Abstract
We found that TRIB3, an endogenous inhibitor of Akt (PKB), is expressed in pancreatic β-cells. The TRIB3 expression is significantly increased in islets isolated from hyperglycemic Goto–Kakizaki rats compared with normal glycemic controls. In vitro high glucose treatment also resulted in increased TRIB3 expression in rat INS1 cells. To investigate the role of TRIB3 in the regulation of β-cell function, we established an INS1 stable cell line allowing inducible expression of TRIB3. We demonstrated that overexpression of TRIB3 mimicked the glucotoxic effects on insulin secretion and cell growth in INS1 cells. Moreover, induction of TRIB3 also synergistically enhanced high-glucose-elicited apoptosis in INS1 cells, whereas siRNA knock-down of TRIB3 showed the opposite effects. We also confirmed that the ΔΨm of mitochondria was decreased, caspase-3 activity was up-regulated and reactive oxygen species content was increased in TRIB3 overexpressing β cells in high glucose condition. Most interestingly, the oestrogen receptor (ER) stress inducer, thapsigargin, mimicked the high glucose effects on up-regulation of TRIB3 and generation of apoptosis in cultured INS1 cells. These effects were specifically prevented by siRNA knock down of TRIB3. We therefore conclude that TRIB3 is implicated in glucotoxicity- and ER stress-induced β-cell failure. TRIB3 could be a potential pharmacological target for prevention and treatment of type 2 diabetes.
Introduction
Progressive β-cell failure is the precipitating factor for the transition from the insulin-resistant state to overt type 2 diabetes (Muoio & Newgard 2008). Hyperglycemia and oestrogen receptor (ER) stress have been suggested as causing factors of β-cell dysfunction (Grill & Björklund 2001, Harding et al. 2001, Laybutt et al. 2007, Marchetti et al. 2007, Eizirik et al. 2008). However, the underlying mechanisms remain to be elucidated.
ER stress has been implicated in chronic glucotoxicity-induced β-cell apoptosis (Wang et al. 2005, Laybutt et al. 2007, Marchetti et al. 2007, Eizirik et al. 2008). It has also been demonstrated that up-regulation of tribbles homolog 3 (Drosophila; TRIB3) is one of the major mechanisms involved in ER stress-induced cell death via the ATF4-CHOP pathway in non-β-cells (Ohoka et al. 2005, Carracedo et al. 2006). It is, therefore, of interest to study the involvement of TRIB3 in glucotoxicity- and ER stress-induced β-cell dysfunction and apoptosis.
TRIB3, a mammalian homolog of Drosophila tribbles, is also known as neuronal cell death-inducible putative protein kinase, because it is discovered to be expressed in neuronal cells undergoing apoptosis resulting from either, neurotrophic factor deprivation or disrupted calcium homeostasis (Mayumi-Matsuda et al. 1999). It has a kinase-like domain but is lacking kinase activity (Mayumi-Matsuda et al. 1999, Boudeau et al. 2006). TRIB3 has recently attracted interest in diabetes research as it has emerged as an endogenous inhibitor of Akt (PKB), which plays a key role in insulin signaling (Du et al. 2003). In addition, the mRNA levels of TRIB3 are elevated in the liver of db/db mice (Matsushima et al. 2006). Moreover, adenovirus-mediated overexpression of TRIB3 in mouse liver results in hyperglycemia by inhibition of insulin action on glycogen synthesis and gluconeogenesis (Du et al. 2003, Koo et al. 2004). By contrast, knockdown of TRIB3 in mouse liver or muscle improves insulin action and glucose tolerance (Koo et al. 2004, Koh et al. 2006). Therefore, TRIB3 may contribute to the development of insulin resistance.
However, nothing is known regarding the role of TRIB3 in the regulation of β-cell function. The present work is designed to study the possible involvement of TRIB3 in glucotoxicity and ER stress-evoked β-cell dysfunction and apoptosis.
