Molecular Endocrinology, doi:10.1210/me.2006-0473
Molecular Endocrinology 21 (11): 2775-2784
Copyright © 2007 by The Endocrine Society
An Autocrine Insulin Feedback Loop Maintains Pancreatic ß-Cell 3-Phosphorylated Inositol Lipids
Jia Yu,
Per-Olof Berggren and
Christopher J. Barker
The Rolf Luft Research Center for Diabetes and Endocrinology, Karolinska Institutet, Karolinska University Hospital Solna, SE-171 76 Stockholm, Sweden
Address all correspondence and requests for reprints to: Per-Olof Berggren, The Rolf Luft Research Center for Diabetes and Endocrinology, Karolinska Institute, Karolinska University Hospital Solna, SE-171 76 Stockholm, Sweden. E-mail: per-olof.berggren{at}ki.se.
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ABSTRACT
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Phosphatidylinositol 3-kinases (PI3Ks) have a central role in pancreatic ß-cell function. Downstream events include the regulation of KATP channel activity, insulin secretion, gene transcription, and cell survival. Fewer data are available on the 3-phosphorylated inositol lipids (3-PIs) that are the primary products of these kinases. We characterized these PI3K products in insulin-secreting HIT T15 cells and were able to demonstrate, for the first time the presence of phosphatidylinositol 3,5-bisphosphate [PtdIns(3,5)P2]. We then showed that glucose can significantly increase PtdIns(3,4,5)P3, PtdIns(3,4)P2, and notably PtdIns(3,5)P2. We investigated the mechanism(s) whereby these molecules are generated under both basal and glucose-stimulated conditions. We postulated that insulin exocytosis could drive the rises in 3-PIs. In our experimental system, we could detect a rise in insulin secretion within 1 min of glucose stimulation, thus allowing the possibility that early rises in 3-PIs are regulated by secreted insulin. This was confirmed because blockade of the ß-cell insulin receptor completely abrogated the glucose-mediated increase of all three lipids, driving their concentrations below basal levels. Using primary pancreatic islets and either blockade of the insulin receptor or antibodies to insulin, we verified that basal insulin secretion is responsible for the maintenance of 3-PIs. Therefore, autocrine insulin signaling, a feature compromised in diabetes, is essential to up-regulate both basal and glucose-stimulated levels of a vital family of second messengers that preserve and drive pancreatic ß-cell function.
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INTRODUCTION
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SIGNAL TRANSDUCTION VIA phosphatidylinositol 3-kinases (PI3Ks) is of critical importance in pancreatic ß-cell function. A growing number of key processes are controlled by these pathways (1), including the regulation of ion flux (2, 3, 4), insulin secretion (2, 3, 4, 5), and gene transcription (6, 7, 8, 9, 10). However, there is surprisingly little information on the initial lipid products of PI3Ks and how they respond to glucose stimulation. Because each lipid can be produced by a different PI3K isoform (11) and has specific protein targets (11), the identification and response of these lipids under different physiological conditions is important for a full understanding of pathways downstream of PI3Ks in ß-cell signal transduction. Furthermore, not all actions of PI3Ks are mediated by their lipid kinase activity (12, 13), making it important to ascertain when there is a genuine rise in the lipid products.
In the family of 3-phosphorylated inositol lipids (3-PIs), four species have been identified in eukaryotic cells, namely phosphatidylinositol 3-phosphate (PtdIns3P), phosphatidylinositol 3,4-bisphosphate [PtdIns(3,4)P2], PtdIns(3,5)P2, and phosphatidylinositol 3,4,5-trisphosphate [PtdIns(3,4,5)P3, or PIP3]. They are generated by phosphorylation of PtdIns, PtdIns 4-phosphate (PtdIns4P), and PtdIns(4,5)P2 on the 3-hydroxyl group of the inositol ring by PI3Ks, although a substantial proportion of PtdIns(3,4)P2 is likely to be derived from PtdIns(3,4,5)P3 dephosphorylation (11). PtdIns(3,5)P2 is formed by phosphorylation of PtdIns3P by PI5-kinases, probably PIKfyve (phosphoinositide kinase with a specificity for the five position containing a fyve finger) (14, 15).
With the exception of PtdIns(3,5)P2, these lipids have been described in ß-cells labeled with either [3H]myo-inositol or [32P]orthophosphate (16). Their response to glucose alone has not been reported, but raised concentrations of PtdIns(3,4)P2 and PtdIns(3,4,5)P3 did follow the combined application of high glucose and carbachol (16). However, no mechanism was offered for these increases. We hypothesized that an autocrine insulin feedback loop could be the mechanistic explanation for this rise in these 3-phosphorylated lipids. However, to test this hypothesis, there was a need for a detailed characterization of these inositides due to a discrepancy in the published information on PtdIns(3,4,5)P3 in ß-cells (16, 17).
