Mitochondrial Protein UCP2 Controls Pancreas Development · 27/10/2017 · Our aim was to...
Transcript of Mitochondrial Protein UCP2 Controls Pancreas Development · 27/10/2017 · Our aim was to...
1
Mitochondrial protein UCP2 controls pancreas development. Benjamin Broche
1, 2, 3, Selma Ben Fradj
1, 2, 3, Esther Aguilar
1, 2, 3, Tiphaine Sancerni
1, 2, 3, 4,
Matthieu Bénard1, 2, 3
, Fatna Makaci1, 2, 3
, Claire Berthault 1, 2, 3
, Raphaël Scharfmann1, 2, 3
,
Marie-Clotilde Alves-Guerra1, 2, 3 *
and Bertrand Duvillié1, 2, 3 *
.
1 Inserm, U1016, Institut Cochin, Paris, France.
2 CNRS, UMR8104, Paris, France.
3 Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
4 Université Paris Diderot, Sorbonne Paris Cité, Paris, France.
*Corresponding authors:
Bertrand Duvillié
Institut Cochin, Inserm U1016
Groupe Hospitalier Cochin-Port-Royal
Bâtiment Cassini
123 bd du Port-Royal
75014 Paris
e-mail: [email protected]
Phone: (33) 1 69 86 30 41
and
Marie-Clotilde Alves-Guerra
Institut Cochin, Inserm U1016
Bâtiment Faculté
24 rue du Faubourg Saint Jacques
75014 Paris
e-mail: [email protected]
Phone: (33) 1 53 73 27 06
Running Title: UCP2 and beta-cell development
Keywords: UCP2, Reactive Oxygen Species, development, pancreas, beta-cell
Word count: 2332
Page 1 of 37 Diabetes
Diabetes Publish Ahead of Print, published online October 27, 2017
2
Abbreviations
AKT AKT serine/threonine kinase 1
ATP adenosine 5’-triphosphate
DNPH dinitrophenylhydrazine
ERK1/2 extracellular signal-regulated kinase 1
FACS Fluorescent activated cell sorting
KO knock-out
NAC N-acetyl-L-cysteine
NGN3 neurogenin3
NRF2 nuclear factor, erythroid 2-related factor 2 (Nfe2l2)
PDX1 pancreatic and duodenal homeobox 1
Ki67 antigen Ki-67
ROS reactive oxygen species
SDS sodium dodecyl sulfate
UCP2 uncoupling protein 2
WT wild type
Page 2 of 37Diabetes
3
Abstract
The mitochondrial carrier UCP2 belongs to the family of the uncoupling proteins. Despite its
name, it is now accepted that UCP2 is rather a metabolite transporter than an uncoupling
protein. UCP2 can regulate oxidative stress and/or energetic metabolism. In rodents, UCP2 is
involved in the control of alpha- and beta-cell mass as well as insulin- and glucagon-secretion.
Our aim was to determine whether the effects of UCP2 observed on beta-cell mass have an
embryonic origin. Thus, we used Ucp2 knock-out mice. We found an increased size of the
pancreas in Ucp2-/-
fetuses at E16.5, associated with a higher number of alpha- and beta-cells.
This phenotype was caused by an increase of PDX1+ progenitor-cells. Perinatally, an increase
in the proliferation of endocrine cells also participates to their expansion. Next, we analyzed
the oxidative stress in the pancreata. We quantified an increased nuclear translocation of
NRF2 in the mutant suggesting an increased production of ROS. Phosphorylation of AKT, a
ROS-target, was also activated in the Ucp2-/-
pancreata. Finally, administration of the
antioxidant N-acetyl-L-cysteine to Ucp2-/-
pregnant mice alleviated the effect of knocking-out
UCP2 on pancreas development. Together, these data demonstrate that UCP2 controls
pancreas development through the ROS-AKT signaling pathway.
Page 3 of 37 Diabetes
4
Introduction
During the last decade, the impact of mitochondrial dysfunction in pancreatic islet
development and diabetes has been widely studied (1). However the underlying mechanisms
involving the mitochondria are still not well understood. The mitochondrial uncoupling
protein 2 belongs to the family of Uncoupling Proteins (UCPs) (2). Despite the well-accepted
role of UCP1 as a proton transporter and an uncoupling protein in the brown adipose tissue, it
was shown that UCP2 is a metabolite transporter with no or little mitochondrial uncoupling
activity (3). UCP2 is expressed in the spleen, lungs, stomach, adipose tissue and pancreas
(4,5). Moreover, several studies indicate that UCP2 is a repressor of ROS production in
different cell types (6,7). In addition, UCP2 can regulate the balance between glycolysis and
oxidative phosphorylation in murine embryonic fibroblasts (7) and in different types of cancer
cells (8,9). Recently, Ucp2 mutations were discovered in humans and were associated with
congenital hyperinsulinism (10). In mice, the absence of UCP2 also leads to increased insulin
secretion (11) supporting the observation in humans. The knock-out of UCP2 induces an
increase in the number of endocrine cells, and this phenotype is amplified by a high fat diet
(12,13).
The aim of our study was to determine whether the beta-cell hyperplasia observed in adult
Ucp2-/-
mice has an embryonic origin. For this, we used Ucp2-/-
mouse embryos at different
stages and we analyzed the development of the pancreas.
