A local glucagon-like peptide 1 (GLP-1) system in human pancreatic islets
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Glucagon-like peptide 1 (GLP-1) is a major incretin, mainly produced by the intestinal L cells, with beneficial actions on pancreatic beta cells. However, while in vivo only very small amounts of GLP-1 reach the pancreas in bioactive form, some observations indicate that GLP-1 may also be produced in the islets. We performed comprehensive morphological, functional and molecular studies to evaluate the presence and various features of a local GLP-1 system in human pancreatic islet cells, including those from type 2 diabetic patients.
The presence of insulin, glucagon, GLP-1, proconvertase (PC) 1/3 and PC2 was determined in human pancreas by immunohistochemistry with confocal microscopy. Islets were isolated from non-diabetic and type 2 diabetic donors. GLP-1 protein abundance was evaluated by immunoblotting and matrix-assisted laser desorption–ionisation-time of flight (MALDI–TOF) mass spectrometry. Single alpha and beta cell suspensions were obtained by enzymatic dissociation and FACS sorting. Glucagon and GLP-1 release were measured in response to nutrients.
Confocal microscopy showed the presence of GLP-1-like and PC1/3 immunoreactivity in subsets of alpha cells, whereas GLP-1 was not observed in beta cells. The presence of GLP-1 in isolated islets was confirmed by immunoblotting, followed by mass spectrometry. Isolated islets and alpha (but not beta) cell fractions released GLP-1, which was regulated by glucose and arginine. PC1/3 (also known as PCSK1) gene expression was shown in alpha cells. GLP-1 release was significantly higher from type 2 diabetic than from non-diabetic isolated islets.
We have shown the presence of a functionally competent GLP-1 system in human pancreatic islets, which resides in alpha cells and might be modulated by type 2 diabetes.
KeywordsAlpha cells GLP-1 Glucagon Pancreatic islets
Dipeptidyl peptidase IV
Glucagon-like peptide 1
Matrix-assisted laser desorption/ionisation–time of flight
Glucagon-like peptide 1 (GLP-1) is encoded in the proglucagon gene in the long arm of chromosome 2, and is mainly expressed in pancreatic alpha cells, intestinal L cells and the caudal brain stem [1, 2, 3, 4]. The primary translation product is processed differently, so that proconvertase (PC)2 leads to glucagon production in alpha cells, whereas PC1/3 cleaves proglucagon to GLP-1 in L cells and the brain, with GLP-1(7–37) and GLP-1(7–36)amide representing the bioactive peptides [1, 2, 3, 4]. As an incretin, GLP-1 lowers glucose levels by modulating glucose-stimulated insulin secretion from pancreatic beta cells [1, 2, 3]. It also has or may have roles in the maintenance of beta cell mass, regulation of gastric motility, reduction of plasma glucagon, protection of endothelium, promotion of satiety and stimulation of glucose disposal [1, 2, 3, 5, 6]. The beneficial effects of GLP-1 and its mimetics on beta cells have made them potential therapeutic agents for type 2 diabetes [1, 2, 3, 5, 6, 7]. However, the action of GLP-1 is limited in duration due to cleavage by dipeptidyl peptidase IV (DPP-4), resulting in a GLP-1 half-life of approximately 2 min [1, 2, 3, 5, 6]. Indeed, more than 50% of GLP-1 is inactivated on its release from L cells, and a large amount of the remaining intact peptide is inactivated as it passes through the liver, with only very small amounts of bioactive GLP-1 reaching the pancreas .
Some experimental evidence suggests that GLP-1 may also be produced in pancreatic islets. In the mid-1980s, investigators using antibodies against GLP-1 and electron microscopic immunocytochemistry observed molecular forms of GLP-1 in the human pancreas [9, 10]. Later, fully processed GLP-1 was visualised in rat pancreatic extracts by chromatographic analysis and radioimmunoassays . In another study , monoclonal antibodies to GLP-1(7–37) were produced for immunocytochemistry and radioimmunoassay experiments, and immunoreactive GLP-1 was detected in rat alpha cells, with increased release upon glucose stimulation . Accordingly, GLP-1(7–36)amide was found in the pancreas of fetal and neonatal rats , and fully processed GLP-1 was produced by insulinoma cell lines and primary rat alpha cells . Furthermore, when partial beta cell loss was induced in neonatal rats by streptozotocin, islet cell regeneration was accompanied by alpha cell hyperplasia, with an altered phenotype of increased GLP-1 synthesis . More recently, a study mainly focused on the alpha cell line, αTC1-6, showed the processing of proglucagon to GLP-1, with the incretin also found in rat and human islets , while investigators working on the Psammomys obesus gerbil incidentally observed that human islets could release GLP-1 . Finally, an extensive study in rats showed that interleukin-6 could increase GLP-1 release from L cells and alpha cells, with some of the results reproduced with human islets .
