Diabetes is a costly and complex chronic illness and a serious public health problem. Currently, the prevalence of diabetes in the VA patient population is approximately 25%, with many more Veterans at risk for diabetes due to obesity, aging, and poor lifestyle, as well as exposure to known diabetogenic chemicals in the line of duty. The number of Veterans with diabetes is certain to increase over the next decades, as the children of today have an estimated overall lifetime risk of developing diabetes of nearly 50%. Therefore, developing new methods for preventing diabetes and identifying and properly treating diabetic patients is very timely and of great significance. By definition, diabetes occurs when insufficient insulin is produced from the ?-cells of the pancreas to properly stimulate the body cells to take up glucose from the blood and shut off production of more glucose. While they have different etiologies, the pathophysiology of type 1 (immune-mediated) and type 2 (obesity-related) diabetes is increasingly being linked by dysfunctional cellular and molecular signaling processes that act in the insulin-secreting ?-cells. One molecule that is a cornerstone of our research program, termed G?z, has the potential to act as a hub in one or more signaling processes impacting on ?-cell function, replication, growth and/or survival. Thus, targeting these dysfunctional G?z signaling processes could potentially help to improve functional ?-cell mass in both types of diabetes. Our long-term goal is to fully characterize the G?z activation and signaling pathways in the diabetic state at the organismal, tissue, cellular, and molecular levels, guiding us in modulating this pathway for preventative and therapeutic purposes. The overall objective of this work, which is the next logical step in pursuit of our goal, is to characterize the molecular and cellular signaling pathways responsible for the impact of G?z signaling on diabetes pathophysiology. Our central hypothesis is activated ?-cell G?z negatively modulates specific intracellular and autocrine/paracrine signaling pathways critical for ?-cell compensation, ultimately leading to ?-cell death and dysfunction and exacerbating the diabetic condition. We will test our central hypothesis in multiple pre-clinical models of diabetes and, thereby, accomplish the objective of this application, by pursuing the following three specific aims: (1) Determine the differential effects of EP3 receptor variant/G?z coupling on mechansims mediating insulin exocytosis; (2) Elucidate the mechanisms underlying the cAMP- independent regulation of beta-cell function by G?z; and (3) Elucidate the effect of G?z signaling on intra-islet communication pathways that regulate beta-cell replication and survival. With the completion of these aims, we anticipate a much more complete understanding of the role of the ?-cell and its signaling molecules in the pathophysiology of diabetes. Ultimately, isolating G?z effects to the ?-cell and fully characterizing its signaling mechanisms will aid in rationally and specifically targeting this pathway in the ?-cell to improve diabetic ?-cell dysfunction and loss of functional ?-cell mass.
Diabetes is a costly and complex chronic illness and a serious public health problem, responsible for a host of complications that significantly decrease healthy lifespan. The Veteran population has a significantly increased prevalence of diabetes as compared to the general population, making diabetes a critical problem in Veterans' health. The underlying issue in diabetes is the failure of the pancreas cells to release enough of the hormone, insulin, into the bloodstream to properly control blood sugar levels. The aims of this proposal are to characterize emerging cellular targets to promote pancreatic cell health and proper insulin release, ultimately improving the care and treatment of diabetic Veterans.