Page 4 of 37Diabetes
5
Research Design and Methods
Animals.
Experiments were in agreement with the French animal care committee guidelines. Ucp2-/-
mice (C57Bl6/J background) were previously described (14). N-acetyl-L-cysteine (Sigma-
Aldrich, Saint-Quentin Fallavier, France) treatment was initiated at E9.5 until E13.5, and at
E12.5 until E19.5.
Immunohistochemistry.
Tissues were fixed in 10% formalin and processed for immunohistochemistry, as described
previously (15). The following antibodies were used: mouse anti-insulin (1 : 2000; Sigma-
Aldrich, Saint-Quentin Fallavier, France), rabbit anti-glucagon (1 : 1000; Euromedex,
Souffelweyerrsheim, France), rabbit anti-PDX1 (1 : 1000), mouse anti-Ki67 (1 : 50, BD,
Pharmingen, Le Pont-De Claix, France), rabbit anti-amylase (1 : 300, Sigma-Aldrich), rabbit
anti-NGN3 (1 : 1000), rabbit anti-NRF2 (1 : 1000, GeneTex, Irvine, CA, USA), rabbit anti-
Akt (1 : 200) and rabbit anti-Phospho Akt (Ser 473) (1: 25) (#9272, #9271 Cell signaling,
Saint Quentin, France). The fluorescent secondary antibodies were fluorescein isothiocyanate
anti-rabbit and Texas Red anti-mouse antibodies (1 : 200, Jackson Immunoresearch, Suffolk,
UK), and Alexa-fluor anti-rabbit antibody (1 : 400, Biogenex, Fremont, CA, USA). For
NGN3, revelation was performed using the vectastain ABC kit (Vector LAB, Peterborough,
UK). Fluorescent image acquisition was performed using an inverted fluorescence microscope
Zeiss AxioObserver Z1 coupled with MRm Axiocam Zeiss (Zeiss, Marly le Roi, France).
Determination of cellular ATP levels
Detection of ATP levels was assessed using a luminescence-based assay kit (Roche, France).
RNA extraction and PCR
Procedures are described in (16). The oligonucleotide sequences for RT-PCR are available on
request.
Page 5 of 37 Diabetes
6
Western blot analysis
For western blotting analysis, cells were lysed in Laemmli. Proteins (20 µg) were separated
by SDS-PAGE and electrophoretically transferred onto PVDF membrane (Bio-Rad, Marnes-
la-Coquette, France). After blocking with milk, membranes were probed with mouse anti-
Phospho-p44/42 MAPK (Erk1/2) (Thr202/Tyr204, Cell signaling, Saint Quentin, France),
mouse anti-β−actin (Sigma-Aldrich), mouse anti-α−tubulin (Sigma-Aldrich), rabbit anti-Akt
and rabbit anti-Phospho Akt (Ser 473) (#9272, #9271 Cell signaling, Saint Quentin, France).
Immunoreactive bands were visualized with the SuperSignal System (Pierce, Fisher
Scientific, Illkirch, France).
Protein oxidation
Protein oxidation of total pancreas homogenates was measured by assaying the amount of
carbonyl groups on proteins using the OxyBlot kit (Protein Oxidation Detection kit, Millipore,
Molsheim, France).
Cell suspension and cell sorting
The procedures were described in (17,18). Briefly, cells suspensions were stained in HBSS
without Calcium/Magnesium supplemented with 20% FCS with the following anti-mouse
antibodies purchased from BD Biosciences (Le Pont de Claix, France): anti-CD45
PercpCy5.5 (clone 30F11), anti-CD31 PercpCy5.5 (clone MEC13.3), anti-TER119
PercpCy5.5 (clone TER119), anti-EpCam BV421 (clone G8.8), anti-CD49f PE (clone GoH3),
anti-CD133 APC (clone 3152C11). For each antibody, optimal dilution was determined by
titration. Cells were incubated for 15 to 30 minutes at 4°C in the dark, washed and suspended
in HBSS without Calcium/Magnesium supplemented with 20% FCS, and dead cells were
excluded with Propidium Iodide (1 : 4000, Sigma Aldrich). Stained cells were analyzed and
sorted with FACS Aria III (BD Biosciences). Data was analyzed in FlowJo (Ashland, Oregon,
USA) software.
Page 6 of 37Diabetes
7
Islet isolation
Neonatal islets from WT and Ucp2-/-
mice were harvested as described in (19). Freshly
dissected whole pancreases were digested with 0.5 mg/ml collagenase (Sigma-Aldrich)
dissolved in HBSS at 37°C. Tubes were tapped regularly to aid tissue dispersial. Next, lyzates
were washed with HBSS containing 10% fetal bovine serum FBS. Then, islets were
handpicked up under dissecting stereoscope (Leica, Nanterre, France).
Insulin secretion
Insulin secretion was quantified as described in (20) using ultra-sensitive mouse insulin Elisa
kit (Zaadam, Netherlands).
Quantification
To quantify the absolute surface of PDX1-, insulin-, glucagon-, amylase-expressing, and
Hoechst-stained cells, all 5 µm thick sections of each pancreas were digitized at E13.5 and
E16.5. At E19.5 and PN2, one of the 5 slides of the total pancreas was digitized (17). On
every image, the surface of immuno-staining was quantified by ImageJ (NIH, Washington,
WA, USA). At E16.5, the total number of immunopositive cells for NGN3 was counted on all
sections of a complete pancreas. Statistical significance was determined by Student's t-testing.
