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Originally published In Press as doi:10.1074/jbc.M307921200 on December 1, 2003

J. Biol. Chem., Vol. 279, Issue 9, 7470-7475, February 27, 2004
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Chronic High Glucose Lowers Pyruvate Dehydrogenase Activity in Islets through Enhanced Production of Long Chain Acyl-CoA

PREVENTION OF IMPAIRED GLUCOSE OXIDATION BY ENHANCED PYRUVATE RECYCLING THROUGH THE MALATE-PYRUVATE SHUTTLE*

Ye Qi Liu{ddagger}, Jacob A. Moibi, and Jack L. Leahy§

From the Division of Endocrinology, Diabetes, and Metabolism, University of Vermont, Burlington, Vermont 05405

In islet {beta}-cells, the high expression of pyruvate carboxylase and the functional importance of the downstream anaplerosis pathways result in a unique characteristic whereby high glucose and fatty acids both increase production of a key fatty acid metabolite, long chain acyl-CoA, for signaling and enzyme regulation in {beta}-cells. We showed previously in islets that pyruvate dehydrogenase (PDH) activity is lowered by excess fatty acids (the so-called Randle effect). We have now investigated PDH activity and pyruvate metabolism in islets after 48-h culture at 16.7 mmol/liter glucose. Active PDH Vmax was lowered 65% by 48 h of high glucose, and this effect was markedly attenuated by co-culture with triacsin C, which inhibits acyl-CoA synthase. Despite the large reduction in PDH activity, glucose oxidation was twice normal. The reason was continued metabolism of pyruvate through pyruvate carboxylase (Vmax, 83% of control) and diversion of flux through the pyruvate-malate shuttle. The result was a 3-fold increase of the pyruvate concentration that overcame the lowered PDH activity by mass action as shown by glucose oxidation measured with [6-14C]glucose being twice normal. In addition, glucose-induced insulin secretion was 3-fold increased after 48 h of high glucose, and this effect was totally blocked by co-culture with triacsin C. These results show that a unique feature of islet {beta}-cells is not only fatty acids but also excess glucose that impairs PDH activity. Also, a specialized trait of {beta}-cells is a long chain acyl-CoA-mediated defense mechanism that prevents a reduction in glucose oxidation and consequently in insulin secretion.


Received for publication, July 21, 2003 , and in revised form, October 20, 2003.

* This work was supported by Grants DK56818 and P20 RR/DE17702 from the National Institutes of Health and the Centers of Biomedical Research Excellence Program, NCRR, National Institutes of Health, respectively (to J. L. L. and Y. Q. L., respectively) and by grants from the American Diabetes Association (to J. L. L. and Y. Q. L.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

{ddagger} Recipient of a Junior Faculty Award from the American Diabetes Association. Present address: Kosair Children's Hospital Research Institute, Dept. of Pediatrics, University of Louisville School of Medicine, 570 S. Preston St., Suite 304, Louisville, KY 40202.

§ To whom correspondence should be addressed: University of Vermont College of Medicine, Given C331, Burlington, VT 05405. Tel.: 802-656-2530; Fax: 802-656-8031; E-mail: jleahy{at}zoo.uvm.edu.


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