Natural Compound α-PGG and Its Synthetic Derivative 6Cl-TGQ Alter Insulin Secretion: Evidence for Diminishing Glucose Uptake as a Mechanism
Authors Chen X, Daniels NA, Cottrill D, Cao Y, Wang X, Li Y, Shriwas P, Qian Y, Archer MW, Whitticar NB, Jahan I, Nunemaker CS, Guo A
Received 6 October 2020
Accepted for publication 24 December 2020
Published 24 February 2021 Volume 2021:14 Pages 759—772
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 3
Editor who approved publication: Professor Ming-Hui Zou
Xiaozhuo Chen,1– 7 Nigel A Daniels,1,4,5,8 David Cottrill,2,3 Yanyang Cao,2,3 Xuan Wang,2,3 Yunsheng Li,2 Pratik Shriwas,2,3 Yanrong Qian,2 Michael W Archer,1,4 Nicholas B Whitticar,4,9 Ishrat Jahan,1,4 Craig S Nunemaker,1,3– 5 Aili Guo10
1The Diabetes Institute at Ohio University, Athens, OH, 45701, USA; 2The Edison Biotechnology Institute, Athens, OH, 45701, USA; 3Department of Biological Sciences, Athens, OH, 45701, USA; 4Department of Biomedical Sciences, Athens, OH, 45701, USA; 5Heritage College of Osteopathic Medicine, Athens, OH, 45701, USA; 6Interdisciplinary Graduate Program in Molecular and Cellular Biology, Athens, OH, 45701, USA; 7Department of Chemistry and Biochemistry, Athens, OH, 45701, USA; 8Department of Specialty Medicine, Athens, OH, 45701, USA; 9Translational Biomedical Sciences Program, Ohio University, Athens, OH, 45701, USA; 10Department of Internal Medicine, Division of Endocrinology, Diabetes and Metabolism, University of California at Davis (UC Davis) School of Medicine, UC Davis Health Science, Sacramento, CA, 95817, USA
Correspondence: Aili Guo
Department of Internal Medicine, Division of Endocrinology, Diabetes and Metabolism, University of California at Davis (UC Davis) School of Medicine, UC Davis Health Science, PSSB, G400, 4150 V St., Sacramento, CA, 95817, USA
Tel +1 916-734-3730
Fax +1 916-734-2292
Craig S Nunemaker
Department of Biomedical Sciences, 1 Ohio University, Athens, OH, 45701, USA
Tel +1 740-593-2387
Fax +1 740-593-4795
Purpose: Previously we showed that natural compound α-penta-galloyl-glucose (α-PGG) and its synthetic derivative 6-chloro-6-deoxy-1,2,3,4-tetra-O-galloyl-α-D-glucopyranose (6Cl-TGQ) act to improve insulin signaling in adipocytes by increasing glucose transport. In this study, we investigated the mechanism of actions of α-PGG and 6Cl-TGQ on insulin secretion.
Methods: Mouse islets and/or INS-1832/13 beta-cells were used to test the effects of our compounds on glucose-stimulated insulin secretion (GSIS), intracellular calcium [Ca2+]i using fura-2AM, glucose transport activity via a radioactive glucose uptake assay, intracellular ATP/ADP, and extracellular acidification (ECAR) and mitochondrial oxygen consumption rates (OCAR) using Seahorse metabolic analysis.
Results: Both compounds reduced GSIS in beta-cells without negatively affecting cell viability. The compounds primarily diminished glucose uptake into islets and beta-cells. Despite insulin-like effects in the peripheral tissues, these compounds do not act through the insulin receptor in islets. Further interrogation of the stimulus-secretion pathway showed that all the key metabolic factors involved in GSIS including ECAR, OCAR, ATP/ADP ratios, and [Ca2+]i of INS-1832/13 cells were diminished after the compound treatment.
Conclusion: The compounds suppress glucose uptake of the beta-cells, which consequently slows down the rates of glycolysis and ATP synthesis, leading to decrease in [Ca2+]i and GSIS. The difference between adipocytes and beta-cells in effects on glucose uptake is of great interest. Further structural and functional modifications could produce new compounds with optimized therapeutic potentials for different target cells. The higher potency of synthetic 6Cl-TGQ in enhancing insulin signaling in adipocytes but lower potency in reducing glucose uptake in beta-cells compared to α-PGG suggests the feasibility of such an approach.