Materials and Methods
Islet isolation from Goto–Kakizaki (GK) rat
All animal experimental procedures were performed in accordance with China–Japan Friendship Hospital's Animal Studies Committee. Islets were isolated from five hyperglycemic GK rats (mean non-fasting blood glucose 19.54 mmol/l) and five normal glycemic GK rats (mean non-fasting blood glucose 4.16 mmol/l; Shanghai Slac Laboratory animal Co. Ltd, Shanghai, China) using the intraductal collagenase digestion technique described previously (Shapiro et al. 1996). Briefly, 10 ml Hank's balanced salt solution with 2 mg/ml collagenase type IV (Sigma) were injected into the pancreatic duct. After pancreatectomy, the pancreata were digested in a 37 °C water bath for 19 min. the isolated islets were further purified by Ficoll (Sigma) gradient centrifugation. The purified islets were washed thrice and subjected to total RNA extraction.
Total RNA extraction and real-time PCR
RNeasy mini kit (Qiagen) was used, following manufacturer's protocol, for total RNA extraction from either INS1-derived cells or isolated islets. One microgram total RNA was used for reverse transcription using omniscript reverse transcriptase (Qiagen). Real-time PCR was performed on an Applied Biosystems ABI 7000, using SYBR Green PCR Master Mix (Qiagen) and 1/40 of RT reaction. At the end of each reaction, a melting curve analysis was performed to confirm the absence of primer dimmers. Expression levels of TRIB3 gene were normalized to the expression level of β-actin. The data was analyzed using the
rat TRIB3: forward 5′-TGT CTT CAG CAA CTG TGA GAG GAC GAA G-3′,
reverse 5′-GTA GGA TGG CCG GGA GCT GAG TAT C-3′;
rat β-actin: forward 5′-GAC ATC CGT AAA GAC CTC TAT GCC-3′,
reverse 5′-ATA GAG CCA CCA ATC CAC ACA GAG-3′.
Establishment of INS1 stable cell lines allowing inducible expression of TRIB3
The plasmids were constructed by subcloning the cDNAs encoding TRIB3. The stable INS-râ cells (also refer to as r9), which carries the reverse tetracycline/doxycycline-dependent transactivator (Gossen et al. 1995), were used for the secondary stable transfection following the procedures described previously (Wang & Iynedjian 1997).
Immunofluorescence staining
The cells were cultured on cover slips in a 24-well plate in a 37 °C and 5% CO2 incubator for 2 days before treatment with or without 500 ng/ml doxycycline for induction of TRIB3 expression. After 48 h incubation, the cells were fixed in 4% paraformaldehyde, permeabilized with 0.1% Triton X-100 in PBS containing 0.5% BSA (PBS-BSA) for 30 min. The cells were then incubated with rabbit anti-TRIB3 polyclonal antibody (Calbiochem, San Diego, CA, USA) at 1:200 dilutions for 45 min, followed by labeling with FITC-conjugated rat anti-rabbit IgG antibody (Sigma) at 1:100 dilutions for 30 min. The cells were viewed under a fluorescent microscope.
Western blotting
For western blotting, cells were cultured in flasks for 24–96 h before being treated with indicated concentrations of doxycycline at the specified time under either standard (11.2 mmol/l) or high (30 mmol/l) glucose conditions. All these cells were collected and lysed by sonication. The protein was extracted in buffer containing 20 mM Tris–HCl, pH 7.4, 2 mM EDTA, 150 μM NaCl, 10 mM NaP, 1% NP-40, and 1 mM phenylmethylsulfonyl fluoride. Total cellular proteins were fractionated by 10% SDS-PAGE. Immunoblotting was performed using either aforementioned anti-TRIB3 antibody (1:500) or mouse anti-α-tubulin (Santa Cruz, CA, USA, 1:500) as described previously using enhanced chemiluminescence (Millipore, Billerica, MA, USA) for detection.
