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Molecular and Cellular Biology, September 2007, p. 6026-6037, Vol. 27, No. 17
0270-7306/07/$08.00+0 doi:10.1128/MCB.00384-07
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
,
Benny Hung-Junn Chang,1,
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Mineko Fujimiya,3
Weiqin Chen,1
Rohit N. Kulkarni,4
Yutaka Eguchi,5
Hiroshi Kimura,2
Hideto Kojima,1,2 and
Lawrence Chan1*
Division of Diabetes, Endocrinology & Metabolism, Departments of Medicine and Molecular & Cellular Biology, Baylor College of Medicine, One Baylor Plaza, Houston, Texas 77030,1 Department of Molecular Genetics in Medicine,2 Department of Anatomy,3 Department of Critical and Intensive Care Medicine, Shiga University of Medical Science, Otsu, Japan,5 Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts 022154
Received 2 March 2007/ Returned for modification 24 April 2007/ Accepted 5 June 2007
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To investigate if glycerol plays a key role in regulating ß-cell function in vivo, we analyzed isolated pancreatic islets for the presence of glycerol channels. The known mammalian glycerol channels are members of the aquaporin (AQP) family, with 13 described members (3, 11) that fall into the following two major classes: (i) AQPs that function exclusively as water channels and (ii) AQPs that transport both water and glycerol or other small solutes, collectively known as aquaglyceroporins. Only four mammalian AQP sequences have been identified as potential aquaglyceroporins, namely, Aqp3 (9, 18), Aqp7 (31), Aqp9 (5, 41), and Aqp10 (17, 34). However, murine Aqp10 was found to be a pseudogene (35). For this communication, we found that of the three functional aquaglyceroporins, only Aqp7 is expressed in the ß cells of pancreatic islets. To deduce the functional role of Aqp7, we produced mice with inactivated Aqp7 by gene targeting. Aqp7 knockout mice have been reported from three independent laboratories (13, 33, 40). While these reports support a role for Aqp7 in adipose tissue and the kidneys, herein we document that Aqp7 is expressed in the pancreatic islet and is important in the regulation of insulin production and secretion. We generated Aqp7–/– mice and found that they develop hyperinsulinemia in the absence of detectable insulin resistance. Furthermore, analysis of the pancreatic islets revealed that Aqp7–/– mice have an elevated intraislet glycerol concentration; they also display reduced ß-cell mass and increased insulin mRNA but reduced intracellular insulin content. We conclude that Aqp7 plays a key role in controlling ß-cell mass and insulin production in vivo.
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FIG. 1. Gene-targeting strategy for the inactivation of Aqp7 in mice. (A) Restriction maps of the Aqp7 gene (top), the targeting vector (middle), and the targeted recombinant allele (bottom) are shown. The locations of PCR primers 1, 2, and 3 used for genotyping are shown. (B) PCR screening of Aqp7+/+, Aqp7+/–, and Aqp7–/– mice. The PCR product for the wild-type allele is 430 bp, and that for the mutant allele is 208 bp.
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The sequences of the primers are listed in Table 1.
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TABLE 1. Quantitative PCR primers used in this study
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We measured insulin in the medium by using Crystal Chem enzyme-linked immunosorbent assay kits (Chicago, IL). Isolated islets were collected in a cocktail with phosphate-buffered saline-Tween 20 and protease inhibitor from Roche (Indianapolis, IN), homogenized, and centrifuged at 3,000 x g for 15 min, and insulin and glycerol contents in the total lysate were measured using enzymatic kits (Sigma, St. Louis, MO).
For lipid extraction, 100 isolated islets were washed in cold PBS two times. We transferred islets into a capped glass tube with 3 ml chloroform-methanol (2:1) and stored them under N2 at 4°C overnight. We added H2O, vortexed the sample, centrifuged it at 1,076 x g for 10 min, carefully removed the lower layer into a new tube, and discarded the upper layer. The extraction was repeated two times. We dried the organic phase with N2, stored the tube at –80°C, and then measured triglycerides by using enzymatic kits (Sigma, St. Louis, MO).