Keywords: glucose-stimulated insulin secretion, calcium influx, glucose transporter, α-PGG, 6Cl-TGQ
Insulin is one of the most important hormones for energy homeostasis. It is produced by pancreatic beta-cells and secreted into blood in response to increased blood glucose concentrations.1,2 Insulin then binds to insulin receptor (IR) located on the surface of fat and muscle cells, triggering the IR-mediated signaling pathway, glucose transporter 4 (Glut4)-mediated glucose uptake, and consequently reducing blood glucose levels.3,4 The mechanism of insulin secretion involves sensing extracellular glucose concentration via glucose transporters, followed by increased glucose metabolism, increased ATP production, membrane depolarization, calcium influx, and granule exocytosis.5,6 Adipocytes sense increases in circulating levels of insulin to recruit more Glut4 transporter to the cell surface to take up glucose, whereas in contrast, pancreatic islets use transporter 2 (Glut2)-mediated glucose transport (Glut1 and Glut 3 in humans) as the primary sensor of circulating levels of blood glucose.7,8 The relationship between glucose and insulin thus defines the biological actions of peripheral adipocytes and pancreatic beta-cells in very different ways, but both making important contributions to the systemic regulation of glucose.
Insulin and its analogs have been widely used for treating patients with diabetes mellitus, mainly as injectable drugs given their polypeptide nature. Efforts have been made to develop non-injectable forms of insulin.9–17 Various small molecule compounds with insulin-like actions have been studied.18–30 Coupling a glucose uptake assay with HPLC fractionation, we identified that a group of polyphenolic compounds called hydrolysable tannin (or tannic acid) from a plant Lagerstroemia speciosa possess glucose transport stimulatory activity in adipocytes.31,32 Further compound fractionation and functional assays of tannic acid identified α-penta-galloyl-glucose (α-PGG) being the most potent compound.33 α-PGG functions the same way as insulin in adipocytes, ie, it binds to the α-subunit of IR and activates the IR-mediated PI3K-Akt signaling pathway, inducing Glut4-mediated glucose uptake.33 In addition, α-PGG reduces blood levels of glucose, triglycerides, and insulin in healthy and diabetic mice.33 Through a structure activity relationship (SAR) study, the structural components in α-PGG responsible for its glucose-lowering activity were identified.34 Among several dozen of compounds synthesized and tested, 6-chloro-6-deoxy-1,2,3,4-tetra-O-galloyl-α-D-glucopyranose (6Cl-TGQ), an analog of α-PGG, was developed, displaying the strongest IR-inducing activity in adipocytes and a highest potency in inducing IR-mediated signaling and blood-glucose-lowering activity in animals.35
The focus of this study is to examine the potential effects of α-PGG and 6Cl-TGQ on glucose-stimulated insulin secretion (GSIS) in beta-cells provided glucose is the primary driver of insulin secretion. However, since pancreatic beta-cells/islets also express insulin receptors, we were interested in determining whether α-PGG and 6Cl-TGQ could alter IR-signaling and/or glucose transport of beta-cells/islets to affect insulin secretion function. Using mouse islets and a modified rat pancreatic INS-1 cell line (INS-1832/13 cells), we examined the effects of our compounds on beta-cell function at multiple points along the stimulus-secretion coupling pathway, ie, glucose uptake, glycolytic activity, mitochondrial oxidative phosphorylation (OXPHOS), ATP/ADP ratios, intracellular calcium ([Ca2+]i), and glucose-stimulated insulin secretion (GSIS). We found that both compounds reduced insulin secretion, mostly by affecting glucose transport and metabolism of beta-cells, independently from any effects on insulin receptor signaling. The current study sheds light on how these compounds work in the pancreas and contributes to future development of optimized small molecules with therapeutic benefits.
Materials and Methods
Compounds and Cells
The compound α-PGG and 6Cl-TGQ were synthesized, as described previously.33–35 Compound solutions were prepared in sterile ddH2O. Bovine insulin was purchased from Sigma–Aldrich. Rat pancreatic INS-1832/13 cells were a generous gift from Dr. Newgard’s lab and maintained as described.36 The rat INS-1 cell line has been widely used in beta-cell functional studies; however, the magnitude of the response is far less than that seen in freshly isolated animal islets. The INS-1832/13 cell line, derived from the rat INS-1 cell line, exhibits markedly enhanced and stable responsiveness to glucose and several of its known stimuli.36 Compounds were studied in vitro at 40 µM unless indicated otherwise, chosen based on previous studies on these compounds.31–33 This dose selection is also supported by the pilot studies in INS-1832/13 cells that indicated that the GSIS IC50 values were in the range of 20–30 μM for α-PGG and ~40–50 μM for 6Cl-TGQ, respectively. The insulin receptor antagonist S961 (Sigma-Aldrich, St. Louis, MO) was used at 10 or 100nM in a subset of studies since the lower concentration had no effect (data were not included).