Measurements of insulin secretion and cellular insulin content
Cells were cultured in 24-well plates in 11.2 mmol/l glucose medium with or without 500 ng/ml doxycycline for 48 h. The cells were then incubated with Krebs–Ringer bicarbonate-HEPES buffer containing 2.5 mmol/l glucose (Basal) or 20 mmol/l glucose (Glucose). The cell supernatant was collected after 30 min of stimulation and insulin content was determined after extraction with acid ethanol following the procedures described by Wang et al. (2002). Insulin concentration was determined by ELISA kits (Linco, St Charles, MO, USA).
DNA fragmentation
Cells were cultured in medium containing either 11.2 mmol/l glucose or 30 mmol/l glucose for 96 h, in the presence or absence of 500 ng/ml doxycycline. The cells were washed twice with PBS, resuspended in the lysis buffer (10 mM Tris–HCl, pH 8.0 and 10 mM EDTA, 10 mM NaCl, 0.5% SDS, 100 μg/ml proteinase K) and stored at 50 °C for 2 h. The crude DNA preparations were further extracted and precipitated. The DNA pellets were air-dried and resuspended in 100 μl TE buffer (10 mM Tris–HCl, pH 8.0, 1 mM EDTA) containing 100 g/ml RNase. The concentration of nucleic acid was determined by u.v. absorbance at 260 nm. The same amount of nucleic acids from each sample was found by electrophoresis on a 1.5% agarose gel and visualized by u.v. fluorescence after staining with ethidium bromide. Gel was visualized and photographed on an image analyzer instrument (Alphalmager 2000, Alpha Innotech Corp., San Leandro, CA, USA).
Terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) staining
Cells were cultured in a 96-well plate for 2 days and then the cells were treated with or without 500 ng/ml doxycycline in medium containing indicated glucose for 96 h. The cells were washed, fixed in 4% paraformaldehyde and then permeabilized with 0.1% Triton X-100 in PBS/BSA solution. The TUNEL assay was performed using in situ cell death detection kits according to the recommendations of the manufacturer (Roche).
Assessment of phosphatidylserine exposure
The exposure of phosphatidylserine has been shown to be a sensitive marker of apoptosis in cells. Cells were cultured in medium containing 11.2 mmol/l or 30 mmol/l glucose in the presence or absence of 500 ng/ml doxycycline for 96 h. The cells were washed once in PBS and incubated with 10 μl (20 μg/ml) Annexin V-FITC according to the manufacturer's instructions. The cells were incubated with 5 μl (50 μg/ml) propidium iodide for 2 min on ice and then analyzed by FAC Scan (Beckman Counter Epics XL, Fullerton, CA, USA). This assay discriminates between intact cells (FITC−/PI−), early apoptotic cells (FITC+/PI−), and late apoptotic or necrotic cells (FITC+/PI+ or PI+).
Measurement of mitochondrial membrane potential (ΔΨm)
To measure mitochondrial ΔΨm, cells were loaded with 10 nM DiOC6(3) at 37 °C for 5 min. The cells were washed once and resuspended in PBS for FACScan analysis. The cells were then treated with the mitochondrial membrane uncoupler carbonyl cyanide m-chlorophenyl hydrazone at 10 μM for 20 min at 37 °C as a positive control for dissipation of ΔΨm.
Measurement of caspase-3 activity
Cells were cultured in 6-well plates with medium containing 11.2 or 30 mmol/l glucose in the presence or absence of 500 ng/ml doxycycline for 96 h. The cells were harvested and washed thrice by PBS. Caspase-3 activity was measured by caspase-3 Assay Kit (Molecular Probe, Invitrogen) following the manufacturer's protocol then detected by micro plate fluorescence reader (Molecular Devices Corp, Sunnyvale, CA, USA).
