and in vivo, and in type 2 astrocyte differentiation (Kirsch et al. 1997, Duff & Baile 2003).

Proper control of insulin secretion is crucial for the metabolism of mammals since it exerts a strict regulation of the plasma levels of nutrients, especially glucose. In pancreatic β-cells, a glucose-stimulated increase in the cytosolic ATP/ADP ratio, closes ATP-sensitive potassium (KATP) channels, which depolarizes the plasma membrane above a threshold, leading to Ca2+ entry into the cytosol through activation of voltage-dependent Ca2+ channels. The rise in cytosolic Ca2+ triggers exocytosis of insulin from secretory vesicles. Type 1 diabetes is characterized by a failure of the immune system that inappropriately recognizes β-cell peptides, leading to an islet infiltration by neutrophiles and a local increase in the concentration of many pro-apoptotic cytokines such as INF-γ , tumour necrosis factor-α and IL-1β , activating β-cell apoptotic pathways, suppression of protein expression, and membrane expression of apoptosis stimulating fragment (FAS) (Nagata et al. 1989, Jun et al. 1999, Park et al. 1999, Amrani et al. 2000) These effects culminate with an almost complete β-cell loss, leaving other islet cell types unharmed. The lack of circulating insulin alters the central nervous system’s control of nutrient ingestion (Zhao & Alkon 2001, Zhao et al. 2004, Plum et al. 2005) and causes an inappropriate fuel metabolism, with plasma nutrient accumulation and impairment of its intracellular utilization, ultimately leading to organ and system degeneration (Gerbitz et al. 1995). These effects may be reversed or, at least, avoided by a proper activation of anti-apoptotic pathways, mainly via BCL-2, the major anti-apoptotic protein in islets (Polak et al. 1993, Mauricio & Mandrup-Poulsen 1998, Mizuno et al. 1998, Hanke 2001).

CNTF impairs glucose-stimulated insulin secretion (GSIS) and potentiates the inhibitory effect of IL-1β on GSIS, in cultured islets (Wadt et al. 1998). In addition, it also exhibits many in vivo systemic effects, such as reduction of adiposity, body weight, hyperinsulinemia, and hyperglycemia in rats (Gloaguen et al. 1997, Lambert et al. 2001, Sakuma et al. 2002, Sleeman et al. 2003, Kelly et al. 2004, Ott et al. 2004, Ahima 2006, Graewin et al. 2006, Steinberg et al. 2006, Watt et al. 2006).

β-Cells express receptors for several neurotrophic factors and may undergo a neurotypic response to neuronal differentiation factors (Sundler & Böttcher 1991, Polak et al. 1993, Ahima 2006) CNTF is identified in pancreatic β-cells and in the islet-associated nervous system, exerting several actions on non-neuronal cells and may have a paracrine function inside the islets. Furthermore, CNTF expression has already been identified in β-cells (Wadt et al. 1998). For these reasons, we decided to study the possible effects of CNTF on rat pancreatic islets differentiation and/or survival.

Material and Methods

Chemicals

d-[U-14C]glucose and 125I-insulin were from G E. Health Care; aminotransferase inhibitor aminooxyacetate (carboxymethoxylamine) and Sybr-Green were from Sigma–Aldrich; MTS/phenazine methosulfate (PMS) preparation was from CellTitter96 aqueous assay (Promega), and all RT-PCR reagents were purchased from Invitrogen. Other reagents were from Sigma, whenever specified.

Islets isolation and culture

Neonatal (1–2 days old) Wistar rats came from the State University of Campinas animal facilities. After decapitation, the islets were isolated by collagenase (EC 3.4.24.3) digestion of pancreas in Hanks’ balanced salt solution (137 mM NaCl, 5.5 mM KCl, 4.5 mM NaHCO3, 0.4 mM KH2PO4, 0.4 mM Na2HPO4, 0.8 mM MgSO4, and 1.5 mM CaCl2, pH 7.4). Islets were extensively washed in sterile Hanks’ solution and cultured in RPMI 1640 medium supplemented with 2 g/l NaHCO3, 1% (v/v) penicillin/-streptomycin, 5.6 mM d-glucose and 2% fetal bovine serum (pH 7.4). Approximately, 1000 islets/dish were maintained at 37 ° C in a humidified atmosphere with 3% CO2 for 3 days in the presence or absence of 1 nM CNTF. The medium was renewed every 24 h. Islet experimental groups were assigned according to culture conditions: CTL (control group, islets cultured without CNTF) and CNTF (treated group, islets cultured with CNTF).

Insulin secretion

Batches of ten islets each were incubated in Krebs–Hepes-buffered saline (KHBS (mM): 115 NaCl, 10 NaHCO3, 5 KCl, 1 MgCl2, 2.5 CaCl2, and 15 Hepes) containing 0.5 g/l BSA and 5.6 mM glucose (pH 7.4) and equilibrated with 95% O2 and 5% CO2 for 30 min at 37 ° C. The medium was discarded and the islets incubated for a further period of 1 h in 1 ml KHBS containing 2.8 or 16.7 mM glucose. The supernatant was collected and insulin was measured by RIA.

Glucose metabolism

Batches of 50 islets each were incubated for 2 h at 37 ° C in KHBS containing 2.8 or 16.7 mM glucose with trace amounts of either d-[U-14C]glucose for 14CO2 production. The batches were added with 1 M HCl to stop respiration and the 14CO2 collected for 1 h at 4 ° C 1 M NaOH.

RT-PCR

Groups of 1000 islets were homogenized in Trizol following phenol–chloroform RNA extraction, according to the manufacturer’s instructions. RNA integrity was asserted through agarose gel. Reverse transcriptase reaction was performed using 3 μ g total RNA. The reactions were incubated for 5 min at 65 ° C before the addition of 150 ng random primers, for 10 min at 25 ° C before the addition of 14.3 mM MgCl2, 2.8 mM dithiothreitol, and 0.4 U/μ l RNase-out, and at 42 ° C for 2 min before the addition of 1.25 U/μ l RNA Superscript II. Samples were incubated at 42° C for 50 min, at 70 ° C for 15 min, and then cooled to 4° C. The cDNAs obtained were diluted in PCR buffer (60 mM Tris–HCl, 1.5 mM MgCl2, and 15 mM NH4SO4, pH 10) with 50 mM MgCl2, 0.3 mM each of dATP, dCTP, dGTP, and dTTP, 2.5 U/μ l Taq DNA polymerase (Gibco/BRL), and 10 mM forward and reverse primers were then added. PCR amplification of cDNA was performed with a GeneAmp PCR System 9700 (Applied Biosystems, Foster City, CA, USA). The PCR program employed the following cycle profile: 32 cycles of denaturation for 1 min at 94 ° C, annealing for 1 min, extension for 1.5 min at 72 ° C, and maximization of strand completion for 7 min at 72 ° C. The annealing temperatures and the number of cycles used in each amplification are shown in the legends. Following amplification, the cDNA fragments were analyzed on 1.6% agarose gels containing a 100 bp DNA molecular weight ladder (Gibco/BRL). PCR products were analyzed by ethidium bromide u.v. fluorescence in a Gel Doc EQ analyzer (Bio-Rad).