With all this in mind, we performed a more thorough investigation of the presence of a local GLP-1 system in human islets, using morphological, molecular and functional studies of intact islets and human alpha and beta cell-enriched fractions. Part of the studies was also done on islets from type 2 diabetic individuals.
Pancreas and islet samples
In total, 34 pancreases and/or isolated islet preparations from non-diabetic (18 men, 16 women; age 57 ± 18 years; BMI 24.7 ± 2.7 kg/m2) multiorgan donors and 16 pancreases and/or isolated islet preparations from type 2 diabetic (eight men, eight women; age 60 ± 8.0 years; BMI 26.1 ± 2.5 kg/m2) multiorgan donors were obtained, with approval of the local Ethics Committee.
Pancreatic samples were taken from the neck of the gland (the remaining tissue being processed for islet isolation) and handled as described previously . Primary antibodies were: guinea pig polyclonal anti-swine insulin (A0564; DAKO, Carpinteria, CA, USA); mouse monoclonal anti-human/mouse glucagon (MAB1249, clone 181402; R&D Systems, Abingdon, UK); rat monoclonal anti-somatostatin (ab30788; Abcam, Cambridge, UK); rabbit polyclonal anti-GLP-1 (ab22625; Abcam), which reacts with the mid to C terminal region of GLP-1 [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19], enabling immunoreactivity with N terminal truncated and C terminally extended forms of GLP-1; mouse monoclonal anti-GLP-1 (HYB 147-06; BioPorto Diagnostic, Gentofte, Denmark), which is specific for the amidated C-terminus of the peptide ; and rabbit polyclonal antibody to PC1/3 and PC2 (Chemicon, Rosemont, IL, USA). Secondary antibodies were: Alexa Fluor 488: goat anti-guinea pig IgG, goat anti-rabbit IgG, and goat anti-mouse IgG; and Alexa Fluor 594: goat anti-mouse IgG and goat anti-rabbit IgG (all from Invitrogen, Molecular Probes, Leiden, the Netherlands). NCI-H716 cells, a human L cell model , were obtained from American Type Culture Collection (Manassas, VA, USA) and used as GLP-1-like positive controls. Samples were analysed by laser confocal microscopy (TCS SP5; Leica Microsystems, Wetzlar, Germany), as previously reported .
Islet isolation and culture
Islets were prepared by enzymatic digestion and gradient separation [22, 23], and suspended in M199 culture medium (Sigma Chemicals, St Louis, MO, USA) supplemented as detailed elsewhere [22, 23]. Islets with a diameter ≥100 μm were handpicked and studied within 3 days of isolation.
Immunoblotting and islet hormone content
For isolated islet western blotting, 30 μg islet protein per lane were loaded to 4 to 20% (wt/vol.) gradient SDS-PAGE gels and subjected to electrophoresis. Proteins were then transferred to nitrocellulose membranes and probed for GLP-1 using a monoclonal anti-GLP-1 antibody (ab23472; Abcam) or β-actin (AC-15 antibody, A5441; Sigma). The anti-GLP-1 antibody reacts with the region corresponding to amino acids 7 to 36 of human GLP-1 and shows some cross-reactivity with GLP-1 precursors. Whole-cell lysate (A-431, SC-2201; Santa Cruz Biotechnologies, Santa Cruz, CA, USA) was used as positive control. Islet glucagon and GLP-1 content was measured from four non-diabetic and three type 2 diabetic preparations after overnight acid–ethanol (1.5% HCl, 79% ethanol [95% pure], 19.5% water) extraction [22, 23].
