[PDF][PDF] Glucagon regulates hepatic kisspeptin to impair insulin secretion

WJ Song, P Mondal, A Wolfe, LC Alonso, R Stamateris… - Cell metabolism, 2014 - cell.com
WJ Song, P Mondal, A Wolfe, LC Alonso, R Stamateris, BWT Ong, OC Lim, KS Yang…
Cell metabolism, 2014cell.com
Early in the pathogenesis of type 2 diabetes mellitus (T2DM), dysregulated glucagon
secretion from pancreatic α cells occurs prior to impaired glucose-stimulated insulin
secretion (GSIS) from β cells. However, whether hyperglucagonemia is causally linked to β
cell dysfunction remains unclear. Here we show that glucagon stimulates via cAMP-PKA-
CREB signaling hepatic production of the neuropeptide kisspeptin1, which acts on β cells to
suppress GSIS. Synthetic kisspeptin suppresses GSIS in vivo in mice and from isolated islets …
Summary
Early in the pathogenesis of type 2 diabetes mellitus (T2DM), dysregulated glucagon secretion from pancreatic α cells occurs prior to impaired glucose-stimulated insulin secretion (GSIS) from β cells. However, whether hyperglucagonemia is causally linked to β cell dysfunction remains unclear. Here we show that glucagon stimulates via cAMP-PKA-CREB signaling hepatic production of the neuropeptide kisspeptin1, which acts on β cells to suppress GSIS. Synthetic kisspeptin suppresses GSIS in vivo in mice and from isolated islets in a kisspeptin1 receptor-dependent manner. Kisspeptin1 is increased in livers and in serum from humans with T2DM and from mouse models of diabetes mellitus. Importantly, liver Kiss1 knockdown in hyperglucagonemic, glucose-intolerant, high-fat-diet fed, and Leprdb/db mice augments GSIS and improves glucose tolerance. These observations indicate a hormonal circuit between the liver and the endocrine pancreas in glycemia regulation and suggest in T2DM a sequential link between hyperglucagonemia via hepatic kisspeptin1 to impaired insulin secretion.
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