Reactive oxygen species (ROS) assay by flow cytometry and xanthine oxidase (XOD) measurement
ROS formation was analyzed by flow cytometry according to the method previously described (Shih et al. 2004). Cells were cultured in 6-well plates with medium containing 11.2 or 30 mmol/l glucose in the presence or absence of 500 ng/ml doxycycline for 96 h. The cells were washed twice with PBS, stained with CM-H2 DCFDA (1 mM) in PBS (pH7.2) at 37 °C for 5 min and then PI (to 10 mg/ml) was added for 1 min. Flow cytometric analysis (Beckman Counter Epics XL, Fullerton, CA, USA) was performed with excitation at 488 and emission at 535 nm.
For XOD measurement, 2×105 cells seeded in 6-well plates were cultured for 96 h with or without 500 ng/ml doxycycline under indicated glucose concentrations. Cytosolic proteins were extracted by centrifugation after 3-cycles of freezing–thaing. XOD concentration was measured using XOD measurement kit (Jiancheng Technology, Nanjing, China).
RNA interference
Double-stranded RNA duplexes corresponding to rat TRIB3 (5′-ATC TCT GGC TGC TTC TGC CGA TGT T-3′; He et al. 2006) were used for transfection of INS1-derived cells using lipofectamine 2000. The following negative control siRNA was used: 5′-UUC UCC GAA CGU GUC ACG UTT-3′ (GenePharma, Shanghai, China).
Statistical analysis
The results are expressed as mean±s.d. and the Mann–Whitney U test was used to evaluate the differences between groups. A value of P<0.05 and P<0.01 were taken to denote statistical significance.
Results
TRIB3 expression was increased in diabetic GK rat islets
To investigate the possible involvement of TRIB3 in glucotoxicity-induced β-cell failure, we first analyzed the TRIB3 expression in islets of GK rats at pre-diabetic and diabetic stages. Real-time PCR results showed that TRIB3 mRNA levels in islets isolated from hyperglycemic GK rats was up-regulated by 2.8-fold in comparison with those of normal glycemic GK rats (Fig. 1A). We then studied the possible direct impact of high glucose on TRIB3 expression in INS-1 cells.
Dose–response and time-course of glucose on TRIB3 expression in INS-1 cells
As demonstrated by quantitative RT-PCR, TRIB3 mRNA levels in INS-rβ cells were elevated in a glucose concentration dependent manner (Fig. 1B). TRIB3 expression at high glucose (30 mM) was increased 8-fold over the basal (5 mM glucose) level (Fig. 1B). High glucose treatment of INS-rβ cells also raised TRIB3 transcript levels in a time-dependent manner (Fig. 1C). Over 6-fold increase of TRIB3 expression was observed after 3-day culture with high glucose (Fig. 1C).
Generation and characterization of INS1 stable cell line allowing inducible expression of TRIB3
To further investigate the implication of TRIB3 in glucotoxicity-induced β-cell dysfunction, we established stable cell lines permitting inducible expression of TRIB3. The INS rβ cells were cotransfected with plasmids PUHD10-3 (Gossen et al. 1995), carrying rat TRIB3, and a plasmid pTK-hygro containing the hygromycin-resistance marker. Hygromycin-resistant clones were screened by Northern blotting for clones positively expressing TRIB3 after doxycycline induction. The clone, termed, INS-TRIB3, which show high-level induction with the lowest background, was selected for the present study. The cells were induced with indicated concentrations of doxycycline for specified time and the TRIB3 expression were analyzed respectively by real-time PCR (Fig. 2A), immunofluorescent staining (Fig. 2B) and western blotting (Fig. 2C). As shown in Fig. 2A–C, both TRIB3 transcripts and proteins were induced in a doxycycline-dependent manner. Doxycycline alone did not affect endogenous TRIB3 expression in parental INS-rβ (Fig. 2C). The time course and dose–response of doxycycline-induction in INS-TRIB3 cells are shown in Fig. 2D.
Induction of TRIB3 impaired glucose-stimulated insulin secretion
Induction of TRIB3 with 500 ng/ml doxycycline for 48 h resulted in impaired glucose-stimulated insulin secretion in INS-TRIB3 cells (Fig. 3). Therefore, overexpression TRIB3 mimicked the inhibitory effects of chronic high glucose on insulin secretion. These results support the notion that TRIB3 is implicated in β-cell glucotoxicity.