Studies were conducted using outbred female and male CD-1 mice (Charles River Laboratories, MA) or C57Bl/6 mice at 9–16 months of age from a colony housed at Ohio University. Mice were housed with a 12h light/dark cycle and free access to food and water.
Pancreatic Islet Isolation
Pancreatic islets were isolated as previously described in detail.37 Briefly, to isolate pancreas and islets, mice were euthanized under anesthesia. The common bile duct (CBD) was cannulated and a Liberase TL (Roche) solution was injected into CBD. Pancreas was removed and placed in a 50 mL conical tube for further pancreas digestion and islet purification. Digestion was carried out at 37°C for 12 minutes, after which ice cold RPMI-1640 plus 10% fetal bovine serum (v/v; GE Healthcare Life Sciences) was added to stop digestion. Islets were then selected by pipetting and washed with ice cold RPMI-1640 plus 10% fetal bovine serum. For the experiments examining [Ca2+]i and the effect of co-treatment with S961 on GSIS, islets were isolated by another method described in detail previously.38
Culture of Rat INS-1832/13 Cells
Cells were seeded at a density of 0.5x106/well in 1mL RPMI-1640 plus 10% fetal bovine serum at 37°C for a 24-well plate. At 48 hours after the initial seeding, the cell culture media were changed and GSIS assay was performed.
Glucose-Stimulated Insulin Secretion Assay (GSIS)
Islets isolated from C57BL/6J mice were incubated for 48 hours in RPMI-1640 plus 10% fetal bovine serum at 37°C to allow recovery from isolation. Then, lots of 10 islets were incubated for 30 min in 0.5 mL Krebs-Ringer buffer (KRB) that contains 2.5 mM glucose before serial incubations in 2.5 mM glucose and 16 mM glucose in the absence or presence of compounds, respectively, for GSIS assay. Different compound concentrations (0, 2.5, 5, 10, 20, 40, 60, and 80 µM) were used to produce a GSIS dose-response curve for α-PGG or 6Cl-TGQ. The half-maximal inhibitory concentration (IC50) values were calculated using software GraphPad. Separate GSIS experiments were conducted in both cultured INS-1832/13 cells and isolated islets at compound concentrations 40 µM. For each condition, 10 islets in triplicate were used, and experiments were repeated at least three times. The cells were incubated for 30 min in 0.5 mL Krebs-Ringer buffer (KRB) that contains 0.5 mM glucose before serial incubations in 2.5 mM glucose and 16 mM glucose, respectively, for GSIS assay. After treatment, conditioned media collected from each experiment of isolated pancreatic islets or cultured INS-1832/13 cells were analyzed for insulin by insulin (mouse) ultrasensitive ELISA (ALPCO, Salem, NH, USA) and normalized to islet total protein quantified using Pierce BCA assay (Life Technologies Corporation, Grand Island, New York, USA).
In the experiment investigating the effectiveness of the compounds on insulin secretion after inhibiting the insulin receptor, islets from male CD-1 mice were isolated, followed by incubation in RPMI-1640 plus 10% fetal bovine serum at 37°C for 24 hours to allow for recovery. Then, islets were pooled and size-matched to account for inherent differences in insulin secretion.39 Sets of 20 islets were placed in 1mL of KRB with no glucose, and then moved to 2.5 mM glucose, and finally 16mM glucose for 1 hour each. Treatment groups were performed in triplicate and included KRB with no compounds as a control, 40 µM α-PGG, or 40 µM 6Cl-TGQ, and each compound concomitantly with 100 nM S961. Islets were removed from the solution and the supernatant was collected and spun at 10,000 rpm for 10 minutes. The top 500 µL was collected and stored at −80°C. The following day, the samples were analyzed using an ultrasensitive mouse insulin ELISA kit (ALPCO, Salem, NH, USA). Data were collected using the FLUOstar Optima microplate reader (BMG Labtech Inc., Cary, NC) and analyzed with Microsoft Excel (Microsoft, Redmond, WA).