Internal controls for reactions were chosen among various controls used; of these, the RPS-29 subunit of the 40S small ribosomal unit showed the best homogeneity between treated and non-treated groups. Primers were designed and tested against Rattus norvegicus genome (Gene Bank) to ensure no amplification of other cDNAs. The sense (S) and anti-sense (AS) oligonucleotide primers used were as follows: RPS-29 (S) 5′-AGG CAA GAT GGG TCA CYCLE CCA GC-3′; RPS-29 (AS) 5′-AGT CGA ATC CAT TCA CYCLE GGT CG-3′; rat pro-insulin 2 (S) 5′-TTG CAG TAG TTC TCC AGT T-3′; rat pro-insulin 2 (AS) 5′-ATT GTT CCA ACA TGG CCC TGT-3′; GLUT2 (A) 5′-CAT TGC TGG AAG CGT ATC AG-3′; GLUT2 (AS) 5′-GAG ACC TTC TGC TCA CYCLE GTC GAC G-3′; PKCα (S) 5′-CCT GCT CTA CGG ACT TAC T-3′; PKCα (AS) 5′-TGT AGT ATT CAC CCT CCT C-3′; NKX6.1 (S) 5′-AAA CAC ACC AGA CCC ACA TTC TC-3′; NKX6.1 (AS) 5′-TTC TCG TCG TCA GAG TTC GG-3′; glucokinase IV (S) 5′-ATG AAG ACC GCC AAT GTG AGG-3′; glucokinase IV 5′-TGT TGT GGA TCT GCT TTC GGT C-3′; CX36 (S) 5′-AGT GGT GGG AGC AAG CGA GAA G-3′; CX36 (AS) 5′-ACA ACC CTG GGA CAC TGA AGC C-3′; PAX4 (S) 5′-ACC AGC CAC AGG AAT CGG AC-3′; PAX4 (AS) 5′-AAG CCA CAG GAA GGA GGG AG-3′; BAD (S) 5′-CAG TGA TCT GCT CCA CAT TC-3′; BAD (AS) 5′-ATG ATA GGA CAG CAC CCA GT-3′; BAX (S) 5′-AAG AAG CTG AGC GAG TGT CT-3′; BAX (AS) 5′-CAA AGA TGG TCA CTG TCT GC-3′; AKT (S) 5′-CCT CAA GTA CTC ATT CCA GAC-3′; AKT (AS) 5-′ CTC ATA CAC ATC TTG CCA CAC-3′; BCL2 (S) 5′-GTA TGA TAA CCG GGA GAT CG-3′; BCL2 (AS) 5′-AGC CAG GAG AAA TCA AAC AG-3′ . All annealing temperatures and number of cycles were chosen to agree maximal sensibility to sample cDNA content.

Western blotting

After culture, groups of isletswere pelleted by centrifugation and then resuspended in 50–100 μ l homogenization buffer containing protease inhibitors, as described. The islets were sonicated (15 s) and the protein was determined by the Bradford method (Andersson et al. 2005) using BSA as standard. The samples volume was adjusted to provide the same amount of protein added to each lane. Samples containing 70 μ g protein from each experimental group were separated by SDS-PAGE, transferred to nitrocellulose membranes, and stained with Ponceau S. No differences in the total amount of protein were observed as judged by densitometric analysis of the stained membranes (not shown). CX36 was detected in the membrane after 2-h incubation at room temperature with a rabbit polyclonal antibody against CX36 (Zymed, diluted 1:1500 in TTBS plus 30 g/l dry skimmed milk), and BCL-2 with a rabbit polyclonal antibody against BCL-2 (Santa Cruz, Biotechnologies, Santa Cruz, CA, USA, diluted 1:500 in TTBS plus 30 g/l dry skimmed milk). Detection was performed using enhanced chemiluminescence (SuperSignal West Pico, Pierce, Milwaukee, WI, USA) after incubation with a horseradish peroxidase-conjugated secondary antibody. Band intensities were quantified by optical densitometry (Scion Image, Frederick, MD, USA) of the developed autoradiogram.

NAD(P)H determination

NAD(P)H was measured by the coupled reduction of PMS and subsequent transfer of electrons to the tetrazolium salt, MTS, both of which are membrane permeable. Mixing of MTS and PMS solutions was carried out according to the manufacturer’s instructions. Little change in 492 nm absorbance was seen with concentrations of NAD(P)H below 10 μ M. Owing to the significant interference of proteins bound to NAD(P)H, standard curves were less accurate at low concentrations of NAD(P)H. However, spectroscopic analysis demonstrated an increase of ~10−3/cm per islet light absorption at 650 nm when different numbers of islets were disrupted in a solution of MTS/PMS containing 2 mg/ml BSA. Heat-denatured islet homogenates were used as negative controls.

Static measurements

Static measurements of NAD(P)H were performed by incubating groups of 200 islets in KHBS containing 2.8 or 16.7 mM glucose, reproducing the same conditions used in insulin secretion experiments. Islets were then washed in ice-cold Hanks’ solution and immediately disrupted by sonication in 150 μ l Hanks’ solution. Homogenates were centrifuged at 10 000 g for 2 min to remove islet debris. Supernatants were then added to the MTS/PMS solution and incubated for 30 min at room temperature before recording absorbance at 650 and 405 nm (background). Samples with no islet were used as blanks.

Dynamic measurements

Dynamic measurements of NAD(P)H were carried out by incubating groups of 20 islets in 200 μ l KHBS containing 0 or 20 mM glucose and 5% (v/v) of MTS/PMS. This concentration of MTS/PMS was chosen after testing concentrations from 1 to 20% (v/v) and searching for the best sensitivity. As judged by a transient rate of MTS/PMS reduction, concentrations of PMS/MTS above 7% caused cell death due to NAD(P)H depletion. Samples were incubated for 3 h under 95% O2 +5% CO2 atmosphere (140 μ M O2 in KHBS). Samples with no islets were used as blanks and 492 nm absorbance values were recorded every 30 min. NADPH standard curves were used to calculate the reduced amounts of NAD(P)H in samples. The NAD(P)H reduction rate values were taken from the temporal increase of MTS/PMS absorbance in each sample.

Caspase-3 activity assay

The colorimetric method of cleavage of the DEVD was employed. Control and treated incubated neonatal rat islets were lysated in CHAPS-containing hypotonic buffer, centrifuged at 10 000 g, and the supernatants were stored at −80 ° C for further measurement. For the assay, up to 50 μ l lysate (corresponding to 100 μ g protein), 50 μ l substrate, and enough volume of assay buffer for completing 100 μ l total sample assay volume, were placed in clear flat bottom 96-well plates. The absorbance was measured at 405 nm, reading every 5 min for 2 h at 37 ° C. Total protein content was determined by the Bradford assay. The specific activity of caspase-3 was calculated according to the manual, using a known standard pNA solution.

DNA fragmentation assay

DNA was isolated from neonatal rat islets, separated in fragmented and integral subunits by Trizol/Triton method. Both were quantified by Sybr-Green method, as ng/ml of DNA. Data are expressed as fragmented/total DNA.

Statistical analysis

Point-to-point comparisons were made by Student’s t-test. Groups were compared by two-way ANOVA using the unpaired Tukey–Kramer method as post-test. Results were considered significantly different if P < 0.05. In RT-PCR experiments, results were considered different only if P < 0.001.

Results

The GSIS from islets cultured in the presence of 1 nM CNTF for 3 days, subsequently incubated for 1 h in Krebs-bicarbonate solution at 2.8 or 16.7 mM glucose, was significantly lower when compared with control islets (P < 0.05; Fig. 1). The total insulin (CTL 2.8, 291.38 ± 60.99; CNTF 2.8, 293.20 ± 31.42; CTL 16.7, 334.62 ± 43.41; CNTF 16.7, 336.78 ± 23.32 ng/islet, n = 6); and DNA (CTL, 1.82 ± 0.06; CNTF, 1.86 ± 0.07 ng/ml, n = 4) islet contents were similar between groups. In addition, a small reduction of the mitochondrial metabolism was observed in the CNTF-treated islets, as judged by the NADPH reduction rate (P < 0.05 versus CTL; Fig. 2), suggesting that CNTF treatment does not improve the maturation of the islet secretory process. To assess whether these inhibitory effects were due to an altered glucose metabolism, we measured the glucose utilization by CNTF and CTL islets. No differences in 14CO2 production, at basal and stimulatory concentrations of glucose, were observed between groups (Fig. 3).