Cell culture experiments. We prepared ß-cell lines by breeding wild-type mice with simian virus 40 T antigen (RIP-Tag2) transgenic mice driven by the insulin promoter as described previously (10, 29). Briefly, tumors from 10- to 12-week-old RIP-Tag2 mice were manually disrupted and placed in Dulbecco's modified Eagle medium supplemented with fetal calf serum. The tumor capsule was gently disrupted to release the cells, which were purified by gravity sedimentation, resuspended, seeded in 48-well plates, and allowed to attach. Individual clones that were responsive to glucose were picked for experiments. Experiments were performed with cells derived from a single clone (B47) obtained between passages 7 and 10.
B47 ß cells were cultured in Dulbecco's modified Eagle medium containing 100 mg/dl of glucose, 10% fetal bovine serum, 100 units/ml penicillin, and 0.1 mg/ml streptomycin sulfate at 37°C in 5% CO2 in air. After incubation with 0.1 µM of 12-o-tetradecanoylphorbol 13-acetate (TPA; Sigma), an activator of protein kinase C (PKC), with 100 µM of 1-(5-isoquinoline sulfonyl)-2-methylpiperazine (H7; Sigma Chemical Co.), an inhibitor of PKC, or with both TPA and H7 at 37°C for 6 h, we performed quantitative real-time RT-PCR using the RNAs isolated from these cells.
Immunohistochemical analysis. Pancreases, testes, kidneys, and livers from wild-type and Aqp7–/– mice were fixed and cut into 20-µm-thick sections in a cryostat. We incubated sections with antibody against AQP7 (goat polyclonal; Santa Cruz Biotechnology, CA), AQP3 (goat polyclonal; Santa Cruz Biotechnology, CA), or AQP9 (goat polyclonal; Santa Cruz Biotechnology, CA), diluted 1:2,000 in PBS containing 0.3% Triton X-100, at 4°C for 2 days (14, 27). Sections were then incubated for 2 h at room temperature with Alexa 488-labeled antibody against goat immunoglobulin G (IgG; Molecular Probes, Eugene, OR) diluted 1:1,000 in PBS-0.3% Triton X-100. For immunofluorescence overlap staining of AQP7 and islet hormones, pancreas sections were incubated with antibody against AQP7 (goat polyclonal) mixed with antibody against insulin (guinea pig polyclonal; Linco Research, St. Charles, MO), glucagon (rabbit polyclonal; Biogenesis, Kingston, NH), somatostatin (rabbit polyclonal; Yanaihara Ins., Shizuoka, Japan), or pancreatic polypeptide (rabbit polyclonal; Yanaihara Ins.). After reaction with the primary antibodies, sections were incubated with fluorescein isothiocyanate-labeled anti-goat IgG (Chemicon, Temecula, CA) mixed with either Cy3-labeled anti-guinea pig IgG (Chemicon) or Cy3-labeled anti-rabbit IgG (Chemicon). Sections were mounted on glass slides, dried, coverslipped with Histofine (Nichirei, Tokyo, Japan), and observed under a confocal laser scanning microscope (LSM 510; Carl Zeiss) as 1-µm slices (27).
Islet density. Pancreases from four Aqp7+/+ and four Aqp7–/– mice were fixed and cut into 20-µm-thick serial sections in a cryostat. Five sections were randomly selected for each animal and processed for insulin immunohistochemistry using the ABC and nickel-DAB methods (27). The images of stained islets were transferred to a computer-assisted image analyzer (Luzex X-F; Nikon, Tokyo, Japan), and the total number and total area of islets were measured in each section. Area density (µm2 of islets/mm2 of pancreas) as well as islet density (number of islets/mm2 of pancreas) was determined from five sections for each animal, and means ± standard deviations (SD) were obtained for four Aqp7+/+ mice and four Aqp7–/– mice.
