Group VIA PLA2 (iPLA2β) Is Activated Upstream of p38 Mitogen-activated Protein Kinase (MAPK) in Pancreatic Islet β-Cell Signaling*

Background: Group VIA Phospholipase A2 (iPLA2β) is activated in β-cell signaling. Results: β-Cell p38 MAPK is activated by an iPLA2β-dependent mechanism and participates in insulin secretion and apoptosis. Conclusion: p38 MAPK is a downstream effector of iPLA2β activation in β-cells. Significance: Understanding how insulin secretion is impaired and β-cell apoptosis occurs could suggest therapeutic strategies for type 2 diabetes mellitus. Group VIA phospholipase A2 (iPLA2β) in pancreatic islet β-cells participates in glucose-stimulated insulin secretion and sarco(endo)plasmic reticulum ATPase (SERCA) inhibitor-induced apoptosis, and both are attenuated by pharmacologic or genetic reductions in iPLA2β activity and amplified by iPLA2β overexpression. While exploring signaling events that occur downstream of iPLA2β activation, we found that p38 MAPK is activated by phosphorylation in INS-1 insulinoma cells and mouse pancreatic islets, that this increases with iPLA2β expression level, and that it is stimulated by the iPLA2β reaction product arachidonic acid. The insulin secretagogue d-glucose also stimulates β-cell p38 MAPK phosphorylation, and this is prevented by the iPLA2β inhibitor bromoenol lactone. Insulin secretion induced by d-glucose and forskolin is amplified by overexpressing iPLA2β in INS-1 cells and in mouse islets, and the p38 MAPK inhibitor PD169316 prevents both responses. The SERCA inhibitor thapsigargin also stimulates phosphorylation of both β-cell MAPK kinase isoforms and p38 MAPK, and bromoenol lactone prevents both events. Others have reported that iPLA2β products activate Rho family G-proteins that promote MAPK kinase activation via a mechanism inhibited by Clostridium difficile toxin B, which we find to inhibit thapsigargin-induced β-cell p38 MAPK phosphorylation. Thapsigargin-induced β-cell apoptosis and ceramide generation are also prevented by the p38 MAPK inhibitor PD169316. These observations indicate that p38 MAPK is activated downstream of iPLA2β in β-cells incubated with insulin secretagogues or thapsigargin, that this requires prior iPLA2β activation, and that p38 MAPK is involved in the β-cell functional responses of insulin secretion and apoptosis in which iPLA2β participates.

Stimulating islets with D-glucose induces hydrolysis of phospholipids and accumulation of nonesterified arachidonic acid (45,46) by processes that require glucose metabolism (47) but not Ca 2ϩ influx (45)(46)(47) and that amplify the glucose-induced rise in ␤-cell [Ca 2ϩ ] (48,49). Among participants in these events is a phospholipase A 2 (PLA 2 ) that does not require Ca 2ϩ for catalytic activity, is activated by a rise in [ATP]/[ADP], and is inhibited by a bromoenol lactone (BEL) suicide substrate that also blocks glucose-induced arachidonate release by ␤-cells and blunts rises in ␤-cell [Ca 2ϩ ] and insulin secretion (49 -51).
This PLA 2 activity is expressed by pancreatic islets and insulinoma cells from several species (50 -55). When the cDNA for this PLA 2 was cloned from islet libraries (53,54), it was found to represent an enzyme now designated Group VIA PLA 2 (iPLA 2 ␤) (56) that was the first recognized member of a potatin-like phospholipase (PNPLA) lipase family with important metabolic functions (57). Participation of iPLA 2 ␤ in glucoseinduced insulin secretion is reflected by the fact that secretion is impaired by its genetic deletion, by suppressing its expression, or by its pharmacologic inhibition (58 -62). Moreover, overexpressing iPLA 2 ␤ in insulinoma cells and mice amplifies insulin secretion (58,62), and genetic iPLA 2 ␤ deficiency in mice increases sensitivity to diet-induced diabetes by impairing compensatory insulin hypersecretion (61).
Both glucose-induced insulin secretion and ER stress-induced apoptosis are important ␤-cell stimulus response events that are affected during the evolution of T2DM. Because iPLA 2 ␤ participates in both processes, understanding its position in ␤-cell signaling pathways could suggest strategies to preserve ␤-cell secretion and to prolong ␤-cell survival and thereby to prevent or retard development of T2DM. Little is known about downstream events affected by iPLA 2 ␤ activation, but mitogen-activated protein kinases (MAPKs) often mediate cellular responses to extracellular stimuli or stressors (77). We report here that p38 MAPK is activated in an iPLA 2 ␤dependent manner in ␤-cells during both glucose-induced insulin secretion and ER stress-induced apoptosis.