To measure proliferation of early progenitors, we counted the frequency of Ki67+ nuclei
among 1000 PDX1+ cells. At least three rudiments per condition were analyzed. Statistical
significance was determined using Student's t-test.
Page 7 of 37 Diabetes
8
Results
Increased pancreas growth in the Ucp2 knock-out mice.
First, the expression pattern of UCP2 was analyzed. E12.5 pancreatic epithelial and
mesenchymal cells were separated by FACS (17). Ucp2 expression was enriched in the
epithelial fraction containing the progenitors (Supplementary Fig. 1A). At E16.5, we
separated mesenchymal-, acinar-, NGN3+- and endocrine-cells (18). Ucp2 expression was
found preferentially in endocrine-cells, and in a lesser extent in other cell types
(Supplementary Fig. 1B). To investigate its role, Ucp2+/-
mice were intercrossed. The weight,
islet insulin secretion and glycemia of the homozygous neonates were all similar to the
controls (Supplementary Fig. 2). During the embryonic and fetal periods, the overall external
morphology of Ucp2-/-
animals was normal (Supplementary Fig. 3). As shown by the
Hoechst-staining, the size of the Ucp2-/-
pancreas at E16.5, E19.5 and PN2 was increased by
nearly 2-folds compared to controls (Fig. 1, 2 and 4). This difference was not observed at
E13.5 (Fig. 3C). Moreover, the absolute surfaces of insulin, glucagon and amylase were also
increased in the Ucp2-/-
pups and fetuses (Fig. 1 and 2). Using an antibody directed against
Neurogenin 3 (NGN3), we showed that the number of endocrine precursors increased
proportionally to the pancreas size at E16.5 in the mutants (Supplementary Fig. 4). To
investigate the mechanism responsible for the increased growth of the Ucp2-/-
pancreata, we
quantified progenitor proliferation using anti-PDX1 and anti-Ki67 antibodies. At E13.5, we
found an increased proliferation of PDX1-positive progenitor cells (Fig. 3A and B), but not at
E12.5 (Supplementary Fig. 5). Together, these data demonstrate that Ucp2 deletion induces an
overgrowth of the pancreas due to an increased proliferation of progenitor cells.
UCP2 controls oxidative stress and AKT signaling in the Ucp2-/- fetal pancreas.
Two main mechanisms have been described to explain the biological effects of UCP2. First,
UCP2 can modulate the energetic metabolism by controlling the balance between glycolysis
Page 8 of 37Diabetes
9
and oxidative phosphorylation (8). To examine the energetic status of Ucp2-/-
pancreas, we
quantified the ATP content in Ucp2-/-
and WT pancreata. No difference was found at the
pancreatic level (Supplementary Fig. 6). However, a non-significant decrease of ATP per cell
was quantified at E16.5 (6.93.10-4
pmoles in Ucp2-/-
vs 9.83.10-4
pmoles in WT, P=0.25). The
second hypothesis is that UCP2 is involved in the regulation of the production of ROS (5,6).
To examine this possibility, we performed immunofluorescence experiments to visualize the
nuclear translocation of the ROS-sensitive factor NRF2 (nuclear factor erythroid 2-related
factor 2). In absence of oxidative stress, NRF2 is associated with the protein Keap1, which
promotes the degradation of NRF2 by the ubiquitin proteasome pathway. Also, oxidants can
modify the cysteine residues of Keap1, leading to nuclear translocation of NRF2.
Interestingly, we observed NRF2 only at the periphery of the nuclei at E13.5 in the WT
pancreata while nuclear translocation of NRF2 was observed in the mutants (Supplementary
Fig. 7). At E16.5, nuclear translocation was found both in WT and Ucp2-/-
pancreata, in an
area containing beta-cells and this event was increased in the mutants (Supplementary Fig. 7).
These results suggest that ROS are involved in endocrine development. We also quantified
protein oxidation levels using the Oxyblot assay (Supplementary Fig. 7). We found a nearly
2-fold increase of the protein oxidation levels in the mutant pancreata. Together, these results
indicate that oxidative stress is higher in the Ucp2-/-
pancreata. To further investigate signaling
pathways involved in the pancreatic phenotype of Ucp2-/-
fetuses, we first analyzed the
ERK1/2 pathway. No difference was found between mutants and controls (Supplementary
Fig. 8). Second, using immunofluorescence, we analyzed the AKT signaling pathway,
sensitive to ROS levels (21). The total-AKT level was slightly increased in the mutants at
E16.5 but not at E13.5. At both stages in the mutants, we found an increased phospho-
AKT/total-AKT ratio, confirmed by western blot at E16.5 (Supplementary Fig. 9-10). Thus,
Page 9 of 37 Diabetes
10
these data suggest that the activation of the ROS-AKT signaling pathway is involved in the
growth of Ucp2-/-
mice pancreas.
N-acetyl-L-cysteine treatment reverses the pancreatic phenotype of the Ucp2-/- fetuses.
To further analyze the implication of ROS, we treated pregnant mice with the antioxidant N-
acetyl-L-cysteine between E12.5 and E19.5. In Ucp2-/-
pancreata, the number of NRF2+ cells
decreased when treated with NAC, validating its antioxidant effect (Supplementary Fig. 11).