Densities of PCNA-positive and TUNEL-positive cells in pancreatic islets. Pancreases from wild-type mice and Aqp7–/– mice were fixed and cut into 20-µm-thick serial sections. We processed five randomly selected sections from each animal for PCNA immunohistochemistry as well as DeadEnd Colorimetric terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling (TUNEL) analysis (Promega Corporation, Madison, WI). We counted the number of PCNA- or TUNEL-positive cells by light microscopy at a magnification of x400, and the total islet area was obtained from an image analysis system as described above. The densities of PCNA-positive cells and of TUNEL-positive cells (number of positive cells/mm2 of islet area) were estimated from five sections for each animal, and means ± SD were obtained for three wild-type mice and three Aqp7–/– mice.
Lipolysis in isolated islets. We isolated and washed batches of 100 islets in KRBH buffer (120 mM NaCl, 5 mM KCl, 2.5 mM CaCl2, 1.1 mM NaHCO3, 0.5% bovine serum albumin, and 10 mM HEPES, pH 7.4) and then incubated them for 2 h in 100 µl KRBH buffer containing 100 mg/dl glucose in a humidified incubator at 37°C. Once all islets were transferred, the same medium, with or without 2.5 µM forskolin, was added during the 2-hour incubation. At the end of the 2-h incubation, we collected the medium and measured the glycerol and Free fatty acid (FFA) released from islets by using enzymatic kits (Sigma, St. Louis, MO).
Metabolic experiments with isolated islets. For measurements of glucose usage, batches of 100 islets were washed in KRBH buffer and then incubated for 2 h in 100 µl KRBH buffer containing 40 mg/dl or 450 mg/dl glucose with 2.2 or 25 µCi/ml, respectively, of D-[5-3H]glucose in a humidified incubator at 37°C. After removal of the supernatants, the islets were washed in KRBH buffer three times and then dissolved with 100 µl of 1 N NaOH. The samples were neutralized with 100 µl of 1 N HCl. Scintillation fluid was added to 100 µl of sample, and radioactivity was measured in a ß-scintillation counter. The remaining 100 µl of each sample was used to measure protein content.
The experimental system for islet glucose oxidation assays consisted of a round-bottomed polystyrene 15-ml Falcon tube sealed with a rubber stopper from which a center well was suspended. Batches of 100 islets were washed in KRBH buffer and resuspended in 100 µl of KRBH buffer-0.5% bovine serum albumin (radioimmunoassay grade) containing 40 mg/dl or 450 mg/dl glucose with 3 or 16 µCi/ml, respectively, of [U-14C]glucose. Islets in the glucose oxidation medium were then placed at the bottom of the Falcon tubes and sealed with the stoppers. After 3.5 h of incubation at 37°C in a cell incubator, the reaction was stopped with an injection of 0.1 ml perchloric acid (10% [vol/vol]). Benzethonium hydroxide (0.3 ml) was injected into the center well to trap the 14CO2 produced. After an overnight incubation at room temperature, the benzethonium hydroxide was recovered, and scintillation fluid was added. Radioactivity was measured in a ß-scintillation counter.
Determination of GYK activity. We performed a GYK activity assay as described previously (12), with a slight modification. Briefly, total pancreas or islets were homogenized in extraction buffer (50 mM HEPES, pH 7.8, 40 mM KCl, 11 mM MgCl2, 1 mM dithiothreitol) on ice and centrifuged at 15,000 x g for 15 min at 4°C. Twenty to 30 µg of proteins was used for enzymatic assay. We incubated the protein samples with 50 µl of assay buffer (50 mM Tris-HCl, pH 7.2, 5 mM ATP, 10 mM MgCl2, 100 mM KCl, 2.5 mM dithiothreitol, 4 mM glycerol, 50 µM [14C]glycerol) for 3 h at 37°C. The reaction was terminated with 100 µl of stop solution (ethanol-methanol [97:3]). Equal amounts of the sample (50 µl) were spotted onto Whatman DE81 filters, and then the filters were air dried and washed in water overnight. Radioactivity adhering to the filters was measured by liquid scintillation.