EXPERIMENTAL PROCEDURES
Materials-Rainbow molecular mass standards, PVDF membrane, and Triton X-100 were obtained from Bio-Rad; SuperSignal West Femto Substrate was from Thermo Fisher; Coomassie reagent and SDS-PAGE supplies were from Invitrogen; collagenase, protease inhibitor mixture, thapsigargin, common reagents, and salts were from Sigma; bovine serum albumin (BSA; fatty acid-free, fraction V) was from MP Biomedicals (Solon, OH); forskolin was from Calbiochem; synthetic phospholipids used as internal standards in mass spectrometric analyses were from Avanti Polar Lipids (Alabaster, AL); racemic BEL and BEL enantiomers were from Cayman Chemical (Ann Arbor, MI); arachidonic acid was from NuChek Prep (Elysian, MN); p38 MAPK inhibitors PD169316 and SB203580 were from BIOMOL (Plymouth Meeting, PA); and solvents for sample preparation and mass spectrometric analyses were from Fisher. Krebs-Ringer bicarbonate buffer (KRB) contained 115 mM NaCl, 24 mM NaHCO 3 , 5 mM KCl, 1 mM MgCl 2 , 2.5 mM CaCl 2 , and 25 mM HEPES (pH 7.4).
Cell Culture-INS-1 rat insulinoma cells that had been stably transfected to overexpress iPLA 2 ␤ and mock-transfected INS-1 cells were generated as described (58) and cultured in RPMI 1640 medium containing 11 mM glucose, 10% fetal calf serum, 10 mM Hepes buffer, 2 mM glutamine, 1 mM sodium pyruvate, 50 mM ␤-mercaptoethanol, 100 units/ml penicillin, and 100 g/ml streptomycin. The medium was exchanged every 2 days, and the cell cultures were split once a week. Cells were grown to 80% confluence and harvested after treatment as indicated in the figure legends or under "Results." All incubations were performed at 37°C under an atmosphere of 95% air, 5% CO 2 .
Assessment of Apoptosis by Flow Cytometry-INS-1 cell apoptosis was determined essentially as described (69), using an Annexin-V-FLUOS staining kit (Roche Applied Science) according to the manufacturer's instructions. Briefly, harvested cells were washed with PBS and resuspended in Annexin-VFLUOS labeling solution (100 l). After incubation (10 -15 min, 15-25°C), cells were transferred to fluorescence-activated cell sorting (FACS) tubes and diluted 1:5 with buffer provided in the kit. Fluorescence in cells was analyzed with a FACScan flow cytometer (BD Biosciences) at an excitation wavelength of 488 nm, and data were processed with WinMDI 2.9 software.
Ceramide Analyses by Electrospray Ionization (ESI) MS/MS-Lipids were extracted from INS-1 cells under acidic conditions, as described (78,79). Briefly, cells were harvested and collected by centrifugation, and extraction buffer (2:2:1.8 (v/v/v) chloroform, methanol, 20 mM LiCl) containing 500 ng of C8-ceramide ([M ϩ Li] ϩ m/z 432) internal standard was added to the cell pellet. After vortex-mixing and centrifugation (800 ϫ g), the organic (lower) layer was collected, concentrated to dryness under nitrogen, and reconstituted in a chloroform/methanol mixture (1:1) containing 0.6% LiCl. The abundances of individual ceramide species relative to the C8-ceramide internal standard were measured by ESI/MS/MS scanning for constant neutral loss of 48, which reflects elimination of water and formaldehyde from [M ϩ Li] ϩ , a loss characteristic of ceramide-Li ϩ adducts upon low energy collisionally activated dissociation ESI/MS/MS (79). The measured quantities of individual ceramide molecular species were normalized to lipid phosphorus content, which was determined as described (66).
Insulin Secretion by Isolated Pancreatic Islets or INS-1 Cells-Genetically modified mice with disrupted iPLA 2 ␤ genes (iPLA 2 ␤-null) and their wild type littermates were generated as described (61), as were transgenic mice that overexpress iPLA 2 ␤ in ␤-cells under control of the rat insulin-1 promoter (62). All animal procedures were performed according to protocols approved by the Washington University School of Medicine Animal Studies Committee. Male mice (4 -5 weeks of age) were anesthetized (ketamine/xylazine, 0.75 l/g body weight) before euthanasia by cervical dislocation. The abdomen was incised, and the pancreas was harvested and used to prepare isolated pancreatic islets as described (80). Mouse islets or INS-1 cells were counted and used in experiments (30 islets or 0.2 million INS-1 cells/incubation) to measure insulin secretion ex vivo. Islets or cells were rinsed with KRB medium containing 0.1% BSA without glucose and placed in silanized glass tubes (12 ϫ 75 mm) in that buffer, through which 95% air, 5% CO 2 was bubbled before incubations. Tubes were capped and incubated (37°C, 30 min, shaking water bath). Buffer was then replaced with KRB medium containing either 0 or 20 mM glucose and 0.1% BSA with or without forskolin (2.5 M), and samples were incubated for 30 min. Secreted insulin was measured by radioimmunoassay.