To further analyze the effects of CNTF on the maturation of neonatal islets, we investigated the transcription level of several proteins involved in this process, such as GLUT2 (Yasuda et al. 1992, Hathout et al. 1997, Wang & Gleichmann 1998), insulin, PKCα (Jones et al. 1992, Chen & Romsos 1997, Zawalich et al. 1998, Carpenter et al. 2004), PDX-1 (Beattie et al. 1999, Pedersen et al. 2002, Andersson et al. 2005) NKX6.1 (Schisler et al. 2005), and glucokinase IV (Matschinsky et al. 2006). None of the mRNA analyzed was significantly altered by CNTF treatment (Fig. 4A–F). The protein expression for some of these genes confirmed the results obtained by RT-PCR (Fig. 5A and B). Indicating that CNTF has no effect on islet cells differentiation.

In the next series of experiments, the expression of gene encoding proteins related to cells survival were analyzed, such as the pro-apoptotic BCL-2 antagonist of cell death (BAD; Hanke 2001) and BAX (Mizuno et al. 1998) and the anti-apoptotic Akt (Borner 2003), Bcl-2 (Nunez & Clarke 1994, Gillardon et al. 1996, Reed et al. 1996, Chao & Korsmeyer 1998, Adams & Cory 2001, Kaufmann & Hengartner 2001, Borner 2003), Cx36 (Calabrese et al. 2003, Le Gurun et al. 2003, Ravier et al. 2005, Striedinger et al. 2005), and PAX4 (Brun et al. 2004, 2007) genes. No differences were observed between CNTF and CTL islets for BAD, BAX, and Akt (Fig. 6A–C) genes, whereas the Bcl-2, Cx36, and PAX4 genes (Fig. 6D–F) were significantly higher in the CNTF-treated islets. The expression of two transcripts (Bcl-2 and Cx36) was confirmed by western blotting for the corresponding proteins (Fig. 7A and B), confirming that the peptide acts in neonatal rat islets as a survival factor.

Finally, the effect of CNTF on the final steps of cell death was assessed by evaluating the caspase-3 activity, an accurate marker for apoptosis (Medina et al. 1997, Juin et al. 1998, Yu et al. 1998, Jani et al. 2004), and islet cells DNA fragmentation (Gillardon et al. 1996). CNTF treatment significantly reduced the islet caspase-3 activity (Fig. 8A) and DNA fragmentation (Fig. 8B) compared with CTL islets. The unusual high levels of fragmented DNA can be explained by the lower fetal bovine serum (FBS; 2%) and glucose (5.6 mM) in culture medium compared with the usual 5–10% FBS and 11.2 mM glucose. These results clearly indicate a lower level of apoptosis and, therefore, increased islet survival promoted by CNTF.

Discussion

It has been suggested that CNTF, released from destroyed β-cells during the inflammatory process that occurs during the onset of type 1 diabetes, may act as a proinflammatory cytokine by potentiating the action of IL-1β on β-cells (Wadt et al. 1998). However, to date, CNTF, in contrast to IL-6 (Ahima 2006) has not yet been tested as a differentiation and/or survival factor in pancreatic islets. The present results show that CNTF impairs GSIS in cultured islets, but promotes their survival by reducing apoptosis.

Basal and GSISs have been suggested to be accurate markers of differentiated and/or functionally mature pancreatic islets. Here, we show that mitochondrial islet metabolism was significantly reduced in CNTF-treated islets, whilst glucose metabolism remained unaltered; indicating that islets demonstrate a lower activity and responsiveness, but that they are integral, features typical of undifferentiated cells. Furthermore, the expressions of major proteins related to differentiated β-cells, such as insulin, Glut2, PKC, PDX-1, NKX6.1, and glucokinase IV were unaffected by CNTF treatment. The possible effects of CNTF on islets survival had yet to be investigated, thus, we first evaluated the mRNA levels of a number of apoptosis-related proteins, including BAD, BAX, AKT, Bcl-2, Cx36, and PAX4. No changes in BAD, BAX, and AKTexpressions were observed; in contrast, Bcl-2, Cx36, and PAX4 mRNA levels were significantly higher in CNTF-treated islets, an effect subsequently confirmed by western blotting of two of the referred proteins. Owing to the anti-apoptotic function, attributed to these proteins, particularly Bcl-2, these results suggest a probable survival effect of CNTF in pancreatic islets.

The final steps of apoptosis involve the activation of caspase-3 in the cytosol and, depending on the degree of activation, the process is virtually irreversible. Thus, the reduced caspase-3 activity associated with the lower islet cells DNA fragmentation, observed in CNTF-treated islets, are markers of increased islets survival promoted by the peptide. The varying results observed following CNTF treatment in islets might be due to the increase in Bcl-2 expression; it has been suggested that in addition to its anti-apoptotic effects, Bcl-2 may have a role in regulating metabolism, and many findings support this theory. Bcl-2, is involved in regulation or generation of ROS (Korsmeyer et al. 1995, Kowaltowski et al. 2004), can alter mitochondrial matrix volume or structure (Kowaltowski et al. 2002), permeability to or consumption of ATP (Imahashi et al. 2004), permeability of voltage-dependent anion channel (VDAC) (Tsujimoto & Shimizu 2006), and sensitivity of the MPT to Ca2+ (Murphy et al. 1996).

Given the strict relationship between these parameters and metabolic function, it may be proposed that Bcl-2 affects NADH reduction, an accurate indicative of metabolism, and this is exactly what we observed in the present study; a significantly lower NADH reduction rate that suggests a decrease in general metabolism, without affecting glucose metabolism.

We hypothesize that the observed CNTF effects could be explained by the increased Bcl-2 expression, leading on the one hand, to a lower generation of ROS and the inhibition of apoptotic pathways, a subsequent reduced caspase-3 activity and a lower apoptosis rate. On the other hand, Bcl-2 reduced the mitochondrial metabolism (as evaluated by NADH reduction rate). However, at the present time, we cannot state that the increase in Bcl-2 expression is responsible for the impaired GSIS observed in CNTF-treated islets.

Alternatively to previous proposals of Graewin et al.(2006), we suggest that the effect of CNTF in IL-1β action on pancreatic islets may be due to a parallel rather than a synergic pathway. Our findings support the idea that CNTF acts as an anti-apoptotic cytokine that protects islets against the inflammatory processes by increasing Bcl-2 expression and promoting its survival.

In conclusion, CNTF impairs GSIS, as well as the mitochondrial metabolism of pancreatic islets, and has no effect on glucose metabolism and the expression of genes and proteins related to pancreatic islet insulin secretion. Instead, the present data indicate that CNTF acts as an effective promoter of islet survival by enhancing the levels of survival proteins, especially Bcl-2. We hypothesize that during inflammatory processes, CNTF present in the islets or in the associated peripheral nervous system, acts as a survival factor for the neighboring islets during the early stages of lesion. CNTF has not been tested in an animal model for IDDM, mainly due to its harsh side effects, such as cachexia and anorexia, observed in other animal models. Thus, new methods of delivering CNTF to target cells to avoid its side effects may potentiate CNTF as an important therapeutic tool.

Figure 1
Figure 1

Insulin secretion in islets cultured for 3 days with 5.6 mM glucose, 2% FBS, and 1% penicillin, in the presence or absence of 1 nM CNTF (CNTF and control groups respectively). Islets were pre-incubated for 30 min in KHBS with 5.6 mM glucose, as described, and then incubated either with 2.8 or 16.7 mM glucose for 1 h. Bars are means ± s.e.m. of eight independent experiments. *P < 0.05.