Pancreatic weight, beta-cell, and alpha-cell masses were increased in non-treated Ucp2-/-
fetuses, compared to controls (Fig. 4). This effect was abolished when Ucp2-/-
fetuses received
NAC treatment (Fig. 4). Interestingly, alpha- and beta-cell proliferation was increased in
E19.5 Ucp2-/-
pancreata versus controls (Supplementary Fig. 12 and 13). This effect was
abrogated when a NAC-treatment was administrated. Thus, the knock-out of Ucp2 controls
the proliferation of endocrine cells in a ROS-dependent manner. It leads to a non-significant
increased fraction of endocrine cells at PN2 (Supplementary Fig. 14) but not at E19.5. Finally,
we treated Ucp2-/-
and control mice with NAC from E9.5 to E13.5. Such treatment reduced
progenitor proliferation induced by the deletion of Ucp2 (Fig. 3B). Altogether, these data
demonstrate that increased oxidative stress caused by the lack of UCP2 is responsible for the
increased fetal pancreata growth.
Page 10 of 37Diabetes
11
Discussion
Our main finding is that UCP2 is a negative regulator of pancreas development. Indeed, the
absence of UCP2 induces an increase in cell-proliferation and a larger pancreas. Moreover,
this effect is induced by oxidative signals, through the activation of the AKT pathway.
The roles of UCP2 in physiological and pathological processes.
Here we show that the deletion of Ucp2 increases progenitor and endocrine-cell proliferation,
two cell types that normally express Ucp2 (Supplementary Fig. 1). This suggests a potential
autocrine effect of UCP2 but we do not exclude other paracrine effects. For example, the
mesenchyme that expresses lower levels of Ucp2 also controls progenitor proliferation (15).
Moreover, several recent studies indicate that UCP2 plays a crucial role in the development of
several cell types. Indeed, during human stem cell differentiation, UCP2 expression decreases
suggesting its role as a repressor of stem cell differentiation (22). Moreover, in murine
embryonic fibroblasts, UCP2 was shown to control negatively their proliferation (7). Finally,
the roles of UCP2 were investigated in different pathologies. In cancer cell lines expressing
low levels of UCP2, its overexpression decreases cell proliferation through metabolic changes
and in consequence represses the malignant phenotype. Moreover, in diabetes, the
involvement of UCP2 is still controversial (23). Indeed, Emre et al. treated WT and Ucp2-/-
mice with low doses of streptozotocin to generate an experimental model of diabetes. They
found that autoimmune diabetes was accelerated in Ucp2-/-
mice, with the presence of an
increased lymphocytic infiltration (23). On the contrary, using similar experiments, Lee et al.
found that treatment of WT and Ucp2-/-
mice with low doses of streptozotocin resulted in
hyperglycemia that was much less severe in Ucp2-/-
mice than controls (12). The difference
between these two studies was suggested to be connected to the genetic background of the
mice. Moreover, in humans, another recent illustration is that variants of the Ucp2 gene are
Page 11 of 37 Diabetes
12
associated with diabetes and diabetic retinopathy in a chinese population (24). The exact
mechanism responsible for diabetes in these patients still needs to be elucidated.
UCP2 and oxidative stress
Previously, we used a culture model to analyze the effects of ROS on endocrine pancreas
development (16). Embryonic pancreata were cultured at the air/medium interface, and
different doses of hydrogen peroxide were added to the medium. We found that ROS
stimulate endocrine differentiation by increasing the expression of NGN3. Moreover, this
effect was ERK-dependent. Despite similarities with the present study, some of these ROS
effects are different from the in vivo Ucp2-/-
model. Indeed, ROS-induced endocrine
development in vitro is mainly due to an increased differentiation, while here in vivo an
increased proliferation of the progenitor cells mainly occurres in Ucp2-/-
pancreata prior to
differentiation. We hypothesize that this difference may be associated to the ROS levels in
these two models. Moreover, in other cell types such as embryonic stem cells, induced
pluripotent stem cells, adipocytes and neural progenitors, oxidative stress was shown to
stimulate either cell-proliferation, or cell-differentiation, or both (16). Thus, these
observations indicate that the effects of ROS are highly dependent of the cellular context.
Moreover, downstream of ROS production, we found an activation of AKT in the Ucp2-/-
pancreata. This link between ROS and AKT is similar to (21), which established that
proliferative neural stem cells have high endogenous ROS levels that regulate both self-
renewal and neurogenesis in a PI3K/AKT-dependent manner.
In conclusion, our study demonstrates that UCP2 deficiency enhances the growth of the
pancreas during embryogenesis and perinatal period. This effect is mediated by an activation
of the ROS-AKT signaling pathway. These mechanisms are important to better understand
congenital hyperinsulinism observed in children.
Page 12 of 37Diabetes
13
Conflict of Interest
The authors declare no conflict of interest.
Acknowledgements.
We thank Latif Rachdi (Inserm, U1016, Institut Cochin, CNRS, UMR8104, Université Paris
Descartes, Sorbonne Paris Cité, Paris, France) for helping to isolate the mouse neonatal islets.