Statistical Analyses-Results are presented as mean Ϯ S.E. Data were evaluated by unpaired, two-tailed Student's t test for differences between two conditions or by analysis of variance with appropriate post hoc tests for larger sets (66). Significance levels are described in the figure legends, and a p value of Ͻ0.05 was considered statistically significant.

Level of p38 MAPK Phosphorylation Increases with iPLA 2 ␤ Expression Level in INS-1 Insulinoma Cells and Isolated
Pancreatic Islets-The intensity of a band recognized by an antibody directed at the doubly phosphorylated, activated form of p38 MAPK (81) relative to that of a band representing total p38 MAPK on Western blotting analyses was found to be greater in INS-1 cells that had been stably transfected to overexpress iPLA 2 ␤ compared with cells transfected with empty vector ( Fig.  1A and B), and this is also true of islets from transgenic mice that overexpress iPLA 2 ␤ in ␤-cells compared with islets from wild-type mice (Fig. 1C). These observations indicate that increased expression of iPLA 2 ␤ is associated with increased p38 MAPK phosphorylation in ␤-cells, and one possibility is that this might reflect an effect of iPLA 2 ␤ reaction products, such as arachidonic acid, to stimulate p38 MAPK phosphorylation.
Arachidonic Acid induces p38 MAPK Phosphorylation in INS-1 Cells-As illustrated in supplemental Fig. S1, when INS-1 insulinoma cells are incubated with exogenous arachidonic acid, a material recognized by an antibody directed at activated, doubly phosphorylated p38 MAPK accumulates in a time-and arachidonate concentration-dependent manner, although there is no observable change in signal for total p38 MAPK under these conditions. This indicates that arachidonic acid can induce phosphorylation of p38 MAPK.
Stimulation of INS-1-OE Cells with D-Glucose Increases p38 MAPK Phosphorylation, and This Is Prevented by iPLA 2 ␤ Inhibitor BEL-Stimulating INS-1 cells or pancreatic islet ␤-cells with D-glucose is known to result in iPLA 2 ␤ activation as reflected by product release and subcellular redistribution of the enzyme (55, 58 -62), and the compound BEL is an effective inhibitor of iPLA 2 ␤ activity (82)(83)(84). To determine whether p38 MAPK phosphorylation is affected under these conditions, INS-1-OE cells were stimulated with 20 mM D-glucose (Fig. 2) in the presence or absence of BEL, and p38 MAPK phosphorylation was assessed in Western blotting experiments like those in Fig. 1 and supplemental Fig. S1 in which the intensity of the band recognized by an antibody directed against doubly phosphorylated p38 MAPK is compared with that of the band representing total immunoreactive p38 MAPK. These experiments revealed that 20 mM D-glucose increases p38 MAPK phosphorylation in INS-1-OE cells and that this is prevented by the iPLA 2 ␤ inhibitor BEL (Fig. 2). In the context of the findings in Fig. 1 and supplemental Fig. S1, observations illustrated in Fig. 2 suggest that iPLA 2 ␤ activation that occurs in INS-1 cells stimulated with D-glucose results in p38 MAPK phosphorylation and activation and raise the question of whether this is of functional significance in the insulin secretory response to glucose in which iPLA 2 ␤ is known to be involved (58 -62).

Insulin Secretion Is Amplified by Overexpression of iPLA 2 ␤ in INS-1 Insulinoma Cells and in Isolated Pancreatic Islets, and This Is Prevented by Pharmacologic Inhibition of p38 MAPK-
Glucose-induced insulin secretion from isolated pancreatic islets and INS-1 cells is associated with iPLA 2 ␤ activation, is suppressed by pharmacologic inhibition or genetic ablation of iPLA 2 ␤ activity, and is amplified by overexpression of iPLA 2 ␤, particularly in the presence of agents that increase ␤-cell levels of cAMP (55, 58 -62), as illustrated in Fig. 3. Fig. 3A demonstrates that pancreatic islets from wild-type mice exhibit robust insulin secretion when stimulated with 20 mM D-glucose and the adenylyl cyclase activator forskolin, and this is also true for islets of transgenic mice that overexpress iPLA 2 ␤ in ␤-cells. In addition, the latter exhibit an amplified insulin secretory response compared with the former, as reported previously (62), and this is also true for the INS-1 cells in Fig. 3B.