Citation: Journal of Endocrinology 195, 1; 10.1677/JOE-07-0016

Figure 2
Figure 2

Islet metabolism, as evaluated by NAD(P)H reduction rate (NRR). Islets were incubated for 3 h in KHBS containing 5% (v/v) of MTS/PMS and 10 mM glucose. Incubations were performed in a 95% O2 atmosphere that produced 140 μ M O2 in KHBS solution. NRR of each sample was calculated as the temporal change in NAD(P)H causing MTS/PMS reduction. Values are means ± s.e.m. of ten experiments. *P < 0.05.

Citation: Journal of Endocrinology 195, 1; 10.1677/JOE-07-0016

Figure 3
Figure 3

Glucose oxidation of islets cultured for 3 days with 5.6 mM glucose, 2% FBS, and 1% penicillin, in the presence or absence of 1 nM CNTF (CNTF and CTL groups respectively). Islets were incubated for 120 min in KHBS with 2.8 or 16.7 mM glucose containing equal amounts of d-[U-14C]glucose to measure 14CO2 production. Bars are means ± s.e.m. of at least eight experiments. *P < 0.05 related to each respective control (2.8 mM glucose).

Citation: Journal of Endocrinology 195, 1; 10.1677/JOE-07-0016

Figure 4
Figure 4

Effect of culture with 1 nM CNTF for 3 days on mRNA levels, as evaluated by RT-PCR, of GLUT-2 (A), insulin (B), PKC (C), PDX-1 (D) NKX6.1 (E), and glucokinase IV (GCK IV) (F). RT-PCRs annealing temperatures and cycle numbers used were as follows: 55° C and 29 cycles for GLUT-2; 57 ° C and 23 cycles for insulin; 57 ° C and 31 cycles for PKC; 55 ° C and 29 cycles for PDX-1; 60 ° C and 30 cycles for NKX6.1; and 60 ° C and 30 cycles for GCK IV. RPS-29 was used as an internal control (57 ° C and 29 cycles), showing no variation among the conditions tested. Plotted columns are means ± s.e.m. of 12 experiments. *P < 0.001.

Citation: Journal of Endocrinology 195, 1; 10.1677/JOE-07-0016

Figure 5
Figure 5

Protein expression, as measured by western blotting of PKC (A), PDX-1 (B) in neonate rat islets cultured for 3 days in the presence (CNTF ▪) or absence (control □) of 1 nM CNTF. Values are means ± s.e.m. of six independent experiments. * P < 0.05.

Citation: Journal of Endocrinology 195, 1; 10.1677/JOE-07-0016

Figure 6
Figure 6

Effect of 3 days of culture with 1 nM CNTF on mRNA levels, as evaluated by RT-PCR, of BAD (A), BAX (B), AKT (C), BCL-2 (D), Cx36 (E), and PAX4 (F). RT-PCRs annealing temperatures and cycle numbers used were as follows: 60 ° C and 29 cycles for BAD; 59 ° C and 31 cycles for BAX; 59 ° C and 30 cycles for AKT; 61 ° C and 32 cycles for BCL-2; 57 ° C and 31 cycles for CX36; and 62 ° C and 31 cycles for PAX4. RPS-29 was used as an internal control (57 ° C and 29 cycles), showing no variation among the conditions tested. Plotted columns are means ± s.e.m. of 12 experiments. *P < 0.001.

Citation: Journal of Endocrinology 195, 1; 10.1677/JOE-07-0016

Figure 7
Figure 7

Protein expression, as measured by western blotting of Cx36 (A) and Bcl-2 (B) in neonate rat islets cultured for 3 days in the presence (CNTF ▪) or absence (control □) of 1 nM CNTF. Values are means ± s.e.m. of six independent experiments. *P < 0.05.

Citation: Journal of Endocrinology 195, 1; 10.1677/JOE-07-0016

Figure 8
Figure 8

Caspase-3 activity (A) and percentage of DNA fragmentation (B) in neonate rat islets cultured for 3 days in the presence (CNTF ▪) or absence (control □) of 1 nM CNTF. Values are means ± s.e.m. of six (A) or four (B) independent experiments. *P < 0.05.

Citation: Journal of Endocrinology 195, 1; 10.1677/JOE-07-0016

We are grateful to Eliane Filliputti and Daniel A Cunha for scientific and intellectual assistance, and Lécio D Teixeira for the technical assistance. All activities were supported by Fundação de Amparo à Pesquisa do Estado de São Paulo and Conselho Nacional de Pesquisa, Brazil. The authors declare that there is no conflict of interest that would prejudice the impartiality of this scientific work.

Funding
 This work was partially supported by the following Brazilian foundations: Capes, CNPF, and Fapesp.

References

  • Adams JM & Cory S 2001 Life-or-death decisions by the Bcl-2 protein family. Trends in Biochemical Sciences 26 61–66.

  • Ahima RS 2006 Overcoming insulin resistance with CNTF. Nature Medicine 12 511–512.

  • Amrani A, Verdaguer J, Thiessen S, Bou S & Santamaria P 2000 IL-1α IL-1β , and IFN-γ mark beta cells for Fas-dependent destruction by diabetogenic CD4(+) T lymphocytes. Journal of Clinical Investigation 105 459–468.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Andersson AK, Borjesson A, Sandgren J & Sandler S 2005 Cytokines affect PDX-1 expression, insulin and proinsulin secretion from iNOS deficient murine islets. Molecular and Cellular Endocrinology 240 50–57.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Beattie GM, Itkin-Ansari P, Cirulli V, Leibowitz G, Lopez AD, Bossie S, Mally MI, Levine F & Hayek A 1999 Sustained proliferation of PDX-1+ cells derived from human islets. Diabetes 48 1013–1019.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Borner C 2003 The Bcl-2 protein family: sensors and checkpoints for life-or-death decisions. Molecular Immunology 39 615–647.

  • Brun T, Franklin I, St-Onge L, Biason-Lauber A, Schoenle EJ, Wollheim CB & Gauthier BR 2004 The diabetes-linked transcription factor PAX4 promotes β-cell proliferation and survival in rat and human islets. Journal of Cell Biology 167 1123–1135.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Brun T, Duhamel DL, Hu He KH, Wollheim CB & Gauthier BR 2007 The transcription factor PAX4 acts as a survival gene in INS-1E insulinoma cells. Oncogene 26 4261–4271.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Calabrese A, Zhang M, Serre-Beinier V, Caton D, Mas C, Satin LS & Meda P 2003 Connexin 36 controls synchronization of Ca2+ oscillations and insulin secretion in MIN6 cells. Diabetes 52 417–424.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Carpenter L, Mitchell CJ, Xu ZZ, Poronnik P, Both GW & Biden TJ 2004 PKC alpha is activated but not required during glucose-induced insulin secretion from rat pancreatic islets. Diabetes 53 53–60.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Chao DT & Korsmeyer SJ 1998 BCL-2 family: regulators of cell death. Annual Review of Immunology 16 395–419.

  • Chen NG & Romsos DR 1997 Persistently enhanced sensitivity of pancreatic islets from ob/ob mice to PKC-stimulated insulin secretion. American Journal of Physiology 272 E304–E311.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Duff E & Baile CA 2003 Ciliary neurotrophic factor: a role in obesity? Nutrition Reviews 61 423–426.

  • Gerbitz KD, van den Ouweland JM, Maassen JÁ& Jaksch M 1995 Mitochondrial diabetes mellitus: a review. Biochimica et Biophysica Acta 1271 253–260.