We now show an essential role for secreted insulin in the production of PtdIns(3,4,5)P3, PtdIns(3,4)P2, and PtdIns(3,5)P2 under both basal and glucose-stimulated conditions.
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RESULTS
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Characterization of the 3-PIs in Insulin-Secreting Cells
To test our hypothesis that an autocrine insulin feedback loop was behind the 3-PI signaling, we first needed to establish which lipids were present in our ß-cells. In this initial investigation, our first aim was to reexamine the basis of the high basal PtdIns(3,4,5)P3 reported in a previous study (16), because a subsequent study using a PtdIns(3,4,5)P3 mass assay did not confirm these data (17). We examined the basal levels of PtdIns(3,4,5)P3 by labeling HIT T15 cells with [3H]myo-inositol and extracted the lipids using protocols designed to maximize the recovery of PtdIns(3,4,5)P3. These extracts were then deacylated and the resulting glycerophosphate derivatives separated on HPLC. Our initial experiments seemed to confirm the observations of the previous study (16), indicating that a high basal level of PtdIns(3,4,5)P3 was present in insulin-secreting cells, for example see Fig. 1A
. However, the peak that was presumed to be GroPIns(3,4,5)P3, the deacylation product of PtdIns(3,4,5)P3, in the HPLC profile consisted of one major peak with a significant shoulder, indicating that at least two different compounds were present. A similar profile was observed in the original report (16). The peak was checked with [3H]Ins(1,4,5)P3 and [3H]Ins(1,3,4,5)P4 standards by splitting an additional sample into two and running half with and half without the standards (Fig. 1
, A and B). We found that running standards in separate runs was an unreliable method of assigning peak identity, even if a mock extraction was added to the standards. Clearly, Ins(1,4,5)P3 contributed to the peak A (Fig. 1B
), presumed to be GroPIns(3,4,5)P3, if compared with the same peak from the other half of the sample eluted without the standards (Fig. 1A
). Ins(1,3,4,5)P4 eluted after the putative PtdIns(3,4,5)P3 peak and was denoted peak B. These data demonstrate that our putative PtdIns(3,4,5)P3 peak was likely to contain Ins(1,4,5)P3 as well as PtdIns(3,4,5)P3 and possibly other unknown compounds. We repeated the chromatography of the deacylated lipids using a gradient with greater resolving power, Fig. 1
, C and D. The original peak A was then separated into three peaks, denoted A, A1, and A2 (Fig. 1C
). Again samples were split into two and run with or without standards, Fig. 1
, C and D, respectively. This showed that peak A coeluted with Ins(1,4,5)P3, and peaks A1 and A2 ran between Ins(1,4,5)P3 and Ins(1,3,4,5)P4 (peak B), which eluted last. It was unclear whether peak A1 or A2 corresponded to GroPIns(3,4,5)P3. To resolve this, a 32P-labeled GroPIns(3,4,5)P3 internal standard was prepared and added to the deacylated extract and run on HPLC (see Fig. 2A
). The peak A2 was identified as GroPIns(3,4,5)P3, the deacylated product that corresponds to PtdIns(3,4,5)P3. The origin of the unidentified peak A1 is discussed below. In the early characterization of deacylated PtdIns(3,4,5)P3 of Stephens et al. (18), three similar peaks are also apparent on the chromatogram. An explanation for the reason why Stephens et al. (18) and our current study could resolve these peaks, but the early report could not, may lie with the HPLC columns used. The original PtdIns(3,4,5)P3 study in insulin-secreting cells used a Partisil SAX column (16), which has half the resolving power of the Partisphere SAX column used by Stephens et al. (18) and ourselves. In summary, our data demonstrate that the putative PtdIns(3,4,5)P3 comprises only about 0.1% of the amount of the PtdIns(4,5)P2 peak. This contrasts with the previous studies that reported a figure of about 4%.

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Fig. 1. HPLC Profiles Showing the GroPIns(3,4,5)P3 Region of the Chromatogram
Deacylated lipid samples were split into two halves and eluted by using a previously described gradient (19 ). A, Elution of half the sample without standards. B, Elution of the second half spiked with [3H]-labeled standards of Ins(1,4,5)P3 and Ins(1,3,4,5)P4. The Ins(1,4,5)P3 standard contributed to the major peak A with Ins(1,3,4,5)P4 eluting later and denoted peak B. Two other experiments gave similar results. Similar samples were also split and separated by HPLC on a revised gradient with greater resolving power (see Materials and Methods). C, The original peak A in panels A and B was separated into three peaks, peak A, A1, and A2. D, The second half of the sample was spiked with [3H]-labeled standards of Ins(1,4,5)P3 and Ins(1,3,4,5)P4. The Ins(1,4,5)P3 standard contributed to peak A. Peaks A1 and A2 remained to be identified. Peak B was the standard of Ins(1,3,4,5)P4. E, Standard [3H]PtdIns(4, 5)P2 was added to an equivalent dish of unlabeled cells as described for A–D and subjected to extraction and deacylation. The sample was then run using the improved gradient. Both peak A, corresponding to Ins(1,4,5)P3, and peak A1 (see Discussion) were detected. Two other experiments gave similar results.