Effects of TRIB3 on INS1 cell growth
Induction of TRIB3 combined with chronic high glucose caused synergistic right shift of growth retardation in INS-TRIB3 cells (Fig. 4).
Effects of TRIB3 on INS1 mitochondrial membrane potential
The mitochondrial membrane potential (ΔΨm) was measured by flow cytometry using the potential-sensitive probe DiOC6(3). As shown in Fig. 5, induction of TRIB3 led to ΔΨm depolarization in INS1 cells cultured under high glucose condition, also suggesting synergistic effects in causing mitochondrial defects. We then further investigated the correlation between TRIB3- and glucotoxicity-evoked-β-cell dysfunction.
Overexpression of TRIB3 synergistically deteriorated high-glucose-induced apoptosis
We studied apoptosis in INS-TRIB3 cells using TUNEL staining (Fig. 6A), DNA fragmentation (Fig. 6B), caspase-3 activity (Fig. 6C), and Annexin V–PI double staining (Fig. 6D). As shown by sensitive TUNEL staining, treatment of INS-TRIB3 cells with 30 mM glucose for 4 days caused moderate apoptosis (Fig. 6A, upper panel). Induction of TRIB3 under standard glucose conditions did not cause apoptosis (Fig. 6A, left panel). However, overexpression of TRIB3 synergistically increased chronic glucose-induced apoptosis in INS-TRIB3 cells (Fig. 6A, right panel). This synergistic effect was further confirmed using DNA fragmentation (Fig. 6B), caspase-3 activity (Fig. 6C), Annexin V–PI double staining (Fig. 6D). By contrast, neither TRIB3 overexpression nor high glucose alone could cause such deleterious consequences on INS1 cell apoptosis.
Knockdown of TRIB3 reduced apoptosis
As demonstrated in Fig. 7A, TRIB3 silencing largely prevented the synergistic effects of TRIB3 and high glucose. These data suggested that TRIB3 overexpression played a predominant role in this synergistic effect and TRIB3 was at least partially responsible for high-glucose-induced apoptosis. The efficiency of siRNA knock down was well demonstrated in Fig. 7B.
Overexpression of TRIB3 facilitated high-glucose-induced oxidative stress
It has been well documented that chronic high glucose causes oxidative stress in islet β-cells and insulinoma cells (Robertson 2006). We therefore investigated the possible involvement of TRIB3 in high-glucose-induced ROS production. Flow cytometric analysis showed that the induction of TRIB3 enhanced high-glucose-induced ROS production (Fig. 8A). Consistently the high-glucose-elicited cellular XOD concentration was also increased by induction of TRIB3 (Fig. 8B). However, the synergistic effects were not as pronounced as those on cell apoptosis. We therefore studied possible alternative underlying mechanisms.
ER stress induced TRIB3 expression in INS1 cells
It is well known that chronic high glucose elicits ER stress (Wang et al. 2005, Marchetti et al. 2007, Eizirik et al. 2008). As shown in Fig. 9A, the ER stress inducer, thapsigargin, increased the TRIB3 expression by 17-fold in parental INS-rβ cells, which was specifically inhibited by TRIB3 silencing.
Discussion
Type 2 diabetes is characterized by both insulin resistance and β-cell dysfunction (Cavaghan et al. 2000). It has been demonstrated that the β-cell dysfunction is related to chronic hyperglycemia and ER stress (Maedler et al. 2003). However, the underlying mechanisms are not well understood.
During progression of type 2 diabetes, hyperglycemia is an important factor that contributes to advancing β-cell failure and development of diabetes complications (Federici et al. 2001). Several studies have demonstrated that chronic exposure of β cells to high glucose results in β-cell dysfunction and apoptosis (Maedler et al. 2001). The GK rat is a spontaneously diabetic animal model of non-insulin-dependent diabetes mellitus, which is characterized by progressive loss of β-cell mass and function in the pancreatic islets (Koyama et al. 1998).