  • Gillardon F, Lenz C, Waschke KF, Krajewski S, Reed JC, Zimmermann M & Kuschinsky W 1996 Altered expression of Bcl-2, Bcl-X, Bax, and c-Fos colocalizes with DNA fragmentation and ischemic cell damage following middle cerebral artery occlusion in rats. Brain Research. Molecular Brain Research 40 254–260.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gloaguen I, Costa P, Demartis A, Lazzaro D, Di Marco A, Graziani R, Paonessa G, Chen F, Rosenblum CI, Van der Ploeg LH et al.1997 Ciliary neurotrophic factor corrects obesity and diabetes associated with leptin deficiency and resistance. PNAS 94 6456–6461.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Graewin SJ, Kiely JM, Svatek CL & Pitt HA 2006 Ciliary neurotrophic factor restores gallbladder contractility in leptin-resistant obese diabetic mice. Journal of Surgical Research 130 146–151.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Le Gurun S, Martin D, Formenton A, Maechler P, Caille D, Waeber G, Meda P & Haefliger JA 2003 Connexin-36 contributes to control function of insulin-producing cells. Journal of Biological Chemistry 278 37690–37697.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hanke J 2001 Apoptosis in cultured rat islets of langerhans and occurrence of Bcl-2. Cells, Tissues, Organs 169 113–124.

  • Hathout EH, Kumagai AK, Sangkharat A, Geffner ME & Mullen Y 1997 Absence of GLUT2 protein in near-term fetal rat pancreatic islets. Pancreas 14 318–321.

  • Imahashi K, Schneider MD, Steenbergen C & Murphy E 2004 Transgenic expression of Bcl-2 modulates energy metabolism, prevents cytosolic acidification during ischemia, and reduces ischemia/reperfusion injury. Circulation Research 95 734–741.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Jani A, Ljubanovic D, Faubel S, Kim J, Mischak R & Edelstein CL 2004 Caspase inhibition prevents the increase in caspase-3, -2, -8 and -9 activity and apoptosis in the cold ischemic mouse kidney. American Journal of Transplantation 4 1246–1254.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Jones PM, Persaud SJ & Howell SL 1992 Insulin secretion and protein phosphorylation in PKC-depleted islets of Langerhans. Life Sciences 50 761–767.

  • Juin P, Pelletier M, Oliver L, Tremblais K, Gregoire M, Meflah K & Vallette FM 1998 Induction of a caspase-3-like activity by calcium in normal cytosolic extracts triggers nuclear apoptosis in a cell-free system. Journal of Biological Chemistry 273 17559–17564.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Jun HS, Yoon CS, Zbytnuik L, van Rooijen N & Yoon JW 1999 The role of macrophages in T cell-mediated autoimmune diabetes in nonobese diabetic mice. Journal of Experimental Medicine 189 347–358.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kaufmann SH & Hengartner MO 2001 Programmed cell death: alive and well in the new millennium. Trends in Cell Biology 11 526–534.

  • Kelly JF, Elias CF, Lee CE, Ahima RS, Seeley RJ, Bjorbaek C, Oka T, Saper CB, Flier JS & Elmquist JK 2004 Ciliary neurotrophic factor and leptin induce distinct patterns of immediate early gene expression in the brain. Diabetes 53 911–920.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kirsch M, Lee M, Meyer V, Wiese A & Hofmann HD 1997 Evidence for multiple, local functions of ciliary neurotrophic factor (CNTF) in retinal development: expression of CNTF and its receptors and in vitro effects on target cells. Journal of Neurochemistry 68 979–990.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Korsmeyer SJ, Yin XM, Oltvai ZN, Veis-Novack DJ & Linette GP 1995 Reactive oxygen species and the regulation of cell death by the Bcl-2 gene family. Biochimica et Biophysica Acta 1271 63–66.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kowaltowski AJ, Cosso RG, Campos CB & Fiskum G 2002 Effect of Bcl-2 overexpression on mitochondrial structure and function. Journal of Biological Chemistry 277 42802–42807.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kowaltowski AJ, Fenton RG & Fiskum G 2004 Bcl-2 family proteins regulate mitochondrial reactive oxygen production and protect against oxidative stress. Free Radical Biology and Medicine 37 1845–1853.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lambert PD, Anderson KD, Sleeman MW, Wong V, Tan J, Hijarunguru A, Corcoran TL, Murray JD, Thabet KE & Yancopoulos GD 2001 Ciliary neurotrophic factor activates leptin-like pathways and reduces body fat, without cachexia or rebound weight gain, even in leptin-resistant obesity. PNAS 98 4652.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Matschinsky FM, Magnuson MA, Zelent D, Jetton TL, Doliba N, Han Y, Taub R & Grimsby J 2006 The network of glucokinase-expressing cells in glucose homeostasis and the potential of glucokinase activators for diabetes therapy. Diabetes 55 1–12 (Review).

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mauricio D & Mandrup-Poulsen T 1998 Apoptosis and the pathogenesis of IDDM: a question of life and death. Diabetes 47 1537–1543.

  • Medina V, Edmonds B, Young GP, James R, Appleton S & Zalewski PD 1997 Induction of caspase-3 protease activity and apoptosis by butyrate and trichostatin A (inhibitors of histone deacetylase): dependence on protein synthesis and synergy with a mitochondrial/cytochrome c-dependent pathway. Cancer Research 57 3697–3707.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mizuno N, Yoshitomi H, Ishida H, Kuromi H, Kawaki J, Seino Y, Seino S & Seino S 1998 Altered bcl-2 and bax expression and intracellular Ca2+ signaling in apoptosis of pancreatic cells and the impairment of glucose-induced insulin secretion. Endocrinology 139 1429–1439.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Murphy AN, Bredesen DE, Cortopassi G, Wang E & Fiskum G 1996 Bcl-2 potentiates the maximal calcium uptake capacity of neural cell mitochondria. PNAS 93 9893–9898.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Nagata M, Yokono K, Hayakawa M, Kawase Y, Hatamori N, Ogawa W, Yonezawa K, Shii K & Baba S 1989 Destruction of pancreatic islet cells by cytotoxic T lymphocytes in nonobese diabetic mice. Journal of Immunology 143 1155–1162.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Nunez G & Clarke MF 1994 The Bcl-2 family of proteins: regulators of cell death and survival. Trends in Cell Biology 4 399–403.

  • Ott V, Fasshauer M, Meier B, Dalski A, Kraus D, Gettys TW, Perwitz N & Klein J 2004 Ciliary neurotrophic factor influences endocrine adipocyte function: inhibition of leptin via PI 3-kinase. Molecular and Cellular Endocrinology 224 21–27.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Park C, Kim JR, Shim JK, Kang BS, Park YG, Nam KS, Lee YC & Kim CH 1999 Inhibitory effects of streptozotocin, tumor necrosis factor-alpha, and interleukin-1β on glucokinase activity in pancreatic islets and gene expression of GLUT2 and glucokinase. Archives of Biochemistry and Biophysics 362 217–224.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pedersen AA, Petersen HV, Videbaek N, Skak K & Michelsen BK 2002 PDX-1 mediates glucose responsiveness of GAD(67), but not GAD(65), gene transcription in islets of Langerhans. Biochemical and Biophysical Research Communications 295 243–248.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Plum L, Schubert M & Bruning JC 2005 The role of insulin receptor signaling in the brain. Trends in Endocrinology and Metabolism 16 59–65.