Islet matrix-assisted laser desorption–ionisation-time of flight mass spectrometry
Similar to procedures previously described for other cellular models , 15 μg islet protein per lane was loaded to 4 to 20% gradient SDS-PAGE gel and subjected to electrophoresis. After protein visualisation by Coomassie blue, gel bands were excised, de-stained and subjected to overnight in-gel digestion by trypsin (Sigma) at 37°C, without reduction and alkylation. Of the resulting peptides, 2 μl was mixed with 2 μl saturated di-hydroxy-benzoic acid solution (Bruker Daltonics, Bremen, Germany) prepared in 50% acetonitrile and 50% water containing 0.1% (vol./vol.) trifluoracetic acid. Peptide solution (1 μl) and di-hydroxy-benzoic acid-saturated matrix were taken to a sample plate of the mass spectrometry analysis apparatus and allowed to dry. The crystallised samples were analysed using a matrix-assisted laser desorption–ionisation-time of flight (MALDI–TOF)/TOF system (Ultraflex III; Bruker Daltonics), operating in reflector mode. Typically, 100 to 200 laser shots were summed into each mass spectrum. An external calibration of a standard peptide mixture (Bruker Daltonics) was used. For identification and determination of sequence coverage, the measured mono-isotopic m/z values were searched against the SWISSPROT database using MASCOT (Matrix Science, London, UK, www.matrixscience.com, accessed 4 July 2012) and BIOTOOLS version 3.0 (Bruker Daltonics). Parameters of missed cleavage and peptide tolerance were set to 0 or 1 and 150 ppm, respectively.
Preparation of alpha and beta cells
Methods previously developed and validated were used [25, 26]. The dissociation of islets into single-cell suspensions was achieved by incubation with constant agitation for 3 min at 37°C in 0.05% (wt/vol.) trypsin-EDTA (Invitrogen) supplemented with 3 mg/ml DNAse I (Roche Diagnostics, Mannheim, Germany), followed by pipetting vigorously to complete dissociation. Labelling and sorting of alpha and beta cell fractions were performed by Newport Green labelling  followed by FACS, as described .
Quantitative RT-PCR studies
The expression of genes encoding insulin, glucagon, PC1/3 and PC2 was assessed by quantitative RT-PCR experiments in alpha and beta cell fractions from eight non-diabetic and three type 2 diabetic islet preparations, according to methods detailed elsewhere [22, 23, 25]. Briefly, after RNA extraction and reverse transcription, mRNA levels of the genes of interest were quantified and normalised to β-actin in a bioanalyser (7700; Applied Biosystems, Foster City, CA, USA). The oligonucleotides were obtained from assay-on-demand gene expression products (Applied Biosystems).
Non-diabetic islets were incubated for 60 min in KRB solution with 5.5 mmol/l glucose; then, after washing, the following conditions were tested (at 60 min incubation with KRB solution): 5.5 mmol/l glucose, 16.7 mmol/l glucose, and 5.5 mmol/l glucose plus 20 mmol/l arginine. Purified cell preparations were tested with 5.5 mmol/l glucose and 5.5 mmol/l glucose plus 20 mmol/l arginine. In addition, GLP-1 and glucagon release were measured from batches of 50 islets of similar size from non-diabetic and type 2 diabetic preparations, kept in M199 culture medium for 4 h. Finally, to test the bioactivity of islet-released GLP-1, experiments were performed similarly to methods previously reported [17, 18], by assessing insulin release from islets exposed to cell culture medium from untreated non-diabetic human islets; this was done at 11 mmol/l glucose, and in the absence or presence of the GLP-1 receptor antagonist, exendin(9–39) (0.5 μmol/l).
GLP-1 release was measured using a GLP-1 (active) RIA kit (LINCO, Saint Charles, MO, USA) and an ELISA kit (Millipore, Billerica, MA, USA). The antibodies used in the assays are specific for the biologically active 7–36 amide and 7–37 forms of GLP-1, and do not react with GLP-1(1–36)amide, GLP-1(1–37), GLP-1(9–36)amide or GLP-1(9–37). Glucagon levels were measured using a 125I-labelled glucagon radioimmunoassay kit (Millipore).
Results are expressed as mean ± SD. Data were compared by the two-tailed Student's t test for unpaired data. The ANOVA test followed by Bonferroni's correction was used when more than two groups were considered.
Alpha cells have GLP-1-like and PC1/3 immunoreactivity
Summary of the results of the immunohistochemistry studies performed with human pancreatic islets
No double positivity
No double positivity
No double positivity
Subset with double positivity
No double positivity
Subset with double positivity
When alpha cells that were double-positive for glucagon and PC1/3 were counted, co-localisation was found in cells from 20 of 26 (76.9%) non-diabetic islets and from 21 of 26 (80.7%) type 2 diabetic islets; conversely, around 20 to 25% of the examined islets did not show glucagon and PC1/3 co-localisation. Glucagon and PC1/3 double positivity was found in 139 of 573 alpha cells (24%) from non-diabetic islets and in 152 of 665 alpha cells (23%) from diabetic islets.