Glucose tolerance test and insulin tolerance test. We injected a glucose solution (1.5 g/kg body weight intraperitoneally [i.p.]) into mice after a 4-h fast and obtained blood in EDTA 0, 15, 30, 60, and 120 min after glucose administration. Plasmas were separated and frozen at –20°C until glucose (Sigma kit) and insulin (Crystal Chem kit) determinations.
We injected insulin (1 U/kg body weight i.p.) into mice fasted for 4 h, obtained blood 0, 15, 30, 60, and 120 min afterwards, and measured plasma glucose and insulin as described above.
Statistical analysis.
Results are expressed as means ± SD. The difference between Aqp7+/+ and Aqp7–/– mice was evaluated by Student's t test. P values of <0.05 were taken as significant. Mann-Whitney nonparametric statistical analysis was done for experiments with small sample sizes (n
4) to confirm the significance of differences.
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Normal body weight and plasma chemistry in Aqp7–/– mice. Homozygous Aqp7–/– mice were viable and displayed normal body weights and growth curves as well as fat pad masses (see Fig. S1 in the supplemental material). Aqp7–/– mice did not show any abnormality in lipolysis (see Fig. S2 in the supplemental material) or in plasma lipid and plasma glucose contents (Table 2).
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TABLE 2. Lipid, glucose, and insulin contents of plasmas and isolated islets from Aqp7+/+ and Aqp7–/– mice (n = 4) fasted for 4 ha
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FIG. 2. AQP7 expression in mouse pancreatic islets. (A) RT-PCR analysis of three aquaglyceroporin genes, Aqp3, Aqp7, and Aqp9, in isolated islet, kidney, testis, and liver tissues from wild-type mice. Gapdh was used as an internal control. (B) Confocal laser microscopic analysis of the immunolocalization of AQP3, -7, and -9 in the pancreas, kidneys, liver, and testes (positive control of AQP7). (C and D) Confocal laser microscopic analysis of immunostaining images of AQP7 and 4 islet hormones in the pancreatic islets from wild-type (Aqp7+/+) (C) and Aqp7–/– (D) mice. AQP7 expression completely overlaps with that of insulin (Ins) but not that of glucagon (Gcg), somatostatin (Sst), or pancreatic polypeptide (PP). Bars = 100 µm, unless marked otherwise.
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Complete abrogation of Aqp7 expression without compensatory upregulation of other aquaglyceroporins in Aqp7–/– islets. By RT-PCR, Aqp7–/– mice contained no detectable Aqp7 transcripts in the pancreas or islets (Fig. 3A). Aqp7 gene disruption did not affect the expression level of Aqp3 and Aqp9 in the total pancreas or islets (Fig. 3A). The disruption of Aqp7 did not affect the normal expression of the water channel protein AQP8 in the islets (Fig. 3B).
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FIG. 3. Aqp7 inactivation in Aqp7–/– tissues. (A) RT-PCR of Aqp3, -7, and -9 transcripts, using RNAs isolated from the whole pancreas and isolated pancreatic islets from Aqp7+/+ and Aqp7–/– mice and from WT ß cell, a mouse ß-cell line (B47). Gapdh was used as an internal control. (B) AQP8 is expressed in ß cells of pancreatic islets.
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FIG. 4. Pancreas and pancreatic islet masses in Aqp7–/– mice and Aqp7+/+ mice. (A and B) Whole pancreas wet weights for males (A) and females (B). Values are means ± SD (n = 4). (C) Total islet area. (D) Number of islets in whole pancreas (n = 4). (E and F) Density distributions of TUNEL (E)- and PCNA (F)-positive cells in islets. Values are means ± SD (data are for five sections from each of three animals).