  • Polak M, Scharfmann R, Seilheimer B, Eisenbarth G, Dressler D, Verma IM & Potter H 1993 Nerve growth factor induces neuron-like differentiation of an insulin-secreting pancreatic beta cell line. PNAS 90 5781–5785.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ravier MA, Guldenagel M, Charollais A, Gjinovci A, Caille D, Sohl G, Wollheim CB, Willecke K, Henquin JC & Meda P 2005 Loss of connexin36 channels alters beta-cell coupling, islet synchronization of glucose-induced Ca2+ and insulin oscillations, and basal insulin release. Diabetes 54 1798–1807.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Reed JC, Zha H, Aime-Sempe C, Takayama S & Wang HG 1996 Structure-function analysis of Bcl-2 family proteins. Regulators of programmed cell death. Advances in Experimental Medicine and Biology 406 99–112.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sakuma E, Herbert DC & Soji T 2002 Leptin and ciliary neurotrophic factor enhance the formation of gap junctions between folliculo-stellate cells in castrated male rats. Archives of Histology and Cytology 65 269–278.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Schisler JC, Jensen PB, Taylor DG, Becker TC, Knop FK, Takekawa S, German M, Weir GC, Lu D, Mirmira RG et al.2005 The Nkx6.1 homeodomain transcription factor suppresses glucagon expression and regulates glucose-stimulated insulin secretion in islet beta cells. PNAS 102 7297–7302.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Schulz-Key S, Hofmann HD, Beisenherz-Huss C, Barbisch C & Kirsch M 2002 Ciliary neurotrophic factor as a transient negative regulator of rod development in rat retina. Investigative Ophthalmology & Visual Science 43 3099–3108.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sleeman MW, Garcia K, Liu R, Murray JD, Malinova L, Moncrieffe M, Yancopoulos GD & Wiegand SJ 2003 Ciliary neurotrophic factor improves diabetic parameters and hepatic steatosis and increases basal metabolic rate in db/db mice. PNAS 100 14297–14302.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Smith GM, Rabinovsky ED, McManaman JL & Shine HD 1993 Temporal and spatial expression of ciliary neurotrophic factor after peripheral nerve injury. Experimental Neurology 121 239–247.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Steinberg GR, Watt MJ, Fam BC, Proietto J, Andrikopoulos S, Allen AM, Febbraio MA & Kemp BE 2006 Ciliary neurotrophic factor suppresses hypothalamic AMP-kinase signaling in leptin-resistant obese mice. Endocrinology 147 3906–3914.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Striedinger K, Petrasch-Parwez E, Zoidl G, Napirei M, Meier C, Eysel UT & Dermietzel R 2005 Loss of connexin36 increases retinal cell vulnerability to secondary cell loss. European Journal of Neuroscience 22 605–616.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sundler F & Böttcher G 1991 Islet Innervation, with special reference to neuropeptides. In The Endocrine Pancreas, pp 29–47. Ed. E Samols. New York: Raven Press.

    • PubMed
    • Export Citation
  • Tsujimoto Y & Shimizu S 2002 The voltage-dependent anion channel: an essential player in apoptosis. Biochimie 84 187–193.

  • Wadt KA, Larsen CM, Andersen HU, Nielsen K, Karlsen AE & Mandrup-Poulsen T 1998 Ciliary neurotrophic factor potentiates the beta-cell inhibitory effect of IL-1beta in rat pancreatic islets associated with increased nitric oxide synthesis and increased expression of inducible nitric oxide synthase. Diabetes 47 1602–1608.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wang Z & Gleichmann H 1998 GLUT2 in pancreatic islets: crucial target molecule in diabetes induced with multiple low doses of streptozotocin in mice. Diabetes 47 50–56.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Watt MJ, Dzamko N, Thomas WG, Rose-John S, Ernst M, Carling D, Kemp BE, Febbraio MA & Steinberg GR 2006 CNTF reverses obesity-induced insulin resistance by activating skeletal muscle AMPK. Nature Medicine 12 541–548.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yasuda K, Yamada Y, Inagaki N, Yano H, Okamoto Y, Tsuji K, Fukumoto H, Imura H, Seino S & Seino Y 1992 Expression of GLUT1 and GLUT2 glucose transporter isoforms in rat islets of Langerhans and their regulation by glucose. Diabetes 41 76–81.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yu R, Mandlekar S, Harvey KJ, Ucker DS & Kong AN 1998 Chemopreventive isothiocyanates induce apoptosis and caspase-3-like protease activity. Cancer Research 58 402–408.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zawalich WS, Bonnet-Eymard M, Zawalich KC & Yaney GC 1998 Chronic exposure to TPA depletes PKC alpha and augments Ca-dependent insulin secretion from cultured rat islets. American Journal of Physiology 274 C1388–C1396.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhao WQ & Alkon DL 2001 Role of insulin and insulin receptor in learning and memory. Molecular and Cellular Endocrinology 177 125–134.

  • Zhao WQ, Chen H, Quon MJ & Alkon DL 2004 Insulin and the insulin receptor in experimental models of learning and memory. European Journal of Pharmacology 490 71–81.

    • PubMed
    • Search Google Scholar
    • Export Citation

 

  • Collapse
  • Expand
  • Figure 1

    Insulin secretion in islets cultured for 3 days with 5.6 mM glucose, 2% FBS, and 1% penicillin, in the presence or absence of 1 nM CNTF (CNTF and control groups respectively). Islets were pre-incubated for 30 min in KHBS with 5.6 mM glucose, as described, and then incubated either with 2.8 or 16.7 mM glucose for 1 h. Bars are means ± s.e.m. of eight independent experiments. *P < 0.05.

  • Figure 2

    Islet metabolism, as evaluated by NAD(P)H reduction rate (NRR). Islets were incubated for 3 h in KHBS containing 5% (v/v) of MTS/PMS and 10 mM glucose. Incubations were performed in a 95% O2 atmosphere that produced 140 μ M O2 in KHBS solution. NRR of each sample was calculated as the temporal change in NAD(P)H causing MTS/PMS reduction. Values are means ± s.e.m. of ten experiments. *P < 0.05.

  • Figure 3

    Glucose oxidation of islets cultured for 3 days with 5.6 mM glucose, 2% FBS, and 1% penicillin, in the presence or absence of 1 nM CNTF (CNTF and CTL groups respectively). Islets were incubated for 120 min in KHBS with 2.8 or 16.7 mM glucose containing equal amounts of d-[U-14C]glucose to measure 14CO2 production. Bars are means ± s.e.m. of at least eight experiments. *P < 0.05 related to each respective control (2.8 mM glucose).

  • Figure 4

    Effect of culture with 1 nM CNTF for 3 days on mRNA levels, as evaluated by RT-PCR, of GLUT-2 (A), insulin (B), PKC (C), PDX-1 (D) NKX6.1 (E), and glucokinase IV (GCK IV) (F). RT-PCRs annealing temperatures and cycle numbers used were as follows: 55° C and 29 cycles for GLUT-2; 57 ° C and 23 cycles for insulin; 57 ° C and 31 cycles for PKC; 55 ° C and 29 cycles for PDX-1; 60 ° C and 30 cycles for NKX6.1; and 60 ° C and 30 cycles for GCK IV. RPS-29 was used as an internal control (57 ° C and 29 cycles), showing no variation among the conditions tested. Plotted columns are means ± s.e.m. of 12 experiments. *P < 0.001.

  • Figure 5

    Protein expression, as measured by western blotting of PKC (A), PDX-1 (B) in neonate rat islets cultured for 3 days in the presence (CNTF ▪) or absence (control □) of 1 nM CNTF. Values are means ± s.e.m. of six independent experiments. * P < 0.05.

  • Figure 6

    Effect of 3 days of culture with 1 nM CNTF on mRNA levels, as evaluated by RT-PCR, of BAD (A), BAX (B), AKT (C), BCL-2 (D), Cx36 (E), and PAX4 (F). RT-PCRs annealing temperatures and cycle numbers used were as follows: 60 ° C and 29 cycles for BAD; 59 ° C and 31 cycles for BAX; 59 ° C and 30 cycles for AKT; 61 ° C and 32 cycles for BCL-2; 57 ° C and 31 cycles for CX36; and 62 ° C and 31 cycles for PAX4. RPS-29 was used as an internal control (57 ° C and 29 cycles), showing no variation among the conditions tested. Plotted columns are means ± s.e.m. of 12 experiments. *P < 0.001.

  • Figure 7

    Protein expression, as measured by western blotting of Cx36 (A) and Bcl-2 (B) in neonate rat islets cultured for 3 days in the presence (CNTF ▪) or absence (control □) of 1 nM CNTF. Values are means ± s.e.m. of six independent experiments. *P < 0.05.