We thank Diane Girard (Inserm, U1016, Institut Cochin, CNRS, UMR8104, Université Paris
Descartes, Sorbonne Paris Cité, Paris, France) for the english editing of the manuscript. The
research leading to these results has received support from Société Francophone du Diabète
(SFD-Boehringer Ingelheim-Lilly).
Bertrand Duvillié and Marie-Clotilde Alves-Guerra are the guarantors of this work and, as
such, had full access to all the data in the study and take responsibility for the integrity of the
data and the accuracy of the data analysis.
Author contributions
B.B, S.BF, E.A, C.B designed and performed experiments and analyzed the data. T.S, M.B,
F.M, performed experiments. RS contributed to discussion and wrote the manuscript. B.D and
M-C.A-G designed research experiments, performed experiments, analyzed data, and wrote
the manuscript.
Page 13 of 37 Diabetes
14
References
1. Simmons RA. Developmental origins of diabetes: The role of oxidative stress. Free
Radic Biol Med. 2006 Mar;40(6):917–22.
2. Fleury C, Neverova M, Collins S, Raimbault S, Champigny O, Levi-Meyrueis C, et al.
Uncoupling protein-2: a novel gene linked to obesity and hyperinsulinemia. Nat Genet. 1997
Mar;15(3):269–72.
3. Vozza A, Parisi G, De Leonardis F, Lasorsa FM, Castegna A, Amorese D, et al. UCP2
transports C4 metabolites out of mitochondria, regulating glucose and glutamine oxidation.
Proc Natl Acad Sci U S A. 2014 Jan 21;111(3):960–5.
4. Pecqueur C, Alves-Guerra MC, Gelly C, Levi-Meyrueis C, Couplan E, Collins S, et al.
Uncoupling protein 2, in vivo distribution, induction upon oxidative stress, and evidence for
translational regulation. J Biol Chem. 2001 Mar 23;276(12):8705–12.
5. Robson-Doucette CA, Sultan S, Allister EM, Wikstrom JD, Koshkin V, Bhattacharjee
A, et al. Beta-cell uncoupling protein 2 regulates reactive oxygen species production, which
influences both insulin and glucagon secretion. Diabetes. 2011 Nov;60(11):2710–9.
6. Arsenijevic D, Onuma H, Pecqueur C, Raimbault S, Manning BS, Miroux B, et al.
Disruption of the uncoupling protein-2 gene in mice reveals a role in immunity and reactive
oxygen species production. Nat Genet. 2000 Dec;26(4):435–9.
7. Pecqueur C, Bui T, Gelly C, Hauchard J, Barbot C, Bouillaud F, et al. Uncoupling
protein-2 controls proliferation by promoting fatty acid oxidation and limiting glycolysis-
derived pyruvate utilization. FASEB J Off Publ Fed Am Soc Exp Biol. 2008 Jan;22(1):9–18.
8. Esteves P, Pecqueur C, Alves-Guerra M-C. UCP2 induces metabolic reprogramming
to inhibit proliferation of cancer cells. Mol Cell Oncol. 2015 Mar;2(1):e975024.
9. Esteves P, Pecqueur C, Ransy C, Esnous C, Lenoir V, Bouillaud F, et al.
Mitochondrial retrograde signaling mediated by UCP2 inhibits cancer cell proliferation and
tumorigenesis. Cancer Res. 2014 Jul 15;74(14):3971–82.
10. González-Barroso MM, Giurgea I, Bouillaud F, Anedda A, Bellanné-Chantelot C,
Hubert L, et al. Mutations in UCP2 in congenital hyperinsulinism reveal a role for regulation
of insulin secretion. PloS One. 2008;3(12):e3850.
11. Zhang CY, Baffy G, Perret P, Krauss S, Peroni O, Grujic D, et al. Uncoupling protein-
2 negatively regulates insulin secretion and is a major link between obesity, beta cell
dysfunction, and type 2 diabetes. Cell. 2001 Jun 15;105(6):745–55.
12. Lee SC, Robson-Doucette CA, Wheeler MB. Uncoupling protein 2 regulates reactive
oxygen species formation in islets and influences susceptibility to diabetogenic action of
streptozotocin. J Endocrinol. 2009 Oct;203(1):33–43.
13. Joseph JW, Koshkin V, Zhang C-Y, Wang J, Lowell BB, Chan CB, et al. Uncoupling
protein 2 knockout mice have enhanced insulin secretory capacity after a high-fat diet.
Diabetes. 2002 Nov;51(11):3211–9.
14. Blanc J, Alves-Guerra MC, Esposito B, Rousset S, Gourdy P, Ricquier D, et al.
Protective role of uncoupling protein 2 in atherosclerosis. Circulation. 2003 Jan
28;107(3):388–90.
15. Attali M, Stetsyuk V, Basmaciogullari A, Aiello V, Zanta-Boussif MA, Duvillie B, et
al. Control of beta-cell differentiation by the pancreatic mesenchyme. Diabetes. 2007
May;56(5):1248–58.
16. Hoarau E, Chandra V, Rustin P, Scharfmann R, Duvillie B. Pro-oxidant/antioxidant
balance controls pancreatic β-cell differentiation through the ERK1/2 pathway. Cell Death
Dis. 2014 Oct 23;5(10):e1487.