We have reported previously that INS-1 cells transfected with empty vector exhibit poor insulin secretory responses to glucose and that glucose responsiveness is greatly amplified by overexpressing iPLA 2 ␤ so that the responses of the insulinoma cells more closely resemble that of native islets (58). Similarly, in the experiments illustrated in Fig. 3B, the secretory responses of iPLA 2 ␤-overexpressing INS-1 cells also more closely resemble those of native wild type islets (see Fig. 3A) than do responses of INS-1 cells transfected with empty vector.
To examine the possibility that p38 MAPK activation might be involved in the amplifying effect of iPLA 2 ␤ overexpression on insulin secretion, we examined effects of pharmacologic inhibition of p38 MAPK activity with the compound PD169316 (85), and substantial inhibition of insulin secretion induced by 20 mM D-glucose and forskolin is observed with both islets (Fig.  3A) and INS-1 cells (Fig. 3B) incubated with PD169316. These observations are consistent with the possibility that p38 MAPK activation participates in the amplification of insulin secretion that occurs when iPLA 2 ␤ is overexpressed in ␤-cells. In addition, the fact that Fig. 3A demonstrates that the p38 MAPK inhibitor PD169316 greatly attenuates insulin secretion induced by 20 mM D-glucose and forskolin from wild type islets indicates that p38 MAPK also participates in the signaling pathway activated by glucose and forskolin in ␤-cells with normal endogenous levels of iPLA 2 ␤ expression that have not been genetically manipulated to overexpress iPLA 2 ␤.
Pharmacologic Inhibition of p38 MAPK Results in Attenuation of Ceramide Accumulation in ␤-Cells in Which ER Stress Is Induced by Treatment with Thapsigargin-Another stimulus that is known to result in iPLA 2 ␤ activation in a variety of cells, including ␤-cells, vascular smooth muscle cells, and macrophages, is induction of ER stress by depleting ER Ca 2ϩ content with the SERCA inhibitor thapsigargin (63-68, 71, 72). This is associated with iPLA 2 ␤ activation, as reflected by product generation and subcellular redistribution of the enzyme (63-68, 71, 72). Many cells, including ␤-cells and macrophages, inter alia, undergo apoptosis under these conditions (63-67, 71, 72). Thapsigargin-induced apoptosis of ␤-cells is associated with ceramide accumulation that occurs as a consequence of transcriptional up-regulation of neutral sphingomyelinase, and these events require iPLA 2 ␤ activation and are blocked by pharmacologic inhibition or genetic ablation of iPLA 2 ␤ and are amplified by iPLA 2 ␤ overexpression (65,71,72).
If p38 MAPK activation is a general consequence of iPLA 2 ␤ activation in ␤-cells, then it is possible that p38 MAPK participates in the induction of ceramide accumulation and subsequent apoptosis of ␤-cells induced by ER stress. To explore this possibility, we examined the effects of pharmacologic inhibition of p38 MAPK activity with PD169316 (85) on these events. Fig. 4 illustrates that thapsigargin does induce ceramide accumulation (Fig. 4, A and B) in parental INS-1 cells transfected In B, the densitometric ratios of the bands for phospho-p38 and total p38 are plotted for stably transfected INS-1 cells that overexpress (OE) iPLA 2 ␤ or for INS-1 cells transfected with vector only (Vector). In C, the densitometric ratios of the bands for phospho-p38 and total p38 are plotted for pancreatic islets isolated from transgenic (TG) mice that overexpress iPLA 2 ␤ in ␤-cells or from wild type (WT) mice. Mean values (n ϭ 3) are plotted in B and C, and S.E. values (error bars) are indicated. The p value for the comparison in B is 0.0001, and that for the comparison in C is 0.039. iPLA 2 ␤ Activates ␤-Cell p38 MAP Kinase FEBRUARY 17, 2012 • VOLUME 287 • NUMBER 8 with only vector (Fig. 4C), as demonstrated by ESI/MS/MS constant neutral loss scanning measurements with an internal standard (65,79), and this effect is amplified by iPLA 2 ␤ overexpression (Fig. 4D) and attenuated by PD169316 (Fig. 4, C and D). These observations are consistent with the possibility that iPLA 2 ␤-mediated p38 MAPK activation is involved in the chain of events triggered by induction of ER stress in ␤-cells that leads to accumulation of ceramide.