  • Figure 8

    Caspase-3 activity (A) and percentage of DNA fragmentation (B) in neonate rat islets cultured for 3 days in the presence (CNTF ▪) or absence (control □) of 1 nM CNTF. Values are means ± s.e.m. of six (A) or four (B) independent experiments. *P < 0.05.

  • Adams JM & Cory S 2001 Life-or-death decisions by the Bcl-2 protein family. Trends in Biochemical Sciences 26 61–66.

  • Ahima RS 2006 Overcoming insulin resistance with CNTF. Nature Medicine 12 511–512.

  • Amrani A, Verdaguer J, Thiessen S, Bou S & Santamaria P 2000 IL-1α IL-1β , and IFN-γ mark beta cells for Fas-dependent destruction by diabetogenic CD4(+) T lymphocytes. Journal of Clinical Investigation 105 459–468.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Andersson AK, Borjesson A, Sandgren J & Sandler S 2005 Cytokines affect PDX-1 expression, insulin and proinsulin secretion from iNOS deficient murine islets. Molecular and Cellular Endocrinology 240 50–57.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Beattie GM, Itkin-Ansari P, Cirulli V, Leibowitz G, Lopez AD, Bossie S, Mally MI, Levine F & Hayek A 1999 Sustained proliferation of PDX-1+ cells derived from human islets. Diabetes 48 1013–1019.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Borner C 2003 The Bcl-2 protein family: sensors and checkpoints for life-or-death decisions. Molecular Immunology 39 615–647.

  • Brun T, Franklin I, St-Onge L, Biason-Lauber A, Schoenle EJ, Wollheim CB & Gauthier BR 2004 The diabetes-linked transcription factor PAX4 promotes β-cell proliferation and survival in rat and human islets. Journal of Cell Biology 167 1123–1135.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Brun T, Duhamel DL, Hu He KH, Wollheim CB & Gauthier BR 2007 The transcription factor PAX4 acts as a survival gene in INS-1E insulinoma cells. Oncogene 26 4261–4271.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Calabrese A, Zhang M, Serre-Beinier V, Caton D, Mas C, Satin LS & Meda P 2003 Connexin 36 controls synchronization of Ca2+ oscillations and insulin secretion in MIN6 cells. Diabetes 52 417–424.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Carpenter L, Mitchell CJ, Xu ZZ, Poronnik P, Both GW & Biden TJ 2004 PKC alpha is activated but not required during glucose-induced insulin secretion from rat pancreatic islets. Diabetes 53 53–60.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Chao DT & Korsmeyer SJ 1998 BCL-2 family: regulators of cell death. Annual Review of Immunology 16 395–419.

  • Chen NG & Romsos DR 1997 Persistently enhanced sensitivity of pancreatic islets from ob/ob mice to PKC-stimulated insulin secretion. American Journal of Physiology 272 E304–E311.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Duff E & Baile CA 2003 Ciliary neurotrophic factor: a role in obesity? Nutrition Reviews 61 423–426.

  • Gerbitz KD, van den Ouweland JM, Maassen JÁ& Jaksch M 1995 Mitochondrial diabetes mellitus: a review. Biochimica et Biophysica Acta 1271 253–260.

  • Gillardon F, Lenz C, Waschke KF, Krajewski S, Reed JC, Zimmermann M & Kuschinsky W 1996 Altered expression of Bcl-2, Bcl-X, Bax, and c-Fos colocalizes with DNA fragmentation and ischemic cell damage following middle cerebral artery occlusion in rats. Brain Research. Molecular Brain Research 40 254–260.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Gloaguen I, Costa P, Demartis A, Lazzaro D, Di Marco A, Graziani R, Paonessa G, Chen F, Rosenblum CI, Van der Ploeg LH et al.1997 Ciliary neurotrophic factor corrects obesity and diabetes associated with leptin deficiency and resistance. PNAS 94 6456–6461.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Graewin SJ, Kiely JM, Svatek CL & Pitt HA 2006 Ciliary neurotrophic factor restores gallbladder contractility in leptin-resistant obese diabetic mice. Journal of Surgical Research 130 146–151.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Le Gurun S, Martin D, Formenton A, Maechler P, Caille D, Waeber G, Meda P & Haefliger JA 2003 Connexin-36 contributes to control function of insulin-producing cells. Journal of Biological Chemistry 278 37690–37697.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Hanke J 2001 Apoptosis in cultured rat islets of langerhans and occurrence of Bcl-2. Cells, Tissues, Organs 169 113–124.

  • Hathout EH, Kumagai AK, Sangkharat A, Geffner ME & Mullen Y 1997 Absence of GLUT2 protein in near-term fetal rat pancreatic islets. Pancreas 14 318–321.

  • Imahashi K, Schneider MD, Steenbergen C & Murphy E 2004 Transgenic expression of Bcl-2 modulates energy metabolism, prevents cytosolic acidification during ischemia, and reduces ischemia/reperfusion injury. Circulation Research 95 734–741.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Jani A, Ljubanovic D, Faubel S, Kim J, Mischak R & Edelstein CL 2004 Caspase inhibition prevents the increase in caspase-3, -2, -8 and -9 activity and apoptosis in the cold ischemic mouse kidney. American Journal of Transplantation 4 1246–1254.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Jones PM, Persaud SJ & Howell SL 1992 Insulin secretion and protein phosphorylation in PKC-depleted islets of Langerhans. Life Sciences 50 761–767.

  • Juin P, Pelletier M, Oliver L, Tremblais K, Gregoire M, Meflah K & Vallette FM 1998 Induction of a caspase-3-like activity by calcium in normal cytosolic extracts triggers nuclear apoptosis in a cell-free system. Journal of Biological Chemistry 273 17559–17564.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Jun HS, Yoon CS, Zbytnuik L, van Rooijen N & Yoon JW 1999 The role of macrophages in T cell-mediated autoimmune diabetes in nonobese diabetic mice. Journal of Experimental Medicine 189 347–358.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kaufmann SH & Hengartner MO 2001 Programmed cell death: alive and well in the new millennium. Trends in Cell Biology 11 526–534.

  • Kelly JF, Elias CF, Lee CE, Ahima RS, Seeley RJ, Bjorbaek C, Oka T, Saper CB, Flier JS & Elmquist JK 2004 Ciliary neurotrophic factor and leptin induce distinct patterns of immediate early gene expression in the brain. Diabetes 53 911–920.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kirsch M, Lee M, Meyer V, Wiese A & Hofmann HD 1997 Evidence for multiple, local functions of ciliary neurotrophic factor (CNTF) in retinal development: expression of CNTF and its receptors and in vitro effects on target cells. Journal of Neurochemistry 68 979–990.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Korsmeyer SJ, Yin XM, Oltvai ZN, Veis-Novack DJ & Linette GP 1995 Reactive oxygen species and the regulation of cell death by the Bcl-2 gene family. Biochimica et Biophysica Acta 1271 63–66.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kowaltowski AJ, Cosso RG, Campos CB & Fiskum G 2002 Effect of Bcl-2 overexpression on mitochondrial structure and function. Journal of Biological Chemistry 277 42802–42807.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Kowaltowski AJ, Fenton RG & Fiskum G 2004 Bcl-2 family proteins regulate mitochondrial reactive oxygen production and protect against oxidative stress. Free Radical Biology and Medicine 37 1845–1853.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Lambert PD, Anderson KD, Sleeman MW, Wong V, Tan J, Hijarunguru A, Corcoran TL, Murray JD, Thabet KE & Yancopoulos GD 2001 Ciliary neurotrophic factor activates leptin-like pathways and reduces body fat, without cachexia or rebound weight gain, even in leptin-resistant obesity. PNAS 98 4652.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Matschinsky FM, Magnuson MA, Zelent D, Jetton TL, Doliba N, Han Y, Taub R & Grimsby J 2006 The network of glucokinase-expressing cells in glucose homeostasis and the potential of glucokinase activators for diabetes therapy. Diabetes 55 1–12 (Review).