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TABLE 3. Relative gene expression levels quantified by quantitative RT-PCR using RNAs isolated from islets of Aqp7–/– mice compared to those from Aqp7+/+ mice (n = 3)a
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FIG. 5. Regulation of Aqp7 and c-myc mRNA expression by PKC activator TPA and its inhibitor, H7, in ß-cell line B47. Quantitative RT-PCR was performed for Aqp7 (A) and c-myc (B) mRNA expression in B47 ß cells in response to 6 h of treatment with 0.1 µM of TPA, 100 µM of H7, or both. Values shown are means ± SD (n = 3). **, P < 0.01; *, P < 0.05.
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To further document the effects of the absence of Aqp7 on apoptosis-related genes, we examined the mRNA expression of some of the proapoptotic (caspase 3 and Bax) and antiapoptotic (Bcl2 and Bcl-XL) genes by RT-PCR (19). We found that the transcript levels for all four genes were reduced in the islets of Aqp7–/– mice (Table 3). The overall effect of the absence of Aqp7 was a reduction in TUNEL positivity in the pancreatic islets. The reduction in caspase 3 and Bax is consistent with this effect and also with the known stimulatory effect of c-myc overexpression (7, 30). The simultaneous fall in the levels of Bcl2 and Bcl-XL, the antiapoptotic transcripts, could be a compensatory change in response to the reduction in apoptotic gene expression.
Increased glycerol content and reduced insulin content of islets of Aqp7–/– mice. AQP7 is a glycerol channel that allows the transport of glycerol from the inside of the cell to the outside (16). Consistent with a similar role for AQP7 in pancreatic ß cells, we found that the absence of AQP7 was associated with a moderate increase in the glycerol content of the total pancreas, although ß cells make up only 2% of the pancreas (data not shown); furthermore, we observed a >2-fold increase in the glycerol content of pancreatic islets isolated from Aqp7–/– mice compared with those isolated from Aqp7+/+ mice (Table 2). Isolated Aqp7–/– islets secreted FFA under basal and forskolin-stimulated conditions (Fig. 6B). Forskolin treatment increased the intracellular cyclic AMP level and initiated PKA-mediated signaling events leading to the activation of hormone-sensitive lipase and increased lipolysis. The normal response of FFA release from Aqp7–/– islets suggested that lipolysis was intact compared to that in wild-type islets. However, under basal conditions, the release of glycerol was markedly reduced in Aqp7–/– islets compared to that in the wild-type islets; furthermore, forskolin-stimulated glycerol release observed in wild-type islets was completely abolished in Aqp7–/– islets (Fig. 6B). These data further support the role of AQP7 as a glycerol channel controlling glycerol export in pancreatic islets. Interestingly, the insulin content of Aqp7–/– islets was significantly reduced (Table 2), despite the presence of an increased intraislet insulin mRNA level (Table 3). This finding suggests that the insulin produced is secreted at an elevated rate from ß cells of Aqp7–/– mice compared to that for cells of Aqp7+/+ controls (see below).
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FIG. 6. Rate of lipolysis in isolated islets (n = 3). Batches of 100 islets were isolated from Aqp7–/– and Aqp7+/+ mice and washed in KRBH buffer, and glycerol (A) and free fatty acid (B) release from these islets over a period of 2 h under basal or forskolin (FK; 2.5 µM)-stimulated conditions was determined using enzymatic kits.
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FIG. 7. GYK activity in pancreases from Aqp7–/– and Aqp7+/+ mice. GYK enzyme activity (detailed in Materials and Methods) was measured using protein extracts from total pancreas (A; n = 4) or isolated islets (B; n = 6) of Aqp7–/– and Aqp7+/+ mice that were fasted for 18 h. The data are percentages of the control value.