Thapsigargin-induced Apoptosis of INS-1-OE Cells Is Attenuated by p38 MAPK Inhibitor PD169316-As indicated above, inducing ER stress in INS-1 cells is associated with iPLA 2 ␤ activation, ceramide accumulation, and apoptosis. This apoptotic response is amplified by overexpression of iPLA 2 ␤ and attenuated by pharmacologic inhibition or genetic ablation of iPLA 2 ␤ activity (63, 65-67, 71, 72). Because p38 MAPK activation appears to occur as a consequence of iPLA 2 ␤ activation and to participate in thapsigargin-induced ceramide accumulation in ␤-cells, it is possible that p38 MAPK participates in the induction of apoptosis by ER stress. To examine this possibility, we determined the effects of pharmacologic inhibition of p38 MAPK activity with PD169316 (85) on thapsigargin-induced apoptosis of INS-1-OE cells, as reflected by phosphatidylserine externalization visualized with Annexin IV binding and FACS (69). As illustrated in Fig. 5   To examine this possibility, INS-1-OE cells were treated with thapsigargin in the presence of various concentrations of PD169316, and p38 MAPK phosphorylation was assessed in Western blotting experiments as in Fig. 3. These experiments revealed that incubating INS-1-OE cells with thapsigargin increases p38 MAPK phosphorylation and that this effect is attenuated in a concentration-dependent manner by PD169316 (Fig. 6). Substantial and significant inhibition of thapsigargininduced p38 MAPK phosphorylation was observed at a PD169316 concentration of 5 M, and essentially complete inhibition was observed at a concentration of 20 M.
This corresponds to the range in which functional effects of PD169316 were observed on insulin secretion (Fig. 3), ceramide accumulation (Fig. 4), and apoptosis (Fig. 5), respectively. A second p38 MAPK inhibitor (SB203580) also inhibited thapsigargin-induced p38 MAPK phosphorylation (supplemental Fig. S2) but was less potent than PD169316, and at the concentrations required to achieve adequate inhibition, SB203580 exerted cytotoxic effects that precluded its use in experiments examining apoptosis, as also reported by others (85).
Thapsigargin also induced an increase in p38 MAPK phosphorylation in INS-1 cells transfected with empty vector that do not overexpress iPLA 2 ␤, and this was also suppressed by PD169316 (supplemental Fig. S3A). Thapsigargin also increased apoptosis in these cells, and that response too was suppressed by PD169316 (supplemental Fig. S3B), as was thapsigargin-induced ceramide accumulation (Fig. 4). The findings in supplemental Fig. S3 and Fig. 4 thus indicate that p38 MAPK participates in the signaling pathway activated by thapsigargin in ␤-cells with normal endogenous levels of iPLA 2 ␤ that have not been genetically manipulated to overexpress iPLA 2 ␤, although the magnitudes of these responses are larger in cells that do overexpress iPLA 2 ␤.

The Thapsigargin-induced Increase in p38 MAPK Phosphorylation in INS-1 Cells Is Prevented by iPLA 2 ␤ Inhibitor BEL, and This Is Reversed by Adding Exogenous Arachidonic Acid-
Inducing ER stress in INS-1 cells induces ceramide accumulation and apoptosis, and both effects are prevented by the iPLA 2 ␤ inhibitor BEL (65,71,72) and the p38 MAPK inhibitor PD169316 (Figs. 4 and 5). Glucose-induced p38 MAPK phosphorylation in ␤-cells is suppressed by the iPLA 2 ␤ inhibitor BEL (Fig. 2), and ␤-cell p38 MAPK phosphorylation is stimulated by the iPLA 2 ␤ reaction product arachidonic acid (supplemental Fig. S2) or by overexpression of iPLA 2 ␤ (Fig. 1). These findings suggest that activation of iPLA 2 ␤ in ␤-cells results in subsequent activation of p38 MAPK that is dependent on iPLA 2 ␤ activity.
To test this possibility, the effects of the iPLA 2 ␤ inhibitor BEL on thapsigargin-induced p38 MAPK activation and phosphorylation in ␤-cells were examined. As illustrated in Fig. 7, BEL suppressed thapsigargin-induced p38 MAPK phosphorylation in INS-1-OE cells. In addition, inhibition of p38 MAPK phosphorylation by BEL was reversed by the addition of the iPLA 2 ␤ reaction product arachidonic acid (Fig. 7). Examination of the effects of BEL enantiomers separately indicated that (S)-BEL but not (R)-BEL inhibited thapsigargin-induced p38 MAPK phosphorylation (supplemental Fig. S4). Because (S)-BEL preferentially inhibits iPLA 2 ␤, whereas (R)-BEL preferentially inhibits iPLA 2 ␥ (86), the findings in supplemental Fig. S4 are consistent with the hypothesis that ␤-cell iPLA 2 ␤ is the BEL-sensitive enzyme involved in signaling pathways that result in p38 MAPK phosphorylation.