17. Ramond C, Glaser N, Berthault C, Ameri J, Kirkegaard JS, Hansson M, et al.
Reconstructing human pancreatic differentiation by mapping specific cell populations during
development. eLife [Internet]. 2017 Jul 21 [cited 2017 Aug 3];6. Available from:
Page 14 of 37Diabetes
15
http://elifesciences.org/lookup/doi/10.7554/eLife.27564
18. Sugiyama T, Rodriguez RT, McLean GW, Kim SK. Conserved markers of fetal
pancreatic epithelium permit prospective isolation of islet progenitor cells by FACS. Proc
Natl Acad Sci. 2007 Jan 2;104(1):175–80.
19. Huang C, Gu G. Effective Isolation of Functional Islets from Neonatal Mouse
Pancreas. J Vis Exp. 2017 Jan 6;119.
20. Lecomte M, Pechberty S, Machado C, Da Barroca S, Ravassard P, Scharfmann R, et
al. Aggregation of Engineered Human β-Cells Into Pseudoislets: Insulin Secretion and Gene
Expression Profile in Normoxic and Hypoxic Milieu. Cell Med. 2016 Aug 12;8(3):99-112.
21. Le Belle JE, Orozco NM, Paucar AA, Saxe JP, Mottahedeh J, Pyle AD, et al.
Proliferative neural stem cells have high endogenous ROS levels that regulate self-renewal
and neurogenesis in a PI3K/Akt-dependant manner. Cell Stem Cell. 2011 Jan 7;8(1):59–71.
22. Zhang J, Khvorostov I, Hong JS, Oktay Y, Vergnes L, Nuebel E, et al. UCP2 regulates
energy metabolism and differentiation potential of human pluripotent stem cells. EMBO J.
2011 Nov 15;30(24):4860–73.
23. Emre Y, Hurtaud C, Karaca M, Nubel T, Zavala F, Ricquier D. Role of uncoupling
protein UCP2 in cell-mediated immunity: how macrophage-mediated insulitis is accelerated
in a model of autoimmune diabetes. Proc Natl Acad Sci U S A. 2007 Nov 27;104(48):19085–
90.
24. Shen Y, Wen Z, Wang N, Zheng Z, Liu K, Xia X, et al. Investigation of variants in
UCP2 in Chinese type 2 diabetes and diabetic retinopathy. PloS One. 2014;9(11):e112670.
Page 15 of 37 Diabetes
16
Figure legends
Figure 1. UCP2 deficiency increases pancreas development.
WT and Ucp2-/-
pancreata were analyzed at postnatal day 2. The white dotted lines demarcate
the limits of the pancreas. (A) Nuclei were stained with Hoechst 33342 (blue). (B-C) Islets
were detected using anti-insulin (red, B) and anti-glucagon (green, C) antibodies. Exocrine
cells were detected using anti-amylase antibody (green, D). The absolute surfaces area
occupied by Hoechst-positive cells, insulin-positive cells, glucagon-positive cells and
amylase-positive cells were quantified. Each point represents the mean ± S.E.M of n≥3
individual pancreata. * P<0.05. Scale bar: 50 µm.
Figure 2. Pancreas growth is enhanced in the Ucp2-/- E16.5 fetuses.
WT and Ucp2-/-
pancreata were analyzed at E16.5. The white dotted lines demarcate the limits
of the pancreas. (A) Photographs of the WT and Ucp2-/-
pancreata. Scale bar: 200 µm. (B)
Nuclei were stained with Hoechst 33342 (blue). (C-D) Endocrine development was
investigated using anti-insulin (red, C) and anti-glucagon (green, D) antibodies. The absolute
surface area occupied by Hoechst-positive cells, insulin-positive cells, glucagon-positive cells
were quantified. Each point represents the mean ± S.E.M of n≥3 individual pancreata. *
P<0.05. Scale bar: 50 µm.
Figure 3. The proliferation of the progenitor cells is increased in the Ucp2-/- E13.5
pancreata.
(A) The proliferation of the PDX1+ progenitor cells was analyzed using anti-PDX1 (green)
and anti-Ki67 (red) antibodies. (B) Proliferation percentage was also quantified. Each point
represents the mean ± S.E.M of n≥3 individual pancreata. * P<0.05. Scale bar: 50 µm. For
higher magnification, bar: 10 µm. (C) E13.5 pancreata were analyzed using anti-PDX1
antibodies (green). Nuclei were stained with Hoechst 3342 (blue). The white dotted lines
demarcate the limits of the pancreas. The absolute areas of Hoechst-positive cells and PDX1-
positive cells were quantified. Each point represents the mean ± S.E.M of n≥3 individual
pancreata. NS: not significant.
Figure 4. The antioxidant N-acetyl-L-cysteine normalizes the phenotype of the Ucp2-/-
embryonic pancreata.
Pregnant WT and Ucp2-/-
mice were treated with 10 mM NAC (drinking water) from E12.5 to
E19.5 days post-coïtum. Fetal pancreata were analyzed at E19.5. The white dotted lines
demarcate the limits of the pancreas. (A) Nuclei were detected using Hoechst staining (blue)
and alpha- and beta-cells were detected with anti-insulin (red) and anti-glucagon (green)
antibodies. (B) The pancreas weights, the alpha-cell mass and the beta-cell mass were then
calculated. Each point represents the mean ± S.E.M of three individual pancreata. * P<0.05.