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FIG. 8. Metabolism of islets isolated from Aqp7–/– and Aqp7+/+ mice. Insulin secretion (A), CO2 production (B), and glucose uptake (C) were measured from isolated islets incubated in low (100 mg/dl)- or high (450 mg/dl)-glucose medium. Black bars, islets from Aqp7–/– mice; white bars, islets from Aqp7+/+ mice. Values are means ± SD (n = 3).
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Hyperinsulinemia in the absence of peripheral insulin resistance in Aqp7–/– mice. The increased insulin secretion from the isolated pancreatic islets of Aqp7–/– mice was associated with an elevated fasting plasma insulin level but a normal fasting plasma glucose concentration in Aqp7–/– mice compared to wild-type mice (Fig. 9A and B). Furthermore, Aqp7–/– mice had a normal plasma glucose response to an i.p. glucose tolerance test, accompanied by a persistent hyperinsulinemia throughout the 2-h test. An i.p. insulin tolerance test revealed a plasma glucose response that was not different from that of Aqp7+/+ controls, indicating the absence of any detectable insulin resistance in these animals (Fig. 9C).
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FIG. 9. Results of i.p. glucose tolerance (GTT) and insulin tolerance (ITT) tests. Aqp7–/– and Aqp7+/+ mice (n = 4) were injected (i.p.) with 1.5 g/kg of body weight of glucose, and plasma glucose (A) and insulin (B) were measured at various times. Similarly, insulin was injected (i.p.) into Aqp7–/– and Aqp7+/+ mice (n = 4) at 1 U/kg body weight, and plasma glucose (C) was measured at various times. , Aqp7–/– mice; , Aqp7+/+ mice. Values are means ± SD (n = 4). *, P < 0.05.
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Experiments using adenovirus-mediated gene transfer of Gyk to an insulinoma cell line and isolated ß cells showed that when glycerol is metabolized, it has the potential to stimulate proinsulin biosynthesis and insulin secretion (37, 39). In this study, we showed that an outward glycerol transport channel, AQP7, is expressed in ß cells and that its inactivation causes glycerol to accumulate in the islets of Aqp7–/– mice, with a concomitant increase in Gyk mRNA expression and enzyme activity. The elevated intracellular glycerol level and GYK activity, in turn, stimulate proinsulin mRNA and insulin secretion, probably through their participation in glycolysis and glycerol-phosphate shuttle activities in the ß cell (39). Interestingly, the increased insulin secretion in Aqp7–/– mice is accompanied by a reduction in the total ß-cell mass (Fig. 5C and D), indicating a greatly increased efficiency in the insulin production/secretion process in these cells. These experiments provide direct evidence for the first time for the existence of an aquaglyceroporin in ß cells; modulation of glycerol transport via AQP7 appears to be a mechanism by which proinsulin biosynthesis and insulin secretion are regulated in vivo (see below for further discussion). We further showed that in a mouse ß-cell line, there is a reciprocal relationship between c-myc and Aqp7 expression. Stimulation of c-myc is associated with downregulation and suppression of c-myc is associated with upregulation of Aqp7 (Table 3). The greatly reduced level of c-myc transcripts in Aqp7–/– islets (Table 3) suggests a feedback loop that coordinately controls the expression of these two proteins.
The islets of Aqp7–/– mice not only displayed increased insulin production and secretion but also had increased glucose uptake and oxidation under both basal and high-glucose conditions compared with Aqp7+/+ mice. The elevated glucose uptake and utilization in Aqp7–/– islets can be explained by the upregulation of Glut2 and Gk gene transcripts, although the exact mechanism needs to be studied in greater detail in the future. The result of increased glucose uptake and utilization may be an increase in the ratio of ATP to ADP, which further boosts insulin production and secretion. It is also possible that the islets of Aqp7–/– mice preferentially utilize glucose for energy production while the retained glycerol resulting from Aqp7 deficiency is recycled to form triglycerides.