Together, the findings in Figs. 4 -7 and supplemental Figs. S1-S4 indicate that iPLA 2 ␤ activation that occurs in INS-1 cells treated with thapsigargin results in p38 MAPK phosphorylation and activation, and a mechanism whereby that could occur is via activation of an upstream kinase for which p38 MAPK is a substrate.
Upstream Protein Kinases and Small GTP-binding Proteins Are Involved in iPLA 2 ␤-mediated Activation of p38 MAPK in INS-1 Cells-Recent reports indicate that iPLA 2 ␤ is involved in activation of the Rho family small G proteins Rac1 and Cdc42 in macrophages and vascular smooth muscle cells and that this requires conversion of arachidonic acid released by iPLA 2 ␤ to 12/15-lipoxygenase products (87)(88)(89). Rac1 and Cdc42 are known to bind to the protein kinase myosin light-chain kinase-1 (MLK1), and this can result in p38 MAPK phosphorylation via the action of the protein kinase MEK3 (90 -92). Alternatively, Rac1 and Cdc42 can promote p38 MAPK phosphorylation via interaction with p21-activated kinases family member protein kinases (93,94). These observations raise the possibility that the signaling sequence that is activated in ␤-cells stimulated with thapsigargin might involve sequential iPLA 2 ␤ activation, arachidonic acid release and oxygenation, and Rho family G-protein activation, followed by activation of MLK1 and MEK3 and then phosphorylation of p38 MAPK.
To examine these possibilities, we first determined whether treating INS-1 cells with thapsigargin results in MEK3 phosphorylation, and Fig. 8A illustrates that this is the case and that the iPLA 2 ␤ inhibitor BEL prevents this effect, suggesting that iPLA 2 ␤ participates in this signaling cascade. To examine the potential involvement of small G proteins in these processes, we determined effects of Clostridium difficile toxin B, which modifies and inhibits small G proteins of the Rho family via its glucosyltransferase activity (95). Toxin B alone increases phosphorylation of p38 MAPK in HaCaT cells (96), and this is also true for INS-1 cells, although toxin B also blocks the effect of thapsigargin to stimulate p38 MAPK phosphorylation in INS-1 cells (Fig. 8B). These findings indicate that in INS-1 cells treated with thapsigargin, the protein kinase MEK3 is activated, which is known to act as an upstream kinase in p38 MAPK phosphorylation in other cells (90 -92). The observations in Figs. 7 and 8 thus indicate that inhibiting iPLA 2 ␤ with BEL blocks thapsigargin-induced phosphorylation of both MEK3 and p38 MAPK

DISCUSSION
This is the first report of which we are aware that demonstrates participation of p38 MAPK in downstream signaling events that follow iPLA 2 ␤ activation in ␤-cells. Fig. 9 provides a schematic summary of the findings reported here and places them in the context of previous observations on the participation of iPLA 2 ␤ in ␤-cell signaling and events involved in glucose-induced insulin secretion and in ER stress-induced ␤-cell apoptosis. Both processes are critically involved in the development of T2DM (8 -14).
As summarized in Fig. 9, D-glucose induces insulin secretion by a process that involves its transport into the ␤-cell and glycolytic and mitochondrial metabolism to yield signals that include a rise in the ratio of [ATP] to free [ADP] that causes closure of K ATP channels in the ␤-cell plasma membrane (15)(16)(17)(18)(19)(20)(21). This causes a rise in membrane potential, activation of voltage-operated Ca 2ϩ channels, influx of Ca 2ϩ from the extracellular space, and a rise in [Ca 2ϩ ] in cytoplasm and other intracellular compartments, which activates Ca 2ϩ -sensitive effectors that trigger insulin exocytosis (21)(22)(23)(24). D-Glucose also stimulates hydrolysis of arachidonic acid from ␤-cell membrane phospholipids under these conditions (44 -47), and this is mediated at least in part by iPLA 2 ␤ (49 -52), which may be activated by a rise in [ATP/[ADP] (50,51). That this process contributes to the glucose-induced rise in ␤-cell cytosolic [Ca 2ϩ ] and amplifies the insulin secretory response is reflected by the facts that genetic or pharmacologic suppression of iPLA 2 ␤ activity impairs glucose-induced insulin secretion and the rise in ␤-cell cytosolic [Ca 2ϩ ] (49 -52, 58 -62) and that iPLA 2 ␤ overexpression in ␤-cells augments both the rise in [Ca 2ϩ ] and secretion (58,62).