Intracellular Calcium [Ca2+]i Measurements
Intracellular calcium [Ca2+]i was measured using the ratiometric [Ca2+]i indicator fura-2 AM using methods described previously.40 Islets were loaded with 1 µM fura-2AM for 30 min in a modified KRB solution containing the following: 16 mM glucose (high glucose), 128 mM NaCl, 3 mM CaCl2, 5 mM KCl, 2 mM MgCl2, and 10 mM HEPES, pH 7.3 or 2.5 mM glucose (low glucose), 135 mM NaCl, 3 mM CaCl2, 5 mM KCl, 2 mM MgCl2, and 10 mM HEPES, pH 7.3. Islets were washed of excess surface fura-2AM by perifusing islets with KRB solution containing 2.5 mM or 16 mM glucose (depending on starting glucose concentration for the experiment) for ~15-min at 500 µL/min using a peristaltic pump (Minipuls 2, Gilson, Middleton, WI). Note that the lag time in this perifusion system for drugs to reach the islets is ~45–60 sec. Islets were recorded with a Hamamatsu ORCA-FLASH4.0 camera (Hamamatsu Photonics, Japan) attached to an Olympus BX51WIF fluorescence microscope (Olympus, Center Valley, PA) using 340 and 380 nm excitation light and 510 nm emission. Data were recorded with CellSens software (Olympus) and analyzed with Microsoft Excel (Microsoft, Redmond, WA).
Glucose Uptake Assay
The glucose transport stimulatory activity of compounds was analyzed by measuring the uptake of 2-deoxy-D-(3H)-glucose (PerkinElmer Life Sciences, Waltham, MA, USA) in isolated mouse pancreatic islets or INS-1832/13 cells as described previously with minor modifications.33,34 Briefly, 30 pancreatic islets in a 1 mL microfuge tube or INS-1832/13 cells grown in 24-well plates were washed twice with serum-free DMEM and incubated with 0.5 mL of the same medium in 10% CO2 at 37°C for 2 hours. The cells were washed three times with Krebs-Ringer-HEPES (KRP) buffer (136 mM NaCl, 4.7 mM KCl, 1.25 mM CaCl2, 1.25 mM MgSO4, and 10 mM sodium phosphate buffer at pH 7.4) and then incubated with 0.45 mL KRP buffer at 37°C for 30 minutes. Compounds were individually added to the islets or cells at predetermined concentrations and each condition was in triplicate, and then the islets or INS-1832/13 cells were incubated at 37°C for 15 minutes. Glucose uptake assay was initiated by the addition of 0.1 mL of KPR buffer supplemented with 1 μCi/mL [3H] 2-deoxy-D-glucose and 1 mM cold glucose as the final concentration to the cells. After 10 min, the medium was aspirated, and the plates were washed with ice-cold PBS to terminate the glucose uptake process. The cells were lysed with 0.45 mL of 1% triton X-100 and the radioactivity taken up was measured with a scintillation counter (Beckman Instruments).
Metabolic Rates and Mitochondrial Stress Measurements by Seahorse Assay
Glycolytic or mitochondrial oxidative phosphorylation (OXPHOS) rates of INS-1832/13 cells, 30,000 cells per well, treated with or without 40 µM of α-PGG or 6Cl-TGQ, were measured continuously with an XFe 24 Extracellular Flux Analyzer (Seahorse Bioscience) in the assay medium containing DMEM, 143 mM NaCl, 10 mM Glucose, 1 mM Pyruvate and 2 mM Glutamax. These rates were reported as the extracellular acidification rate (ECAR) for glycolysis and oxygen consumption rate (OCR) for mitochondrial OXPHOS.41,42 Respiratory control ratio (RCR), defined as the ratio of FCCP-rotenone to oligomycin-rotenone treatments, was also calculated where the initial OCR (time zero) was normalized to a constant value for all wells.
The ATP/ADP ratios of INS-1832/13 cells were measured with a commercial assay kit (Sigma-Aldrich) by following the assay instructions. Briefly, cells were seeded at a density of 2x104/well in 100μL RPMI-1640 medium plus 10% fetal bovine serum and grown at 37°C in a 96-well clear-bottom plate. Then, cells were treated with or without 500 μM phloretin (a known Glut2 inhibitor), 30 μM α-PGG, or 50 μM 6Cl-TGQ for 30 min. After treatment, media was removed, and ATP reagent was added to lyse the cells and provide luciferase and D-luciferin. Then, intracellular ATP levels were measured (RLUA) using a Veritas Microplate Luminometer (Turner BioSystems, Sunnyvale, CA). After ATP measurement, the plate was incubated for 10 min and residual ATP was measured (RLUB). ADP reagent was then added to convert ADP to ATP. Then, ATP levels were measured again (RLUC). ATP/ADP ratios were calculated using the formula: ATP/ADP ratio = RLUA/(RLUC – RLUB).