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Fig. 2. HPLC Separation of [3H]-Labeled and Deacylated 3-Phosphorylated Lipids with [32P]-Labeled Internal Standards
Deacylated inositol lipids were separated exactly as described in Fig. 1 , C and D. Internal [32P]-labeled standards were prepared (see Materials and Methods) and included in the HPLC runs. A, The GroPIns(3,4,5)P3 region of the chromatogram showing the coelution with genuine [32P]GroPIns(3,4,5)P3. B, The GroPInsP and GroPInsP2 regions of the chromatogram showing the coelution of deacylated species with 32P-labeled standards of GroPIns3P, GroPIns(3,5)P2, and GroPIns(3,4)P2. , Deacylated [3H]inositol lipid extract; , [32P]-labeled internal standards. This trace is typical of two others.
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The authors in the previous study were confident that they had eliminated both Ins(1,4,5)P3 and Ins(1,3,4,5)P4 as contaminants arising from the aqueous phase during cell extraction by doing repeated washes with a strongly acidic solution and indeed were able to demonstrate that added [3H]Ins(1,4,5)P3 and [3H]Ins(1,3,4,5)P4 standards were 99% removed using this protocol (16). However, theoretically, sufficient Ins(1,4,5)P3 to account for the material observed in our HPLC runs could also be derived from a minimal degradation of the relatively rather abundant PtdIns(4,5)P2, either during the acid extraction or the deacylation procedure. To examine this more carefully, we used [3H]PtdIns(4,5)P2 in the presence of a similar number of unlabeled cells in a mock extraction and were able to generate Ins(1,4,5)P3 after deacylation (Fig. 1E
). Repeated washes did not eliminate the presence of this Ins(1,4,5)P3 (data not shown). Furthermore, application of our lipid deacylation protocol, or the slightly different deacylation protocol used in the original study (16), always resulted in the generation of [3H]Ins(1,4,5)P3 from [3H]PtdIns(4,5)P2 (data not shown). In addition, an unknown material corresponding to peak A1 in Fig. 1
, C and D (see above), was always present (Fig. 1E
).
To identify the remaining 3-phosphorylated lipids, the deacylated forms of [32P]-labeled PtdIns3P, PtdIns(3,4)P2, and PtdIns(3,5)P2 internal standards were prepared and then run on HPLC with deacylated [3H]myo-inositol-labeled cell extracts. Figure 2B
shows the coelution of peaks corresponding to all three of these lipids. Of particular importance is the discovery of PtdIns(3,5)P2 in pancreatic ß-cells.
Glucose Alone Can Significantly Increase PtdIns(3,5)P2, PtdIns(3,4)P2, and PtdIns(3,4,5)P3
A previous study has demonstrated that a combination of high concentrations of carbachol (0.5 mM) and glucose (27 mM) results in an increase in PtdIns(3,4,5)P3 (16). To investigate whether PtdIns(3,4,5)P3 and other 3-phosphorylated lipids are changed with glucose stimulation alone, and that this is sufficient to establish an insulin feedback loop, we prelabeled the HIT T15 cells with [3H]myo-inositol for 48 h. They were then preincubated in a Krebs buffer containing low glucose (0.1 mM) and then stimulated with 10 mM glucose alone for 1 and 5 min, respectively, and analyzed by classical HPLC. Simultaneously, we also used various agents to address the mechanism of the glucose-induced rise in 3-PIs. The rationale for the particular agents used is detailed in the next section. The medium was also taken to assess insulin secretion, again as detailed below. The data on the glucose stimulation showed significant increases in PtdIns(3,4,5)P3 (see Fig. 4
, C and G) and PtdIns(3,4)P2 (see Fig. 4
, B and F) after 1 min glucose stimulation, with a continued significant rise after 5 min. There was only a significant increase in PtdIns(3,5)P2 (see Fig. 4
, A and E) after 5 min. There was no significant change in PtdIns3P (see Fig. 4
, D and H).