The mechanism by which iPLA 2 ␤ activation amplifies insulin secretion is incompletely understood, but recent observations indicate that modulation of Kv2.1 voltage-operated K ϩ channel activity in the ␤-cell plasma membrane may be involved (62,(97)(98). After D-glucose-induced depolarization of the plasma membrane by the sequence of events described above, Kv2.1 channels are activated and serve to repolarize the membrane and limit the duration of the glucose-induced action potential and of the rise in cytosolic [Ca 2ϩ ] (98).
Accordingly, genetic deletion of Kv2.1 channels in mice results in prolongation of the action potential and [Ca 2ϩ ] transient and in amplification of glucose-induced insulin secretion from isolated islets and in a corresponding improvement of glucose tolerance in Kv2.1-null mice (98). Arachidonic acid attenuates ␤-cell Kv2.1 activity, and genetic deletion or pharmacologic inhibition of iPLA 2 ␤ eliminates the glucose-induced diminution of ␤-cell Kv2.1 activity that occurs otherwise (97). Moreover, overexpression of iPLA 2 ␤ in insulinoma cells or islets amplifies the effect of glucose to reduce Kv2.1 activity, and islets from transgenic mice that overexpress iPLA 2 ␤ in ␤-cells exhibit a phenotype that resembles that of Kv2.1-null mice and is characterized by prolonged glucose-induced action potentials and amplified insulin secretory responses that are associated with improved glucose tolerance (62,(97)(98).
In this context, it is of interest that several findings reported here suggest the possibility that some downstream effects of iPLA 2 ␤ in ␤-cells (e.g. Kv2.1 channel modulation) might be mediated by arachidonic acid-induced p38 MAPK activation. These findings include the facts that: 1) D-glucose activates p38 MAPK (Fig. 2); 2) this effect is mimicked by overexpression of iPLA 2 ␤ (Fig. 1) or the addition of arachidonic acid (supplemental Fig. S1) and suppressed by the iPLA 2 ␤ inhibitor BEL (Fig. 2); and 3) D-glucose-induced insulin secretion is suppressed by a p38 MAPK inhibitor (Fig. 3) or BEL (49 -52, 55, 58 -61). Con-sistent with our observations that arachidonic acid activates p38 MAPK in ␤-cells, arachidonic acid has also been reported to activate p38 MAPK in a variety of other cells and to affect insulin sensitivity by that mechanism (99, 100). Kv2.1 channel activity in neurons is regulated by graded phosphorylation-dephosphorylation events at residues that include MAPK consensus sites (101)(102), and p38 MAPK-catalyzed phosphorylation at residue Ser 800 of the Kv2.1 channel is required for oxidantinduced apoptosis of neurons (103).
Similarly, iPLA 2 ␤-mediated p38 MAPK activation appears to be involved in ER stress-induced ␤-cell apoptosis (Figs. 4 -8) because inhibition of either iPLA 2 ␤ (65, 71, 72) or p38 MAPK attenuates the apoptotic response to SERCA inhibition with thapsigargin (Fig. 5), and inhibition of iPLA 2 ␤ also prevents ER stressinduced p38 MAPK activation (Figs. 7 and 8). Induction of ER stress in ␤-cells results in iPLA 2 ␤ phosphorylation at residue Tyr 616 , its association with the ER-resident chaperone protein calnexin (68), and catalytic activation of iPLA 2 ␤ (63-67). . Schematic diagram of signaling pathways in ␤-cells in which iPLA 2 ␤ participates. Signals that induce iPLA 2 ␤ activation in insulin-secreting ␤-cells include 1) incubation with concentrations of D-glucose sufficient to stimulate insulin secretion and 2) incubation with SERCA inhibitors (e.g. thapsigargin) that deplete ER Ca 2ϩ content, induce ER stress, and trigger ␤-cell apoptosis. Activation of iPLA 2 ␤ occurs in signaling pathways involved both in D-glucose-stimulated insulin secretion and in SERCA inhibitor-induced apoptosis because both sets of responses are attenuated by pharmacologic or genetic reductions in iPLA 2 ␤ activity, and, conversely, both are amplified by iPLA 2 ␤ overexpression. The involvement of iPLA 2 ␤ in insulin secretion may reflect the effect of one of its products, arachidonic acid, to inhibit membrane Kv2.1 channel activity and thereby to prolong the D-glucose-induced action potential in ␤-cells (62). Amplification of ceramide generation by iPLA 2 ␤ may represent a component of its participation in apoptosis (65,71). Data presented in the current paper indicate that p38 MAPK is activated during both glucose-stimulated insulin secretion and SERCA inhibitor-induced apoptosis in ␤-cells and that this event is downstream of and requires prior iPLA 2 ␤ activation. Data here and in other studies (87)(88)(89) suggest that intermediate events between iPLA 2 ␤ activation and p38 MAPK activation include arachidonic acid release, its enzymatic oxygenation to bioactive eicosanoids (e.g. 12/15-lipoxygenase products), activation of Rho family small G-proteins (e.g. Rac1 and Cdc42), and activation of MAPK kinases (e.g. MEK3). iPLA 2 ␤ Activates ␤-Cell p38 MAP Kinase FEBRUARY 17, 2012 • VOLUME 287 • NUMBER 8