MTT Cell Viability Assay
All data were analyzed with one-way ANOVA unless otherwise stated in the Results. In all figures, values are means ± standard errors (SEM) of samples. Each experiment was conducted in either duplicate or triplicate trials unless indicated otherwise in the Figure Legend. P<0.05 was set as the level of statistical significance. *p<0.05; **p<0.01; and ***p<0.001.
α-PGG and 6Cl-TGQ Reduce GSIS in Isolated Mouse Pancreatic Islets and INS-1832/13 Cells
To determine if the two compounds impact pancreatic insulin secretion, GSIS assays were performed using isolated mouse pancreatic islets and INS-1832/13 cells. Isolated islets were treated with various concentrations of either α-PGG (Figure 1A) or 6Cl-TGQ (Figure 1B) in low glucose (2.5 mM) or high glucose (16 mM) GSIS assays. These compounds reduced GSIS from mouse pancreatic islets in a concentration-dependent manner with estimated IC50 of 20.7±1.2 μM for α-PGG and 32.9±1.1 μM for 6Cl-TGQ. This inhibitory effect was also observed in INS-1832/13 cells using 40μM of each compound (Figure 1C).
Effects on Insulin Secretion Do Not Appear to Require Insulin Receptor Activation in Beta-Cells
Since the compounds were previously shown to act through the insulin receptor in adipose tissue, we need to determine if insulin receptor (IR) binding activity was involved in the decrease in GSIS. We used insulin receptor antagonist S961 at 100nM to prevent insulin receptor signaling to re-examine the effects of our compounds. Performing a GSIS assay, α-PGG (Figure 2A) and 6Cl-TGQ (Figure 2B) both reduced insulin secretion in INS-1832/13 cells compared to untreated control in 2.5 mM and 16 mM glucose (p<0.001, n=3) as expected.45 When S961 was added to block insulin receptors along with each separate compound, no significant difference in insulin-lowering effect was observed for either compound (Figure 2A and B). S961 by itself also appeared to inhibit insulin secretion but to a lesser extent (P<0.05). Similar results were obtained using mouse islets (Figure 2C and D). In knowing the high IR binding affinity of S961, these results may suggest that the compounds are exhibiting their inhibitory actions on the beta-cell through an IR-independent mechanism. However, the observed weak inhibitory effect on GSIS of S961 itself leaves open the possibility that α-PGG and 6Cl-TGQ could be interacting with insulin receptors in some way.46
Compound Treatment Led to Reduction of Glucose-Stimulated Intracellular Calcium [Ca2+]i
To further examine the inhibitory effect of α-PGG and 6Cl-TGQ on islet function, we measured [Ca2+]i as a proximal marker of insulin secretion.47 Acute treatment with 40 µM α-PGG decreased [Ca2+]i levels in stimulatory (16 mM) glucose. As shown in Figure 3, the kinetics of this effect involves a rapid decline in [Ca2+]i levels, and a rapid washout during 5-min exposure to α-PGG (Figure 3A). The net effect of acute α-PGG exposure was a reduction in [Ca2+]i observed consistently for the 15 islets tested (Figure 3B). Similar results were obtained using 40 µM 6Cl-TGQ under the same experimental conditions (Figure 3C and D). These data indicate that α-PGG and 6Cl-TGQ act through the consensus pathway, also known as the K(ATP)-channel-dependent pathway, of insulin secretion.48
We also examined whether these effects on calcium influx [Ca2+]i are linked to insulin signaling in β-cells since we showed previously that α-PGG and 6Cl-TGQ bind the insulin receptor in other cell types.26–28 First, we treated islets acutely with 100nM insulin and observed no significant change in [Ca2+]i (Figure 4A and B). Next, we blocked the insulin receptor acutely with S961 and again observed no significant change in [Ca2+]i (Figure 4C and D). These data suggest that neither insulin receptor activation by insulin or blockade by S961 has the type of effect on [Ca2+]i as our compounds. To provide additional evidence for separate pathways, we treated islets with α-PGG and 6Cl-TGQ in the presence of S961 to prevent any action through the insulin receptor. Despite this blockade, [Ca2+]i was significantly inhibited during acute treatment with α-PGG (Figure 4E and F) and 6Cl-TGQ (Figure 4G and H). These data strongly suggest that the primary effect of these compounds is not through insulin receptor activation although to affirm whether S961 blocks all receptor-mediated effects of α-PGG/6Cl-TGQ, it may be further investigated in adipocytes in the future. The studies that follow seek to identify the source of the actions of α-PGG and 6Cl-TGQ on islets.
