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Estrogens Promote Misfolded Proinsulin Degradation to Protect Insulin Production and Delay Diabetes.

Citation
Xu, B., et al. “Estrogens Promote Misfolded Proinsulin Degradation To Protect Insulin Production And Delay Diabetes.”. Cell Reports, pp. 181-196.
Center University of Michigan
Author Beibei Xu, Camille Allard, Ana I Alvarez-Mercado, Taylor Fuselier, Jun Ho Kim, Laurel A Coons, Sylvia C Hewitt, Fumihiko Urano, Kenneth S Korach, Ellis R Levin, Peter Arvan, Elizabeth Floyd, Franck Mauvais-Jarvis
Keywords ERAD, SERM, bazedoxifene, beta cell, diabetes, endoplasmic reticulum stress, estrogens, islet, proinsulin misfolding, sex dimorphism
Abstract

Conjugated estrogens (CE) delay the onset of type 2 diabetes (T2D) in postmenopausal women, but the mechanism is unclear. In T2D, the endoplasmic reticulum (ER) fails to promote proinsulin folding and, in failing to do so, promotes ER stress and β cell dysfunction. We show that CE prevent insulin-deficient diabetes in male and in female Akita mice using a model of misfolded proinsulin. CE stabilize the ER-associated protein degradation (ERAD) system and promote misfolded proinsulin proteasomal degradation. This involves activation of nuclear and membrane estrogen receptor-α (ERα), promoting transcriptional repression and proteasomal degradation of the ubiquitin-conjugating enzyme and ERAD degrader, UBC6e. The selective ERα modulator bazedoxifene mimics CE protection of β cells in females but not in males.

Year of Publication
2018
Journal
Cell reports
Volume
24
Issue
1
Number of Pages
181-196
Date Published
12/2018
ISSN Number
2211-1247
DOI
10.1016/j.celrep.2018.06.019
Alternate Journal
Cell Rep
PMID
29972779
PMCID
PMC6092934
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