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Events downstream of iPLA 2 ␤ in the signaling pathway that links induction of ER stress in ␤-cells and apoptosis include ceramide accumulation, and this appears to be required for induction of ␤-cell apoptosis (65,71,72,104). This requirement is reflected by the fact that suppressing ceramide generation by pharmacologic inhibition or molecular biologic knockdown of neutral sphingomyelinase greatly diminishes the apoptotic response of ␤-cells to SERCA inhibition (65,71,72,104). Findings reported here indicate that p38 MAPK activation is also required for ER stress-induced ceramide generation in ␤-cells because ceramide accumulation is prevented by inhibition of p38 MAPK (Fig. 4), just as it is inhibited by BEL (65,71,72).
This could reflect effects of p38 MAPK on transcriptional cascades because ER stress-induced ceramide accumulation in ␤-cells involves transcriptional up-regulation of the enzyme neutral sphingomyelinase (71,72), and p38 MAPK is known to affect other transcriptional events (100,105). In other settings, iPLA 2 ␤ activation is also known to participate in stimulus-induced transcriptional up-regulation, including angiotensin IIinduced RGS2 up-regulation in vascular smooth muscle cells (87) and encephalomyocarditis virus-induced inducible nitricoxide synthase induction in macrophages (106). CREB phosphorylation occurs downstream of iPLA 2 ␤ activation in both of those cases and is required for transcriptional activation to occur (87,106). CREB is also a recognized downstream target of p38 MAPK (105).
In summary, as illustrated in Fig. 9, findings reported here indicate that activation of iPLA 2 ␤ in ␤-cells that occurs during the processes of glucose-induced insulin secretion and ER stress-induced apoptosis is associated with activation of p38 MAPK and that this is prevented by the iPLA 2 ␤ inhibitor BEL (Figs. 2, 7, and 8) and mimicked by arachidonic acid (supplemental Fig. S1), which is released from ␤-cell membrane phospholipids by the action of iPLA 2 ␤ (44 -52). Moreover, adding exogenous arachidonic acid reverses the inhibition of thapsigargin-induced p38 MAPK phosphorylation by BEL (Fig. 7).
In addition, p38 MAPK appears to be required for the functional responses of insulin secretion and apoptosis in these settings because these events are prevented or attenuated by pharmacologic inhibition of p38 MAPK (Figs. [3][4][5]. These observations suggest that p38 MAPK activation is among the signaling events that lie downstream of iPLA 2 ␤ activation in ␤-cells. Recent reports indicate that small GTP-binding proteins of the Rho family, including Rac and Cdc42, are activated downstream of iPLA 2 ␤ by eicosanoids in signaling pathways (88,89). Rac1 and Cdc42 are upstream activators of p38 MAPK in a number of settings (105), and small G proteins of the Rho class may also lie downstream of iPLA 2 ␤ in ␤-cell signaling and participate in p38 MAPK activation via upstream kinases (Fig.  8), thus representing a link between iPLA 2 ␤ action and p38 MAPK activation (Fig. 9).
Others have recently reported that in cultured prostate cancer cells, inhibition of iPLA 2 ␤ with BEL or (S)-BEL results in activation of p38 MAPK (107). This stands in contrast to our findings in ␤-cells that inhibition of iPLA 2 ␤ with BEL or (S)-BEL prevents activation of p38 MAPK otherwise induced by stimulation with D-glucose or by induction of ER stress with thapsigargin. Our findings point to an activating effect of iPLA 2 ␤ action on p38 MAPK in ␤-cells, whereas reported data point to an opposite effect in prostate cancer cells (107).
What explains these different patterns of responses in the two cell types is not clear at present, but differential effects of the products of iPLA 2 ␤ action, which include free fatty acids and 2-lysophospholipids, via interaction with different sets of effectors may occur in the two cell types. Alternatively or in addition, iPLA 2 ␤ may act on a different set of substrates in distinct membranous compartments in the two cell types to produce opposing responses.