Reduction of Glycolysis, OXPHOS, and ATP/ADP Ratios
We first examined effects of our compounds on several aspects of glucose metabolism. The glycolytic rate is primarily determined by the glucose influx whilst the OXPHOS is partially dependent on the glycolytic rate. As expected, Seahorse metabolic rate analysis revealed that acute treatment with α-PGG led to significant reductions in the extracellular acidification rate (ECAR, Figure 5A) and in oxygen consumption rate (OCR, Figure 5C) in INS-1832/13 cells, while 6Cl-TGQ displayed similar but smaller reductions in both rates at the same tested concentration (Figure 5B and D). Further mitochondrial stress assay showed reduced mitochondrial ATP synthesis rates following α-PGG or 6Cl-TGQ treatment while α-PGG was more potent than 6Cl-TGQ (Figure 5E). The ATP/ADP ratios after α-PGG or 6Cl-TGQ treatment were significantly lower than vehicle-treated controls, but not as low as the known glucose transport inhibitor phloretin (Figure 5F). However, the respiratory control ratios (RCR), as an indicator of the capacities of mitochondrial oxidative phosphorylation, were not significantly different at 2.8, 2.9, and 2.9 for INS-1832/13 cells treated by either mock (as controls), α-PGG, or 6Cl-TGQ, respectively. Taken together, the overall reduction in metabolism in the INS-1832/13 cells would be most likely due to less available intracellular glucose pool resultant from inhibition of glucose uptake after the compound treatment. Importantly, the compounds did not affect the capacities of mitochondrial oxidative phosphorylation.
Diminished Glucose Uptake in Isolated Pancreatic Islets and INS-1832/13 Cells
Since our compounds appear to reduce the rate of glucose metabolism, we next performed radioactive glucose uptake assays in isolated pancreatic islets (data not shown) and INS-1832/13 cells to determine if this effect is mediated by Glut2-dependent glucose transport. Indeed, both α-PGG (Figure 6A) and 6Cl-TGQ (Figure 6B) significantly diminished glucose uptake of INS-1832/13 cells in a dose-dependent manner. Further, 6Cl-TGQ was less potent in inhibiting glucose uptake than α-PGG. Because glucose uptake is the first step in the stimulus-secretion pathway, these results were consistent with the inhibitory activity of the compounds on glucose metabolism, [Ca2+]i, and insulin secretion that we observed. We also made direct comparisons between our compounds and insulin for effects on glucose uptake. As shown in Figure 6C, insulin had no inhibitory effects on glucose uptake, whereas 30μM α-PGG and 40μM 6Cl-TGQ reduced glucose uptake to 40% of control rates. These data indicate that our compounds have unique effects on beta-cells that are independent of any actions of insulin itself.
α-PGG and 6Cl-TGQ Did Not Show Toxicity Towards Pancreatic Beta Cells
MTT assays on the compound-treated INS-1832/13 cells demonstrated that the treatment of 24 or 72 hours with either compound at 10–50 µM concentrations tested did not alter viability. The data of 24 hour-treatment were shown in (Figure 7). Phloretin, an inhibitor of glucose transport that induces apoptosis in cancer cells, reduced viability in INS-1832/13 cells following chronic exposure.49 Since it appears that these compounds do not show detectable toxicity or negative effect on cells’ growth or viability at the concentrations tested, it is very unlikely that the biological changes observed in other bioassays were nonspecific activity or toxicity of compounds to these cells.