Page 16 of 37Diabetes
Figure 1
159x138mm (300 x 300 DPI)
Page 17 of 37 Diabetes
Figure 2
180x173mm (300 x 300 DPI)
Page 18 of 37Diabetes
Figure 3
187x244mm (300 x 300 DPI)
Page 19 of 37 Diabetes
Figure 4
171x197mm (300 x 300 DPI)
Page 20 of 37Diabetes
Supplementary Fig. 1. FACS analysis of the expression of Ucp2.
(A) Analysis of Ucp2 expression at E12.5. (B) Analysis of Ucp2 expression at E16.5.
E12.5 and E16.5 fetal pancreata were dissociated and stained as described in
Supplementary Materials with anti-CD45, anti-CD31, anti-TER119, anti-EpCam,
anti-CD133 and anti-CD49f antibodies. CD45, CD31 and TER119 were used to
exclude hematopoietic cells, endothelial cells and erythrocytes, respectively. The
remaining CD45- CD31- TER119- fraction was subdivided into mesenchymal
(EpCam-) and epithelial (EpCam+) enriched fractions. At E16.5, the EpCam+
epithelial enriched fraction was further subdivided into 3 fractions using anti-CD133
and anti-CD49f antibodies: fraction I (CD133+ CD49f high) is enriched in acinar
cells, fraction II (CD133+ CD49f intermediate) is enriched in NGN3 positive cells,
fraction III (CD133- CD49f intermediate) is enriched in hormone positive cells. Dot
plots are representative of 3 independent stainings of 7 to 15 pooled fetal pancreata.
Quantitative RT-PCR gene expression analysis of Ucp2, Pdx1 and Nkx3.2 was done
in E12.5 pancreas CD45-CD31-TER119- EpCam- and EpCam+ fractions.
Quantitative RT-PCR gene expression analysis of Ucp2, Nkx3.2, Ins, Amy2, Ngn3
was done in E16.5 pancreas (CD45-CD31-TER119-) EpCam- and EpCam+ (I, II and
III) fractions. Histograms display relative quantity of expression normalized to Ppia.
Data is a pool of 3 independent experiments. * P<0.05.
Supplementary Fig. 2. Physiological parameters of the WT and Ucp2-/- neonates.
(A) WT and Ucp2-/- neonates were weighed at birth. Graph represents the mean±
S.E.M of n≥5 animals. (B) Glycemia was measured using a glucometer (in mg/dl).
Each point represents the mean of n≥5 animals ± S.E.M. (C) Pancreatic islets were
isolated one day after birth from Ucp2-/- and WT pancreata. Glucose stimulated
insulin secretion is represented. Data are expressed as average percentage of secreted
insulin. Results are representative of two independent experiments performed.
Supplementary Fig. 3. The external morphology of the WT and Ucp2-/- animals is
normal during embryonic and fetal development.
E13.5 and E16.5 WT and Ucp2-/- fetuses from the same litter were photographed
using a binocular microscope (Leica, France). Bar: 2000 µm.
Supplementary Fig. 4. The number of endocrine progenitor cells is increased in
the Ucp2-/- E16.5 pancreata.
Fetal pancreata were analyzed at E16.5. (A) NGN3 expression (in brown) was
detected by immunohistochemistry and the absolute number of NGN3-positive cells
was quantified. Arrows indicate positive nuclei. (B) The number of NGN3-positive
cells per surface of pancreas (mm2) is represented. Each point represents the mean±
S.E.M of three individual pancreata. * P<0.05. NS: not significant. Scale bar: 50 µm.
Supplementary Fig. 5. The proliferation of the progenitor cells is unaltered in the
Ucp2-/- E12.5 pancreata.
The proliferation of the PDX1+ progenitor cells was analyzed using anti-PDX1
(green) and anti-Ki67 (red) antibodies. Proliferation percentage was also quantified.
Each point represents the mean ± S.E.M of three individual pancreata. Scale bar: 50
µm.
Supplementary Fig. 6. The pancreatic ATP content is unaltered by Ucp2
deficiency.
Page 21 of 37 Diabetes
ATP was extracted from n=5 pancreatic rudiments from E13.5 and E16.5 Ucp2-/-
and
WT fetuses. Each point represents the mean ± S.E.M of five individual pancreata.
Supplementary Fig. 7. NRF2 translocation analysis.
(A) Photomicrographs showing immunohistochemical staining for NRF2 (green) and
insulin (red) on E13.5 pancreatic sections. NRF2 was found at the periphery of the
nuclei in WT pancreata while it was detected in the nuclei of the Ucp2-/- pancreata.
Arrows indicate the presence of NRF2 in the insulin-positive cells. (B)
Immunohistochemical staining for NRF2 (green) and insulin (red) on E16.5
pancreatic sections. Higher magnification shows the presence of NRF2 in the nuclei.
Arrows indicate the NRF2+ Insulin+ cells. The white dotted lines demarcate the
limits of the pancreas. (C) Quantification of the total surface of immunoreactive cells
for NRF2, and the surface of NRF2-positive cells per mm2
of pancreas surface. (D)
Quantification of protein oxidation in extracts from WT and Ucp2-/- pancreata. Each
point represents the mean ± S.E.M of five individual pancreata. * P<0.05. Scale bar:
50 µm. For higher magnification, bar: 10 µm.