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Fig. 4. Effects of Nimodipine and HNMPA-(AM)3 on Glucose-Induced 3-PI Generation
The cells were preincubated for 30 min in Krebs buffer containing 0.1 mM glucose and in the presence of 10 µM nimodipine or 100 µM HNMPA-(AM)3 or equal amount of dimethylsulfoxide (vehicle) for control samples and then stimulated by 10 mM glucose for 1 (A–D) or 5 (E–H) min. The bars represent the average of four independent experiments each carried out in triplicate, normalized to the time-matched control as 100%. Statistical analysis was performed as described in Fig. 3 . *, P < 0.05; **, P < 0.01; ***, P < 0.001. G, Cells were preincubated with dimethylsulfoxide alone and stimulated with 10 mM glucose; G+N, cells were preincubated with nimodipine and then stimulated with 10 mM glucose; G+H, cells were preincubated with HNMPA-(AM)3 and stimulated with 10 mM glucose. In the statistical analysis, we also tested the significance of the glucose-stimulated rise above control, and this is presented here to avoid confusion with the graph. The glucose-stimulated increase of PtdIns(3,4)P2 was significant at 1 and 5 min (P < 0.001 and P < 0.01, respectively). The PtdIns(3,4,5)P3 increase was significant at 1 and 5 min (P < 0.01 and P < 0.001, respectively). The increase in PtdIns(3,5)P2, was significant only after 5 min (P < 0.05), and there was no statistically significant change in PtdIns3P at either 1 or 5 min. NS, Not significant.
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Mechanisms by which Glucose Generates PtdIns(3,5)P2, PtdIns(3,4)P2, and PtdIns(3,4,5)P3
Based on available data suggesting that insulin secretion can stimulate PI3K-based pathways in insulin-secreting cells (1), our working hypothesis was that glucose-stimulated insulin secretion was at least one likely mechanism for the generation of 3-PIs. So at the same time as we examined the 3-PI response to glucose, we used two approaches to test this hypothesis. First, it was important to demonstrate that in our system, insulin could be released within the 1-min time frame where we observed an increase in 3-PIs. Therefore, we simultaneously took samples from the dishes to determine insulin secretion. Our second objective was to test more directly the role of insulin secretion on the rise of 3-PIs. In this context, we considered the principal player in glucose-stimulated insulin secretion to be the entry of Ca2+ through the L-type voltage-dependent Ca2+ channel (19). Blockade of this channel is known to largely, but not completely, curtail insulin secretion (19). So, if secreted insulin is important, we would expect that the specific blockade of the L-type Ca2+ channel would lead to reduced levels of 3-PIs. Of course, in such experiments, one cannot discriminate between the indirect role of Ca2+-promoting insulin secretion and thus insulin signaling, vs. a direct role of Ca2+ itself in generating the lipids. Therefore, to complement this approach, we also used a specific insulin receptor inhibitor (20, 21) to block any feedback of the secreted insulin. In the latter approach, Ca2+ would still be increased via the L-type Ca2+ channel, but the secreted insulin cannot affect the 3-PIs. A combination of both these approaches would thus give a clearer mechanistic insight into how glucose regulates 3-PIs. To ensure a valid comparison, insulin secretion and 3-PIs were measured in the same dish.
Figure 3
shows the insulin secretion data from our experiments. After 1 min glucose stimulation, the level of insulin secretion is doubled (Fig. 3A
) and reaches a 4-fold increase by 5 min (Fig. 3B
). Thus, increased insulin secretion could explain the early rise in 3-PIs. After 1 min glucose stimulation, blockade of the L-type channel by nimodipine does not significantly decrease the rise in insulin secretion. However, after 5 min glucose stimulation, the secretion of insulin is strongly dependent on Ca2+ influx through the L-type Ca2+ channel. Our data indicate that some insulin secretion can even occur if the channel is blocked, but with time, there is an increased dependency on insulin secretion triggered by the influx of Ca2+. The fact that insulin signaling can still be enhanced in the presence of the Ca2+-channel blocker nimodipine is important to bear in mind when interpreting the lipid data in the presence of this Ca2+-channel blocker. Preincubating the cells with the cell-permeant insulin receptor tyrosine kinase inhibitor (hydroxy-2-naphthalenylmethyl) phosphonic acid acetoxy methyl ester [HNMPA-(AM)3] (20, 21), before glucose stimulation, either enhances, at 1 min, or inhibits, at 5 min, glucose-dependent insulin secretion, suggesting the involvement of both a negative and a positive insulin feedback loop, dependent on the time of stimulation. Whether there is an increased or decreased secretion in response to HNMPA treatment is immaterial with respect to changed 3-PI levels, because any feedback through the insulin receptor is blocked by the inhibitor.

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Fig. 3. Effects of the L-Type Ca2+-Channel Blocker Nimodipine and the Insulin Receptor Blocker HNMPA-(AM)3 on Glucose-Stimulated Insulin Secretion
The samples described here come from the supernatant of the same experimental dishes that were used for lipid analysis (see Fig. 4 ). The samples were stimulated with 10 mM glucose for 1 (A) or 5 (B) min. G, Cells were preincubated only with dimethylsulfoxide and stimulated by 10 mM glucose; G+N, cells were preincubated with 10 µM nimodipine and stimulated by 10 mM glucose; G+H, cells were preincubated with 100 µM HNMPA-(AM)3 and stimulated by 10 mM glucose. The supernatants were analyzed for insulin content using a standard RIA. The bars represent the average of four experiments, control being 100%. Statistical analysis was performed by using one-way ANOVA and followed by Bonferronis multiple comparison test (GraphPad, Prism 3.03). *, P < 0.05; **, P < 0.01; ***, P < 0.001.