We previously showed that herbal compound α-PGG is an orally deliverable small molecule that functions like insulin in adipocytes by binding to and activating the IR-mediated signaling pathways for glucose transport.33,50 Through a structure activity relation (SAR) study, we further identified an improved synthetic compound 6Cl-TGQ with more potent glucose-lowering effect.34,35 It is noteworthy that α-PGG and 6Cl-TGQ possess five and four galloyl groups, respectively. Some of the hydroxyl (OH) groups in each of the galloyl groups enable the compounds to form multiple hydrogen bonds with target proteins, leading to activation or inhibition of the protein activities. These OH groups also make the compounds relatively polar and hydrophilic, resulting in preferentially extracellular interactions with membrane-associated proteins such as the insulin receptor (IR) and glucose transporters (Gluts), rather than entering cells and interacting with intracellular proteins.33,35 These features may help to understand the results of present study, which demonstrated decrease in GSIS after compound treatment by diminishing glucose uptake and subsequent glucose metabolism in both isolated mouse pancreatic islets and cultured rat pancreatic INS-1832/13 cells.
α-PGG and 6Cl-TGQ Reduced GSIS in Beta-Cells
The feedback effects of insulin on insulin secretion are complex and controversial. The prevailing view is that insulin may stimulate insulin release from beta-cells, as reviewed in the literature.51 Other studies, however, have demonstrated inhibitory effects of insulin on the glucose-simulated insulin secretory pathway or both stimulatory and inhibitory effects depending on conditions.52–57
Based on these collective findings, we hypothesized that our compounds would bind with insulin receptors on beta-cells to affect insulin secretion, acting in either a stimulatory or an inhibitory fashion. We found that α-PGG and 6Cl-TGQ substantially reduce insulin secretion from INS-1832/13 cells and primary cultured mouse islets; however, the effects of our compounds on insulin secretion do not appear to mimic insulin itself. First, our compounds continue to inhibit insulin secretion even in the presence of S961, an insulin receptor antagonist with high IR binding affinity,46 although it should be noted that treatment with S961 on its own reduced insulin release. Second, evidently insulin had no impact on glucose uptake, the initiating step in glucose-stimulated insulin secretion of beta-cells, whereas our compounds inhibited glucose uptake by 50–60%, which is consistent with the magnitude of GSIS inhibition. Third, exposure to α-PGG or 6Cl-TGQ causes a rapid and reversible reduction in intracellular calcium [Ca2+]i in islets, but similar exposure to insulin has no such effect nor does blocking the insulin receptor pathway with S961. Together, these observations strongly suggest that our compounds do not work through the insulin receptor on beta-cells to inhibit insulin secretion.
Glucose Transport as a Possible Mechanism
It is well established that insulin production and secretion from pancreatic beta-cells is a multi-step, vigorously regulated process that is initiated from the glucose transport-mediated by Glut2 and followed by consequent increases in glycolytic rate and ATP production.7,58,59 ATP/ADP ratios are critical regulators of glucose-stimulated insulin secretion. In our study, inhibition of Glut2-mediated glucose transport by our compounds was speculated and confirmed by subsequent glucose uptake assays in both mouse pancreatic islets and rat INS-1832/13 cells. In line with these findings, Seahorse metabolic analysis indicated significantly decreased ECAR and OCR rates in compounds-treated INS-1832/13 cells as well as reduced mitochondrial ATP synthesis rates as determined by the mitochondrial stress test. Since Glut2 predominantly controls the glucose transport and glycolysis rates in rodent pancreatic beta-cells,7,8,60 the pronounced reduction in ECAR and less pronounced reductions in OCR and OXPHOS rates by α-PGG and 6Cl-TGQ are consistent with Glut2-mediated glucose transport as the target for their suppression of GSIS. Further, the ATP/ADP ratios in α-PGG or 6Cl-TGQ-treated INS-1832/13 cells were significantly lower than those in untreated cells, suggesting that the compound treatment reduced intracellular ATP levels. However, importantly, the compounds did not affect the capacities of mitochondrial oxidative phosphorylation as indicated by an unchanged RCR. This is consistent with the hypothetical role of the compounds as Glut2 inhibitors. Thus, we have identified two protein targets of α-PGG and 6Cl-TGQ, ie, insulin receptors in adipocytes as previously described and Glut2 in pancreatic beta-cells.33,35
A Hypothetical Model for the PGG/TGQ GSIS Inhibitory Activity in Pancreatic Beta-Cells
Based on our previous studies,33,35 and particularly the present one, a hypothetical model is proposed as shown in Figure 8 to explain how PGG/TGQ may inhibit glucose stimulated insulin secretion (GSIS). According to this model, PGG/TGQ bind to Glut2 located on the plasma membrane of pancreatic beta-cells, the primary glucose transporter expressed in rodent beta-cells. Compound-Glut interaction results in inhibition of Glut2-mediated transport of glucose into beta-cells, reducing ATP synthesis and Ca2+ influx, and finally leading to reduction in GSIS. This mechanism is very different from the one we uncovered before in adipocytes where PGG/TGQ bind to the insulin receptor (IR) and activate IR-Glut4 mediated glucose uptake in adipocytes.33,35 As mentioned before, the rationale is based on that the IR in beta-cells would not induce Glut4-mediated glucose uptake as in adipocytes since glucose transport in rodent beta-cells is thought to be primarily mediated by Glut2.7,8,60 This model remains to be validated, particularly the Glut2 binding part.