Pancreatic islets contain GLP-1
The presence of GLP-1 in isolated islets was also confirmed by islet extraction measurements. Non-diabetic islets contained 57.7 ± 25.9 pg/islet GLP-1 (n = 4), with a trend (p = 0.5) towards higher levels in the type 2 diabetic samples (72.3 ± 19.0 pg/islet; n = 3). In the same preparations, the glucagon content was 255 ± 119 and 273 ± 53 pg/islet (p = 0.8), respectively.
Alpha cells express PC1/3
Pancreatic islets release GLP-1
Alpha cells release GLP-1
The present study shows that a local GLP-1 system is present in human pancreatic islets, residing in alpha cells, modulated by nutrients and affected by type 2 diabetes. GLP-1-like immunoreactivity was detected by immunohistochemistry, similarly to findings previously observed by others [10, 12, 17]. However, the complex processing of proglucagon by PC1/3 leads to several peptides, of which GLP-1(7–37) and GLP-1(7–36)amide are the bioactive GLP-1 forms [1, 2, 3, 4]. Moreover, the different commercially or not commercially available  antibodies used by us and in previous studies have variable specificities. In addition, anti-glucagon antibodies may not specifically identify peptides derived from PC2 processing. Nevertheless, we did consistently find that the distribution of GLP-1 immunoreactivity follows that of glucagon in subsets of glucagon-containing cells, as observed by others [10, 12, 17]. In agreement with previous studies [30, 31], we also observed that a subset of alpha cells contained PC1/3, which cleaves proglucagon to bioactive GLP-1 . Finally, no co-localisation of GLP-1-like and PC1/3 immunoreactivity with somatostatin was observed. Therefore, despite the specific arrangement of endocrine human islet cells, which may also surround each another , the current evidence shows that the immunoreactivity to different substances described above occurs in separate cells. In our experiments, GLP-1 and PC1/3 immunoreactivity appeared in different sub-cellular compartments. Whereas our data were unable to fully clarify this point, it cannot be ruled out that proglucagon might reach distinct compartments in the Golgi apparatus containing either PC2 (yielding glucagon) or PC1/3 (generating GLP-1).
Islet GLP-1 peptides were detected in the present study by immunoblotting, MALDI–TOF mass spectrometry and measurements in cell extracts. A band corresponding to 10 to 12 kDa molecular mass was observed by western blotting in some, but not all, islet preparations, possibly due to partial cross-reactivity of the antibody used. This suggests that islets may be heterogeneous in the way they process proglucagon to GLP-1, which is further confirmed by the observation that approximately 20 to 25% of islets did not show cells that were double-positive for glucagon and PC1/3. As for the precursor, it could be the major proglucagon fragment, which has a molecular mass compatible with that of the observed band [1, 8, 28]. The presence of GLP-1 and an intermediate form was also found in rat pancreas .
In a seminal article , Holst et al reported that GLP-1(1–37) or GLP-1(1–36)amide is present in pancreatic extracts from human and porcine pancreases. In our study, mass spectra generated by tryptic sequences of GLP-1 peptides contained partial segments ascribable to GLP-1(7–37) and GLP-1(7–36)amide. Although the amide form of GLP-1(7–36) could not be identified (probably because the peptide containing arginine amidation that is generated by trypsin digestion has a very low mass [m/z]), islet production of bioactive GLP-1 was confirmed by the GLP-1 receptor-dependent potentiation of glucose-stimulated insulin release, which was observed with medium deriving from previous islet cultures. This is in agreement with the observation that GLP-1 secreted from isolated human islets could indeed potentiate insulin release in vitro .
Our results show that glucose and arginine increased GLP-1 release. This supports the concept that GLP-1-secreting cells possess the machinery needed to recognise substrates and release the hormone [1, 2, 3, 4, 8]. Accordingly, Whalley et al found that high glucose (25 mmol/l) could increase GLP-1 production in αTC1-6 cells and rat islets exposed to streptozotocin . Furthermore, Ellingsgaard et al reported that arginine increased GLP-1 secretion from human islets and that this was potentiated by interleukin-6 . We, moreover, observed here that purified alpha cells express PC1/3 and secrete GLP-1, and that this secretion is regulated by arginine. All this is in agreement with experimental evidence that alpha cells have variable functionality and can, indeed, produce GLP-1, as observed with the alpha cell line, αTC-1-6, the glucagonoma MSL-G-AN cell line, primary rat alpha cells and primary human alpha cells [16, 18, 33, 34]. Human alpha cells can also produce glucose-dependent insulinotropic peptide, the other major incretin . Therefore, although cell fractions from isolated islets usually show some degree of contamination, as shown here and by others [25, 26], the available evidence suggests that alpha cells are the source of islet GLP-1.