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Figure 4
shows data from PtdIns(3,5)P2 (Fig. 4
, A and E), PtdIns(3,4)P2 (Fig. 4
, B and F), and PtdIns(3,4,5)P3 (Fig. 4
, C and G) measurements taken from the same dishes as the insulin secretion, reported above. What is immediately apparent is that although the L-type Ca2+-channel blocker nimodipine is able to significantly, but not completely, curtail the production of PtdIns(3,4)P2 (Fig. 4
, B and F) and PtdIns(3,4,5)P3 (Fig. 4
, C and G) after 5 min glucose stimulation, it had no effect at all on the glucose-stimulated rise in PtdIns(3,5)P2 (Fig. 4
, A and E). This immediately distinguishes the production of PtdIns(3,5)P2 from the other more closely related 3-PIs. However, because the insulin secretion data (Fig. 3
, A and B) suggest that some insulin can still be released in response to glucose in the case where the channel is blocked, there may be enough insulin secretion to increase 3-PIs. This can be resolved by the blockade of insulin signaling. The insulin receptor blocker HNMPA dramatically affected the generation of all 3-PIs, including PtdIns3P, after 1 and 5 min, completely abolishing the glucose response (Fig. 4
, A–H). Furthermore, it reduced 3-PI phosphorylated lipids below their control levels (Fig. 4
, A–H). Overall, secreted insulin appears to be the main driving force behind the rise in 3-PIs in the first 5 min of glucose stimulation.
An interesting and very important piece of information was that basal secretion acts to maintain the levels of 3-phosphorylated lipids in insulin-releasing cells and thus presumably constitutes an important physiological signal in the insulin secretory process. Because our current studies were carried out exclusively on a ß-cell line, to reinforce the validity of this novel observation, we decided to examine the effect of basal insulin secretion on the 3-PIs in primary pancreatic ß-cells (Fig. 5
). To be confident that the effects we were seeing came specifically from ß-cells, we used islets from an ob/ob mouse variant that is normo-insulinemic and normo-glycemic but whose islets consist of more than 90% ß-cells. We used two approaches to curtail the effect of basal insulin secretion. First, to make a more direct comparison with the HIT cell data, we used the insulin receptor blocker HNMPA. We also used antibodies to insulin to mop up the secreted insulin, a technique that has been used effectively to study the importance of insulin feedback signaling (22, 23) and that removes any doubt about the use of pharmacological tools like HNMPA. Islets were prelabeled with [3H]inositol and then preincubated at 3 mM glucose in the presence of either HNMPA or vehicle. HNMPA did not significantly change insulin secretion when compared with time-matched control incubations (data not shown). Separate experiments were carried out with insulin antibodies or IgG. Figure 5
, A and B, shows that the level of all 3-PIs is reduced with respect to their controls by about 25%. In HNMPA-treated cells, this reduction in 3-PIs was significantly different compared with controls in all three lipids measured. However, in antibody-treated cells, the drop was significant only for PtdIns(3,4)P2 and PtdIns(3,4,5)P3. Because access of the antibodies to intra-islet insulin may be restricted, the magnitude of the drop of 3-PIs by antibody treatment may underestimate the dependency of the lipids on basal insulin secretion. Thus, basal insulin secretion is critical for the maintenance of 3-PIs in primary ß-cells as well as in insulin-secreting cell lines.

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Fig. 5. Basal Insulin Secretion Maintains 3-PIs in Primary Mouse ß-Cells
A, Mouse ß-cells were labeled, washed, and preincubated in 3 mM glucose for 30 min, as described in Materials and Methods, in the presence of either 100 µM HNMPA or vehicle (dimethylsulfoxide). B, In separate experiments, insulin antibodies (to porcine insulin) or the appropriate IgG (0.8 mg/ml) were applied. Reactions were terminated and lipids extracted as described in Materials and Methods. The data are expressed as a percentage of the IgG control for each respective lipid and are the average ± SEM of three separate preparations of islets. *, P < 0.05; **, P < 0.01.
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DISCUSSION
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It is well established that pathways downstream of PI3Ks are associated with a large number of signaling events that significantly impact on pancreatic ß-cell function (1). In contrast, there is little information on the lipid products of this family of kinases in insulin-secreting cells. There are still a growing number of targets for these lipid products, and the interaction with each target protein is often selective for an individual lipid isoform (11, 24). This specificity together with the fact that PI3Ks can mediate signaling via their protein kinase domains independent of their lipid kinase activities (12, 13) highlight the need to better define these lipids and their regulation in the pancreatic ß-cell. Our hypothesis was that these lipids, at least in part, could be subject to regulation via an autocrine insulin feedback loop. We have now identified a previously uncharacterized 3-PI, PtdIns(3,5)P2, in insulin-secreting cells and for the first time demonstrated the absolute dependency of 3-PI lipid generation on insulin secretion and thus the importance of an insulin feedback loop. What was particularly exciting was that this feedback loop apparently operated even under basal conditions.