Two Targets Related to Glucose Metabolism: Peripheral Insulin Signaling and Insulin Secretion
We previously reported that our compounds had blood glucose-lowering effects in adipocytes and in a mouse model of both type 1 and type 2 diabetes.33,35 However, we noted that at higher concentrations, the blood glucose-lowering effects appeared to wane. Our data suggest a possible reason for this effect: a net effect of two competing activities of our compounds. At lower concentrations, the blood-glucose-lowering activity of the compounds at peripheral tissues (adipose and muscle) exceeded their pancreatic insulin secretion-inhibitory activity, resulting in an overall glucose-lowering activity. However, at higher concentrations, the insulin secretion-inhibitory activity in pancreas surpasses the blood-glucose-lowering activity of the compounds at peripheral tissues. When the compound concentration is further increased, it might have caused more potent reduction in pancreatic insulin secretion, leading to the disappearance of blood glucose-lowering effect of the compounds (unpublished observation).
By elucidating the effects of these compounds on beta-cells, the present study has made an important step forward in understanding how these compounds may be therapeutically beneficial. Moreover, synthetic 6Cl-TGQ, in comparison to α-PGG, has demonstrated more potent insulin-like activity in adipocytes and mice but less inhibitory effects on insulin secretion.35 This finding is supported by the specifics of the EC50 and IC50 values of α-PGG and 6Cl-TGQ, where the EC50 value of α-PGG in adipocytes for inducing IR-mediated glucose transport was higher at ~15 μM comparing to that of 6Cl-TGQ at ~10 μM.33,35 Conversely, the GSIS IC50 value of α-PGG was lower at ~20–30 μM comparing to 6Cl-TGQ at ~40 μM in INS-1832/13 cells. Taken together, these results suggest that 6Cl-TGQ is more potent than α-PGG in adipocytes but less potent in pancreatic beta cells. The observation of insulin-like activity and the pancreatic-inhibitory activity moving in opposite directions in 6Cl-TGQ strongly suggests that these two activities are structurally separable, at least partially if not completely. By performing additional structure activity relationship (SAR) studies to further separate the pancreatic inhibitory activity from the glucose-lowering activity of the compounds, it would allow us to generate new compounds with optimized therapeutic potentials; for instance, future compounds with enhanced glucose-lowering activity in peripheral tissues and/or lessened inhibition in insulin secretion would improve both glucose handling and diet-associated insulin over-secretion, a phenomenon not uncommon seen in patients with pre-diabetes and early-stage diabetes mellitus.
Our key finding is that the two compounds have inhibitory effects on glucose-stimulated insulin secretion, affecting glucose transport as a mechanism. It is of great interest to recognize the different effects of these orally deliverable natural compounds on glucose transport between peripheral tissues and pancreatic beta-cells. Through further SAR optimization, to generate new compounds with therapeutic potentials in a more targeted manner would be worth to explore.
IR, insulin receptor; INS-1832/13 cells, a modified rat pancreatic INS-1 cell line; ECAR, extracellular acidification rate; OCR, oxygen consumption rate; OXPHOS, mitochondrial oxidative phosphorylation; RCR, respiratory control ratio; SAR, structure activity relationship.
All animal studies were conducted in accordance with the Ohio University guidelines for the use and care of laboratory animals with approved protocol. The use of pancreatic INS-1832/13 cells was approved by the institutional research ethics committee of the Ohio University.
We thank Misako Hata and Kathryn Corbin for technical assistance. We thank Emily Kunkler for assistance with collection of [Ca2+]i data.
Research awards from Ohio University supported the project for Chen and Guo. NIH R15 DK121247 supported the project for Nunemaker.
The authors declare no conflicts of interest in this work.
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