However, the quantification of GLP-1 and glucagon release from human islet cells has yielded conflicting results. Some authors found that islet GLP-1 abundance was in the femtomolar range and that the hormone was not measurable in islet incubation medium . However, Hansen et al were able to measure GLP-1 in islet culture medium (at 5.5 mmol/l glucose), with the amount again in the femtomolar range . Another study  and we, here, have reported GLP-1 values in the picomolar range, suggesting intrinsic islet biological variability and/or differences in experimental conditions. In addition, in our study, glucagon release from isolated islets was similar to that reported by some other authors [36, 37], but several fold lower than that observed during perifusion experiments . All this led, in our hands, to a glucagon/GLP-1 molar secretion ratio (basal condition) of approximately 5.7, similar to findings previously reported for αTC1-6 cells . In addition, when we measured glucagon and active GLP-1 in islet extracts, the values and proportions were close to those found by others [18, 37]. Interestingly, however, the bi-hormone secretion ratio with alpha cell fractions tended to decrease (approximate value of 3), suggesting that primary human alpha cells might rapidly change their phenotype. Accordingly, human alpha cells in culture released 50% more GLP-1 than glucagon, basally and upon stimulation . We did not investigate the molecular mechanisms that cause alpha cells to modulate, to different degrees, their sensitivity to various stimuli, such that glucose, for example, causes reduced glucagon release and increased GLP-1 secretion. However, this seems to be a more general phenomenon, as previous authors have also observed that, with primary human alpha cells, incubation with interleukin 6 caused a twofold increase of GLP-1 secretion, while not affecting that of glucagon .
Somewhat surprisingly, we observed that GLP-1 release was higher from type 2 diabetic than from non-diabetic islets. We did not study the GLP-1 secretion of purified alpha cells from type 2 diabetic donors, due to the limited tissue availability. However, when we counted islet cells that were double-positive for glucagon and PC1/3, no major difference was observed between non-diabetic and type 2 diabetic samples. Instead, PC1/3 gene expression was found to be higher in alpha cells from type 2 diabetic donors. This suggests functional variations in the two conditions, resembling what happens with glucagon, the release of which is altered in type 2 diabetic islets, despite similar amounts of glucagon-containing cells [38, 39, 40]. Although type 2 diabetic patients may release less GLP-1, which could contribute to decreased incretin effects in this patient group [1, 41, 42, 43], it cannot be ruled out that the reduced concentrations of active GLP-1 in such patients might be partly due to increased DPP-4 activity. Increased plasma DPP-4 activity in type 2 diabetic patients has been reported , and chronic hyperglycaemia induced higher DPP-4 activity, with reductions of circulating active GLP-1 .
The increased GLP-1 production from type 2 diabetes islets could represent an attempt to protect beta cells in a condition tending to lead to beta cell dysfunction [46, 47]. In line with this concept, the activation of PC1/3 in alpha cells has been observed in mouse models of insulin resistance . It has also been reported that, following beta cell injury, the biological function of alpha cells switches from glucagon to GLP-1 production, promoting beta cell function and survival . In addition, adenovirus-mediated production of PC1/3 in mouse alpha cells increased islet GLP-1 secretion, with improved glucose-stimulated insulin secretion and enhanced survival after cytokine treatment , whereas the production of PC1/3, rather than PC2, in αTC1-6 cells induced GLP-1 production and converted alpha cell function from hyperglycaemia-promoting to blood glucose-lowering after transplantation . Finally, GLP-1 release from alpha cells is upregulated in the Psammomys obesus gerbil during the development of diabetes, which has been interpreted as an adaptive response to increased glucose levels . This is in agreement with the findings of the present study, which show enhanced release of GLP-1 and a lower glucagon:GLP-1 secretion ratio in islets from type 2 diabetic donors.
Overall, these results support the view that a local and functionally competent GLP-1 system is present in human islets, residing in alpha cells and possibly modulated by type 2 diabetes. This suggests that alpha cells may release more than one single hormone, depending on the needs of the islet microenvironment at a given moment. These findings supplement current knowledge on the pathophysiology of incretins and may open new paths for their use as therapeutic tools.
This study was supported in part by the Italian Ministry of Health and the Italian Ministry of Education.
Duality of interest
The authors declare that there is no duality of interest associated with this manuscript
Each author participated sufficiently in the work presented by this article to take public responsibility for the content. Participation included substantial contributions to: the conception and design of the study; the acquisition, analysis and interpretation of data; the drafting or critical revision of the article for important intellectual content; and approval of the final version.