The first identification of PtdIns(3,5)P2 in insulin-secreting cells may come as no surprise because this lipid has now been found in a wide variety of other eukaryotic cells (14, 15) and is formed by the phosphorylation of PtdIns3P by PI5-kinases (11, 25) or PIKfyve (14, 15). However, its suggested roles in vesicle transport (14, 15, 26, 27, 28, 29, 30, 31, 32, 33) and in cell stress responses (14, 26, 32, 33) will impact on essential aspects of ß-cell physiology, e.g. exocytosis of insulin and ß-cell preservation during conditions of stress and thus maybe serve as a new target in ß-cell pathology.
We were able to demonstrate, using glucose stimulation alone, a significant increase in all 3-PIs with the exception of PtdIns3P. This is in contrast to a previous report in which glucoses unique contribution to increases in 3-PI was masked by the simultaneous application of both high concentrations of glucose and carbachol (16). Our data suggest not only that PtdIns(3,4,5)P3 but also PtdIns(3,4)P2 and notably PtdIns(3,5)P2 concentrations can be raised by glucose stimulation alone. This indicates that the PI3Ks (class I and II) as well as PI5K and/or PIKfyve (11, 14, 25) are likely to be involved in the acute ß-cell responses to glucose.
Although there is much circumstantial, indirect evidence in the literature that 3-PIs form part of the autocrine feedback loops mediated by insulin secretion in pancreatic ß-cells (1), direct addition of insulin to unstimulated ß-cells has (17), or has not (16), resulted in increases in 3-PIs. Our new data not only support our hypothesis that an insulin feedback loop drives these increases, but directly show that this insulin feedback is actually essential for the glucose-stimulated rise in 3-PIs in insulin-secreting cells. This is true for both those lipids that have been previously studied in ß-cells such as PtdIns(3,4)P2 and PtdIns(3,4,5)P3 as well as PtdIns(3,5)P2, the latter described here for the first time. A striking observation in our system is that even within 1 min of glucose stimulation, there is a rise in PtdIns(3,4,5)P3 and PtdIns(3,4)P2 that is insulin dependent and follows an early rise in insulin concentration. This suggests that the insulin feedback loop can operate comparatively rapidly and within the timeframe of the initial ß-cell stimulus-secretion coupling events
The mechanistic link between insulin signaling and the generation of PtdIns(3,4)P2 and PtdIns(3,4,5)P3 is well established (34); however, only recently has a possible direct link between insulin signaling and PtdIns(3,5)P2 been described. PIKfyve, an enzyme responsible for PtdIns(3,5)P2 synthesis, is activated by insulin (15, 35) via a protein kinase B/Akt-directed phosphorylation (36). This suggests that PtdIns(3,5)P2 production is secondary to PI3K signaling. Because PtdIns(3,5)P2 levels, unlike those of PtdIns(3,4)P2 and PtdIns(3,4,5)P3, are only modestly increased by glucose stimulation, it is likely that the main actions of PtdIns(3,5)P2 are mediated under basal conditions. In contrast, PtdIns(3,4)P2 and PtdIns(3,4,5)P3 are acutely responsive to increased glucose concentration and the concomitant increase in secreted insulin.
One assumption we have made is that the effect of insulin is mediated by its own receptor, but in addition, insulin can generate the formation of 3-PIs via the IGF-I receptor, which is also found on ß-cells (37). Although HNMPA was specifically devised to block insulin receptor signaling (20, 21), it is a pharmacological agent, and one cannot discount the role of the IGF-I on these grounds. However, when we examined the basal concentrations of insulin in control or glucose-stimulated HIT cells, they were 0.5 nM (basal) and 1.7 nM (stimulated), respectively. At these concentrations, we would anticipate little contribution of IGF-I-mediated vs. insulin receptor-mediated signaling.
When using pharmacological tools or ß-cell lines, a degree of caution needs to be exercised when interpreting results. In regard to the pharmacological agents, we detected no gross effect of these agents on cell viability during the short time course of our experiments. However, side effects on the glucose response not directly related to actions on insulin secretion may occur. For example, nimodipine can inhibit glucose transport (38) and thus may impair glucose sensing. Depression of insulin signaling can also down-regulate glucokinase gene expression (10), although this latter effect would not be expected to have any impact during the timescale of our experiments. However, data obtained by these inhibitors is supported by non-pharmacological tools discussed in the next section, suggesting that our results do reflect the physiological situation. Criticism can also be leveled at our use of cell lines. Nonetheless, an independent study published as we were submitting this paper strongly supports our data. This study used an alternative approach to monitor PtdIns(3,4,5)P3 alone (39). Using a fluorescent PtdIns(3,4,5)P3 binding reporter construct, these authors clearly demonstrated in another ß-cell system the dependency of glucose-mediated increases in PtdIns(3,4,5)P3 on insulin feedback Thus, this is not just a HIT cell phenomenon. However, an unexpected and exciting outcome of our studies in the HIT T15 ß-cell line was the dependency of 3-PIs on basal insulin secretion. Given the novelty of this finding, it was paramount that we verified it in a primary ß-cell system.