TRIB3 was found to possess various cellular biological functions. TRIB3 can inhibit the insulin signaling pathway by binding AKT and associating with the onset of insulin resistant. In addition, TRIB3 regulates ER stress through the ATF4/CHOP pathway (Ohoka et al. 2005, Carracedo et al. 2006). However, the relationship between TRIB3 and high-glucose-induced β-cell apoptosis has not been published.
In the present paper, we demonstrate for the first time that TRIB3, the endogenous inhibitor of AKT and insulin signaling, is expressed in β cells. The TRIB3 expression is significantly increased in islets isolated from hyperglycemic GK rats comparing with normal glycemic controls. High-glucose-induced TRIB3 expression in a time- and dose- dependent manner in INS1 cells. In order to investigate the effect of TRIB3 on β-cell dysfunction, we established an INS1 stable cell line allowing inducible expression of TRIB3 and confirmed that TRIB3 expression was induced by doxycycline in a dose- and time- dependent manner in the established cell line. In high glucose condition, induction of TRIB3 through genetic manipulation mimicked the glucotoxic effects on insulin secretion and cell growth in INS1 cells. Moreover, the induction of TRIB3 also synergistically enhanced high-glucose-elicited apoptosis in INS1 cells. However, the number of apoptotic cells was significantly reduced following siRNA knockdown of TRIB3 expression, suggesting that TRIB3 participated in high-glucose-induced cell apoptosis.
It has been confirmed that high-glucose-generated oxidative-stress in INS1 cells (Robertson 2006) and high glucose resulted in ER stress in β cells (Wang et al. 2005, Marchetti et al. 2007). We showed here that the classic ER stress-producer, thapsigargin, mimicked the high glucose effects on upregulation of TRIB3 and generation of apoptosis in cultured INS1 cells and these effects were specifically prevented by siRNA knock down of TRIB3, indicating that ER-stress could be one of the major mechanisms underlying glucotoxicity induced β-cell apoptosis. Insulin and insulin growth factor 1 activate AKT through insulin receptor (IR), IR substrates (IRS-1 and -2), phosphoinositide 3-kinase, and phosphoinositide-dependent-kinase cascade (Dickson & Rhodes 2004). The essential role of IR signaling in regulation of the growth and survival of pancreatic β cells has been well demonstrated in transgenic mice deficient in IRS2, Akt2, and PDK1 (Lee & White 2004, Elghazi et al. 2007). Therefore, we hypothesize that TRIB3 may induce β-cell dysfunction and apoptosis through its inhibitory effects on AKT (Du et al. 2003). Furthermore, its suppressive function on insulin sensing in the liver of experimental animals has been well established (Du et al. 2003, Koo et al. 2004, Koh et al. 2006, Matsushima et al. 2006). Consequently, ER stress-induced up-regulation of TRIB3 could be a common mechanism underlying both insulin resistance and β-cell failure.
In addition, we also found that the release of cytochrome C was increased, the ΔΨm of mitochondria was decreased, caspase-3 activity was up-regulated and ROS content was increased in TRIB3 overexpressing β cells in high glucose condition, suggesting that these factors might be involved in the mechanisms of TRIB3 participating in high-glucose-induced cell apoptosis.
In conclusion, up-regulation of TRIB3, a native inhibitor of insulin-receptor signaling, is implicated in glucotoxicity- and ER-stress-induced β-cell failure. TRIB3 could be a potential pharmacological target for prevention and treatment of type 2 diabetes.
Declaration of interest
There is no conflict of interest that could be perceived as prejudicing the impartiality of the research reported.
Funding
This study was supported by National Basic Research Program of China (No. 2006CB503906 to LOU), HI-TECH Research and Development Program of China (No. 2006AA02A113 to LOU), National Nature Science Foundation of China (No. 30570889 to LOU) and by the Swiss National Foundation (No. 310000 116750/1 to CBW).
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