Toll-like receptors TLR2 and TLR4 block the replication of pancreatic β cells in diet-induced obesity

Y Ji, S Sun, N Shrestha, LB Darragh, J Shirakawa… - Nature …, 2019 - nature.com
Y Ji, S Sun, N Shrestha, LB Darragh, J Shirakawa, Y Xing, Y He, BA Carboneau, H Kim
Nature immunology, 2019nature.com
Consumption of a high-energy Western diet triggers mild adaptive β cell proliferation to
compensate for peripheral insulin resistance; however, the underlying molecular
mechanism remains unclear. In the present study we show that the toll-like receptors TLR2
and TLR4 inhibited the diet-induced replication of β cells in mice and humans. The
combined, but not the individual, loss of TLR2 and TLR4 increased the replication of β cells,
but not that of α cells, leading to enlarged β cell area and hyperinsulinemia in diet-induced …
Abstract
Consumption of a high-energy Western diet triggers mild adaptive β cell proliferation to compensate for peripheral insulin resistance; however, the underlying molecular mechanism remains unclear. In the present study we show that the toll-like receptors TLR2 and TLR4 inhibited the diet-induced replication of β cells in mice and humans. The combined, but not the individual, loss of TLR2 and TLR4 increased the replication of β cells, but not that of α cells, leading to enlarged β cell area and hyperinsulinemia in diet-induced obesity. Loss of TLR2 and TLR4 increased the nuclear abundance of the cell cycle regulators cyclin D2 and Cdk4 in a manner dependent on the signaling mediator Erk. These data reveal a regulatory mechanism controlling the proliferation of β cells in diet-induced obesity and suggest that selective targeting of the TLR2/TLR4 pathways may reverse β cell failure in patients with diabetes.
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