Our data from primary mouse ß-cells islets, either using insulin receptor inhibition by HNMPA or by removal of secreted insulin by antibodies, also showed reduced 3-PI levels under basal conditions. This indeed suggests that this phenomenon is not an artifact of either a model cell line or a pharmacological tool. Of course, in the intact islet, insulin signaling is more complex because basal insulin secretion may influence other islet cells, e.g.
-cells, leading to paracrine effects. Under low-glucose conditions,
-cells themselves are triggered to secrete hormones such as glucagon that can further modify ß-cell function. However, we would not anticipate insulin-provoked increases in
-cell 3-PIs to contribute much to our overall data, because in our particular mouse model,
-cells represent only about 5% of the total cell population.
It has been reported that basal insulin secretion is important for the subsequent ability of the cell to release insulin after glucose stimulation in primary islets (23). Our study now indicates at least one key signaling pathway that will be compromised by removal of basal insulin feedback. Thus, important signaling is taking place under both stimulated and basal conditions. Now that it is appreciated that the ß-cell itself has functional insulin receptors (6, 7, 8, 9, 10), it is possible that the insulin-resistance phenomenon in type 2 diabetes can be enacted in this cell. If this occurs, it will affect both the acute responses to increased insulin secretion and also influence longer-term responses to basal insulin secretion, which is nonetheless important for acute ß-cell exocytosis (23) and probably viability. It is tempting to speculate that in the classic insulin-sensitive tissues, basal plasma insulin performs a hitherto unrecognized role in the maintenance of basic phosphoinositide signaling. If this is the case, the impact of insulin resistance may be more pervasive than previously appreciated.
In conclusion, we have demonstrated that glucose-dependent production of the key 3-PIs, PtdIns(3,4,5)P3, PtdIns(3,4)P2, and PtdIns(3,5)P2 is mediated by secreted insulin and that even insulin secreted under basal conditions is important in maintaining the level of these lipid signals. Hence, our data for the first time show that the autocrine insulin feedback loop drives a constantly active phosphoinositide signaling platform that maintains both ß-cell exocytotic capacity and survival.
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MATERIALS AND METHODS
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Cell Culture and Radiolabeling
HIT T15 cells (passages 78–80) were routinely maintained in RPMI 1640 medium with 10% fetal bovine serum, glutamine (2 mM), and a penicillin (100 IU/ml)/streptomycin (100 mg/ml) cocktail (Invitrogen AB, Stockholm, Sweden). For the experiments, the cells were cultured in 92-mm-diameter petri dishes with a modified medium RPMI 1640, 1640-M, for 5 d. The modified medium consisted of RPMI 1640 that was glucose and inositol free (Invitrogen). This base medium was then supplemented with the following additives: 0.4 mM MgSO4, 50 µM inositol, and 5.5 mM glucose with glutamine and penicillin/streptomycin added at the same concentrations as the standard medium above. Fetal bovine serum was dialyzed using a 1000-molecular-weight cutoff Spectro Por tubing (Spectrum Europe BV, DG Breda, The Netherlands) and then added to the modified medium at a concentration of 10%. The cells were labeled with 10 µCi/ml [2-3H]myo-inositol for 48 h before experiments were undertaken.
Experimental Conditions and Lipid Analysis
For the characterization and identification of 3-PIs under basal conditions, HIT T15 cells were grown in [3H]myo-inositol for 48 h and then incubated in a Krebs buffer supplemented with 0.05% BSA, 0.1 mM glucose, 50 µM inositol, and 2 µM CaCl2 for 30 min in a water bath at 37 C. Extraction and deacylation of the lipids were carried out as described below. For glucose-stimulation experiments, cells were preincubated with or without nimodipine and HNMPA-(AM)3 in a similar Krebs buffer as above for 30 min and then stimulated with 10 mM glucose for either 1 or 5 min. Cells were quenched with 1 ml ice-cold 1 M HCl. A 10-µl aliquot of a lipid carrier (Sigma phosphoinositide mix, 25 mg/ml; Sigma Aldrich Sweden AB, Stockholm, Sweden) was immediately added and the plate left to stand on ice for 20 min. An established lipid extraction protocol to quantitatively extract lipids, especially for PtdIns(3,4,5)P3, was used (40). Throughout extraction, only siliconized glass or plastic-ware and pipette tips were used. Cells were then harvested by use of a cell scraper, and the plates washed with 2.73 ml of a solution combined from 0.6 ml 1 M HCl, 5 mM tetrabutyl ammonium sulfate, and 2.13 ml methanol. Chloroform (4.27 ml) was added to split the phase. The mixture was vortexed and the phases separated by centrifugation. The lower phase containing the inositol lipids was transferred to tubes already containing 1.43 ml of the synthetic upper phase. The phases were mixed and centrifuged, and the lower phase was removed into clean tubes. Both the initial upper phase and the synthetic upper phase (left after removing the first synthetic lower-phase wash) were sequentially reextracted with 2.23 ml of the synthetic lower phase, mixed, and separated centrifugally. This final lower phase was combined with the originally washed lower phase, the tube filled with N2, and the lipid extract stored at –20 C. To determine PtdIns(3,4,5)P3, the lipid extract was dried under N2 and deacylated using methylamine, exactly as described by Anderson et al. (40). The products were stored at –20 C until separated by HPLC.