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mauricio D & Mandrup-Poulsen T 1998 Apoptosis and the pathogenesis of IDDM: a question of life and death. Diabetes 47 1537–1543.

  • Medina V, Edmonds B, Young GP, James R, Appleton S & Zalewski PD 1997 Induction of caspase-3 protease activity and apoptosis by butyrate and trichostatin A (inhibitors of histone deacetylase): dependence on protein synthesis and synergy with a mitochondrial/cytochrome c-dependent pathway. Cancer Research 57 3697–3707.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Mizuno N, Yoshitomi H, Ishida H, Kuromi H, Kawaki J, Seino Y, Seino S & Seino S 1998 Altered bcl-2 and bax expression and intracellular Ca2+ signaling in apoptosis of pancreatic cells and the impairment of glucose-induced insulin secretion. Endocrinology 139 1429–1439.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Murphy AN, Bredesen DE, Cortopassi G, Wang E & Fiskum G 1996 Bcl-2 potentiates the maximal calcium uptake capacity of neural cell mitochondria. PNAS 93 9893–9898.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Nagata M, Yokono K, Hayakawa M, Kawase Y, Hatamori N, Ogawa W, Yonezawa K, Shii K & Baba S 1989 Destruction of pancreatic islet cells by cytotoxic T lymphocytes in nonobese diabetic mice. Journal of Immunology 143 1155–1162.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Nunez G & Clarke MF 1994 The Bcl-2 family of proteins: regulators of cell death and survival. Trends in Cell Biology 4 399–403.

  • Ott V, Fasshauer M, Meier B, Dalski A, Kraus D, Gettys TW, Perwitz N & Klein J 2004 Ciliary neurotrophic factor influences endocrine adipocyte function: inhibition of leptin via PI 3-kinase. Molecular and Cellular Endocrinology 224 21–27.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Park C, Kim JR, Shim JK, Kang BS, Park YG, Nam KS, Lee YC & Kim CH 1999 Inhibitory effects of streptozotocin, tumor necrosis factor-alpha, and interleukin-1β on glucokinase activity in pancreatic islets and gene expression of GLUT2 and glucokinase. Archives of Biochemistry and Biophysics 362 217–224.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Pedersen AA, Petersen HV, Videbaek N, Skak K & Michelsen BK 2002 PDX-1 mediates glucose responsiveness of GAD(67), but not GAD(65), gene transcription in islets of Langerhans. Biochemical and Biophysical Research Communications 295 243–248.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Plum L, Schubert M & Bruning JC 2005 The role of insulin receptor signaling in the brain. Trends in Endocrinology and Metabolism 16 59–65.

  • Polak M, Scharfmann R, Seilheimer B, Eisenbarth G, Dressler D, Verma IM & Potter H 1993 Nerve growth factor induces neuron-like differentiation of an insulin-secreting pancreatic beta cell line. PNAS 90 5781–5785.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Ravier MA, Guldenagel M, Charollais A, Gjinovci A, Caille D, Sohl G, Wollheim CB, Willecke K, Henquin JC & Meda P 2005 Loss of connexin36 channels alters beta-cell coupling, islet synchronization of glucose-induced Ca2+ and insulin oscillations, and basal insulin release. Diabetes 54 1798–1807.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Reed JC, Zha H, Aime-Sempe C, Takayama S & Wang HG 1996 Structure-function analysis of Bcl-2 family proteins. Regulators of programmed cell death. Advances in Experimental Medicine and Biology 406 99–112.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sakuma E, Herbert DC & Soji T 2002 Leptin and ciliary neurotrophic factor enhance the formation of gap junctions between folliculo-stellate cells in castrated male rats. Archives of Histology and Cytology 65 269–278.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Schisler JC, Jensen PB, Taylor DG, Becker TC, Knop FK, Takekawa S, German M, Weir GC, Lu D, Mirmira RG et al.2005 The Nkx6.1 homeodomain transcription factor suppresses glucagon expression and regulates glucose-stimulated insulin secretion in islet beta cells. PNAS 102 7297–7302.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Schulz-Key S, Hofmann HD, Beisenherz-Huss C, Barbisch C & Kirsch M 2002 Ciliary neurotrophic factor as a transient negative regulator of rod development in rat retina. Investigative Ophthalmology & Visual Science 43 3099–3108.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sleeman MW, Garcia K, Liu R, Murray JD, Malinova L, Moncrieffe M, Yancopoulos GD & Wiegand SJ 2003 Ciliary neurotrophic factor improves diabetic parameters and hepatic steatosis and increases basal metabolic rate in db/db mice. PNAS 100 14297–14302.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Smith GM, Rabinovsky ED, McManaman JL & Shine HD 1993 Temporal and spatial expression of ciliary neurotrophic factor after peripheral nerve injury. Experimental Neurology 121 239–247.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Steinberg GR, Watt MJ, Fam BC, Proietto J, Andrikopoulos S, Allen AM, Febbraio MA & Kemp BE 2006 Ciliary neurotrophic factor suppresses hypothalamic AMP-kinase signaling in leptin-resistant obese mice. Endocrinology 147 3906–3914.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Striedinger K, Petrasch-Parwez E, Zoidl G, Napirei M, Meier C, Eysel UT & Dermietzel R 2005 Loss of connexin36 increases retinal cell vulnerability to secondary cell loss. European Journal of Neuroscience 22 605–616.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Sundler F & Böttcher G 1991 Islet Innervation, with special reference to neuropeptides. In The Endocrine Pancreas, pp 29–47. Ed. E Samols. New York: Raven Press.

    • PubMed
    • Export Citation
  • Tsujimoto Y & Shimizu S 2002 The voltage-dependent anion channel: an essential player in apoptosis. Biochimie 84 187–193.

  • Wadt KA, Larsen CM, Andersen HU, Nielsen K, Karlsen AE & Mandrup-Poulsen T 1998 Ciliary neurotrophic factor potentiates the beta-cell inhibitory effect of IL-1beta in rat pancreatic islets associated with increased nitric oxide synthesis and increased expression of inducible nitric oxide synthase. Diabetes 47 1602–1608.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Wang Z & Gleichmann H 1998 GLUT2 in pancreatic islets: crucial target molecule in diabetes induced with multiple low doses of streptozotocin in mice. Diabetes 47 50–56.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Watt MJ, Dzamko N, Thomas WG, Rose-John S, Ernst M, Carling D, Kemp BE, Febbraio MA & Steinberg GR 2006 CNTF reverses obesity-induced insulin resistance by activating skeletal muscle AMPK. Nature Medicine 12 541–548.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yasuda K, Yamada Y, Inagaki N, Yano H, Okamoto Y, Tsuji K, Fukumoto H, Imura H, Seino S & Seino Y 1992 Expression of GLUT1 and GLUT2 glucose transporter isoforms in rat islets of Langerhans and their regulation by glucose. Diabetes 41 76–81.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Yu R, Mandlekar S, Harvey KJ, Ucker DS & Kong AN 1998 Chemopreventive isothiocyanates induce apoptosis and caspase-3-like protease activity. Cancer Research 58 402–408.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zawalich WS, Bonnet-Eymard M, Zawalich KC & Yaney GC 1998 Chronic exposure to TPA depletes PKC alpha and augments Ca-dependent insulin secretion from cultured rat islets. American Journal of Physiology 274 C1388–C1396.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • Zhao WQ & Alkon DL 2001 Role of insulin and insulin receptor in learning and memory. Molecular and Cellular Endocrinology 177 125–134.

  • Zhao WQ, Chen H, Quon MJ & Alkon DL 2004 Insulin and the insulin receptor in experimental models of learning and memory. European Journal of Pharmacology 490 71–81.

    • PubMed
    • Search Google Scholar
    • Export Citation