It is interesting that the Aqp7–/– mice developed hyperinsulinemia without manifest hypoglycemia. Hyperinsulinemia was also observed in the Aqp7–/– mice reported by Hibuse et al. (15), but it was accompanied by hyperglycemia, a sign of insulin resistance. Indeed, both glucose and insulin tolerance tests revealed abnormality in the Aqp7–/– mice they generated, with diminished insulin signaling in adipose, liver, and muscle tissues when they were treated with insulin. However, glucose and insulin tolerance tests showed normal responses in our Aqp7–/– mice, and there was no hyperglycemia in these animals. Of the Aqp7-inactivated mice reported from three other laboratories, insulin resistance was found in one (15) but was either not present or not studied by the other two laboratories (13, 40). Since Aqp7 is expressed in multiple other insulin-responsive tissues, such as fat and muscle, complex compensatory tissue responses and/or the relative importance of this gene in mice of different genetic backgrounds may underlie the subtle differences in glucose homeostasis in animals generated from different laboratories.
It is generally believed that rat islet ß cells or ß-cell lines derived from rat islets do not express Gyk (37). However, we readily detected Gyk mRNA expression and protein activity in isolated mouse islets. Although the mouse and rat are closely related species, they differ in many of their insulin dynamics. For example, the islet insulin secretory response to glucose is different between mice and rats (43), with rats showing a much larger second-phase response to glucose stimulation. Furthermore, mice do not express malic enzyme in the islet, while rats do, and hence methyl succinate cannot induce insulin secretion in mouse islets (32), though it does so in rats. It is interesting that although Gyk had previously been thought to be absent in adipose tissue of mice, it is now known to be expressed there (12); thus, it is not surprising that Gyk is also expressed in mouse pancreatic islets. Gyk mRNA and enzyme activity were both increased in Aqp7–/– islets compared to those in wild-type islets. These increases were accompanied by a concomitant increase in triglyceride concentration in the islets of Aqp7–/– mice (Table 2). These observations are analogous to those of Hibuse et al., who found increased Gyk activity in the fat of Aqp7–/– mice (15). We surmise that parallel molecular mechanisms regulate Gyk expression in the two tissues.
Diabetes happens when there is inadequate insulin production in response to the body's demand for the hormone. Absolute insulin deficiency occurs in type 1 diabetes when ß cells are destroyed by autoimmunity. In insulin-resistant states, such as obesity and type 2 diabetes, expansion of the ß-cell mass occurs in response to the increased demand, but diabetes does not occur unless there is concomitant ß-cell dysfunction (22). AQP7, which controls the cellular glycerol content, appears to play a key role in regulating proinsulin biosynthesis and insulin secretion. Recently, a single-nucleotide polymorphism was found in the promoter region of the human AQP7 gene (38). This A-953G polymorphism was shown to reduce C/EBP-ß DNA binding, resulting in the reduction of AQP7 expression in a reporter assay system. This 953G variant is associated with diminished AQP7 expression in the adipose tissues of obese individuals. The same variant is also associated with an increased risk of type 2 diabetes in human females. Unfortunately, the plasma insulin levels for different genotypes were only partially presented, and it is difficult to ascertain whether this AQP7 variant contributes to hyperinsulinemia in humans like that we observed in the Aqp7–/– mice. An earlier case report described a human subject with a homozygous missense mutation in the AQP7 gene (28) that, on expression in Xenopus laevis oocytes, failed to show glycerol transport activity. However, the subject was not obese or diabetic. In the future, it will be interesting to examine if defects in AQP7 expression or regulation in ß cells contribute to the development of type 2 diabetes.
Published ahead of print on 18 June 2007. ![]()
Supplemental material for this article may be found at http://mcb.asm.org/. ![]()
K.M. and B.H.-J.C. contributed equally to this work. ![]()
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