To be able to detect 3-PIs in the relatively little material that could be generated from primary ob/ob mouse islets, we modified the above lipid-labeling protocol. Islets, 300 per condition, were labeled in a RPMI 1640 medium containing only 2 µM inositol and 100 µCi/ml [3H]inositol. They were then washed with the Krebs buffer described above, this time containing 3 mM glucose, and then preincubated in this same media for 30 min in the presence of 0.8 mg/ml of either insulin antibodies (to porcine insulin) or the appropriate IgG. Antibodies were dialyzed before use to remove azide and other contaminants. Reactions were terminated, and lipids extracted as described above. Note that pancreatic islets were prepared from mice in accordance with local ethical guidelines.
Preparation of [32P]-Labeled Lipid Standards
To verify the identities of 3-phosphorylated lipids, [32P]-labeled lipids were prepared as internal standards. The [32P]-labeled PtdIns3P, PtdIns(3,4)P2, PtdIns(3,4,5)P3, and PtdIns(3,5)P2 standards were generated by phosphorylating a mixture of the cold inositol lipids PtdIns, PtdIns4P, PtdIns(4,5)P2 (Sigma Aldrich Sweden), or PtdIns5P (Echelon Research Laboratories, Salt Lake City, UT) with an equal proportion of phosphatidylserine and recombinant PI3K (Alexis Biochemicals, KELAB, Göteborg, Sweden) together with [
-32P]ATP (Amersham, Pharmacia Biotech, Uppsala, Sweden). The mixtures were incubated at 37 C for 1 h. Then the lipids were extracted, dried, deacylated, and stored as described above. Small aliquots of the standards were added to the samples and run on HPLC.
HPLC
The separation of deacylated inositol lipids was performed by HPLC on a 25-cm Whatman Partisphere-SAX column (Laserchrom, Rochester, UK). In initial experiments (Fig. 1
, A and B), we used a published method (41). For all remaining studies, an improved gradient was used. The gradient was generated from deionized H2O (buffer A) and 1.0 M (NH4)2HPO3 adjusted to pH 3.8 with H3PO4 (buffer B). The gradient was as follows: 0 min, 0% B; 5 min, 0% B; 60 min, 15% B; 80 min, 15% B; 88 min, 20% B; 108 min 30% B; and 123 min, 100% B. Radioactivity was determined by the addition of Packard Ultima Flo AP scintillant and counted on a Packard CA 2000 scintillation counter (both from CIAB, Stockholm, Sweden).
Insulin Secretion Analysis
Insulin secretion was measured in the same dishes as those used to determine the inositol lipids. A 5-ml aliquot, from a total of 8 ml, was removed from each dish and was stored at –20 C. Insulin release was measured by RIA (42). Radioactivity was counted by a Packard
-counter.
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ACKNOWLEDGMENTS
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We thank Drs. B. and I. B. Leibiger for helpful discussions.
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FOOTNOTES
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This work was supported by grants from the Karolinska Institute, Novo Nordisk Foundation, the Swedish Research Council, the Swedish Diabetes Association, the Juvenile Diabetes Research Foundation International, European Foundation for the Study of Diabetes (EFSD), EuroDia (LSHM-CT-2006-518153), The Family Erling-Persson Foundation, Åke Wibergs Foundation, and Berth von Kantzows Foundation.
Disclosure Statement: The authors have nothing to disclose.
First Published Online July 24, 2007
Abbreviations: HNMPA-(AM)3, (Hydroxy-2-naphthalenylmethyl) phosphonic acid acetoxy methyl ester; 3-PI, 3-phosphorylated inositol lipid; PI3K, phosphatidylinositol 3-kinase; PtdIns3P, phosphatidylinositol 3-phosphate; PtdIns(3,4)P2, phosphatidylinositol 3,4-bisphosphate; PtdIns(3,4,5)P3, phosphatidylinositol 3,4,5-trisphosphate.
Received for publication November 13, 2006.
Accepted for publication July 20, 2007.
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