Supplementary Fig. 8. The ERK1/2 pathway is not modified in the Ucp2-/-
pancreata.
(A) Protein extracts from WT and Ucp2-/- pancreata were analyzed by western blot to
quantify Phospho-ERK and Total ERK. (B) Ratio of Phospho-ERK/ERK was
quantified for each group of pancreata. Each point represents the mean ± S.E.M n=5.
Supplementary Fig. 9. Phosphorylation of AKT is activated in the Ucp2-/- E13.5
pancreata. (A) Phospho-AKT and Total AKT were analyzed by immunofluorescence
on WT and Ucp2-/- consecutive sections. Higher magnification shows increased
staining of P-AKT in the Ucp2-/-
pancreata versus WT. The white dotted lines
demarcate the limits of the pancreas. (B) The signals were quantified using ImageJ
software and the P-AKT percentage with regards to Total AKT was calculated. Each
point represents the mean ± S.E.M n=3 pancreata. Scale bar: 50 µm. For higher
magnification, scale bar: 10 µm. * P<0.05.
Supplementary Fig. 10. Phosphorylation of AKT is activated in the Ucp2-/- E16.5
pancreata. (A) Phospho-AKT and Total AKT were analyzed by immunofluorescence
on WT and Ucp2-/- consecutive sections. The signals were quantified using ImageJ
software and the P-AKT percentage with regards to Total AKT was calculated.
Higher magnification shows increased staining of P-AKT in the Ucp2-/-
pancreata
versus WT. Each point represents the mean ± S.E.M n=3 pancreata. * P<0.05. Scale
bar: 50 µm. For higher magnification, bar: 10 µm. (B) Protein extracts from WT and
Ucp2-/-
E16.5 pancreata were analyzed by western blot to quantify P-AKT and Total
AKT. Densitometry was performed and P-AKT was normalized to ß-actin and
quantified for each group of tissue. Each point represents the mean ± S.E.M of n=4. *
P<0.05. Ratio P-AKT/ Total AKT was also determined. Each point represents the
mean ± S.E.M of n=4. ** P<0.01.
Supplementary Fig. 11. NAC treatment decreases expression of nuclear NRF2
protein in the Ucp2-/- beta-cells.
Pregnant WT and Ucp2-/-
mice were treated with 10 mM NAC (drinking water) from
E12.5 to E19.5 days post-coïtum. Fetal pancreata were analyzed at E19.5. NRF2 was
detected by immunofluorescence (green) and beta-cells were detected with anti-
Page 22 of 37Diabetes
insulin (red). The NRF2+ Ins+ cell percentage of the total number of insulin-positive
cells is shown. Each point represents the mean ± S.E.M of three individual pancreata.
* P<0.05. Scale bar: 10 µm.
Supplementary Fig. 12. The proliferation of beta-cells is increased in the Ucp2-/-
E19.5 pancreata and depends on oxidative stress.
The proliferation of the beta-cells was analyzed using anti-insulin (green) and anti-
Ki67 (red) antibodies. When treated with NAC from E12.5 to E19.5, the proliferation
of beta-cells decreased in Ucp2-/- but not in WT pancreata. Each point represents the
mean ± S.E.M of three individual data pools. *** P<0.001. Scale bar: 50 µm.
Supplementary Fig. 13. The proliferation of alpha-cells is increased in the Ucp2-/-
E19.5 pancreata and decreased after NAC treatment.
The proliferation of the alpha-cells was analyzed using anti-glucagon (green) and
anti-Ki67 (red) antibodies. When treated with NAC from E12.5 to E19.5, the
proliferation of alpha-cells decreased in Ucp2-/- but not in WT pancreata. Each point
represents the mean ± S.E.M of five individual pancreata. *** P<0.001. Scale bar: 50
µm.
Supplementary Fig. 14. Fractions of alpha and beta cells in Ucp2-/- and wild type
pancreata at different developmental stages.
(A) The insulin staining percentage of the total pancreatic surface was quantified at
E16.5. Each point represents the mean ± S.E.M of five individual pancreata. (B) The
glucagon staining percentage of the total pancreatic surface was quantified. Each
point represents the mean ± S.E.M of five individual pancreata. (C-D) Percentage of
beta- and alpha-cell mass at E19.5 in Ucp2-/-
and WT pancreata treated or not with
NAC. (C) The beta-cell mass percentage of the total pancreatic mass was quantified.
Each point represents the mean ± S.E.M of five individual pancreata. (D) The alpha-
cell mass percentage of the total pancreatic mass was quantified. Each point
represents the mean ± S.E.M of five individual pancreata. (E-F) beta- (E) and alpha-
cell (F) masses normalized to pancreas weight at PN2. Each point represents the mean
± S.E.M of four individual pancreata. (F-G) beta- (F) and alpha-cell (G) masses
normalized to body weight at PN2. Each point represents the mean ± S.E.M of four
individual pancreata.
Page 23 of 37 Diabetes
190x189mm (300 x 300 DPI)
Page 24 of 37Diabetes
105x148mm (300 x 300 DPI)
Page 25 of 37 Diabetes
78x89mm (300 x 300 DPI)
Page 26 of 37Diabetes
155x123mm (300 x 300 DPI)
Page 27 of 37 Diabetes
200x68mm (300 x 300 DPI)
Page 28 of 37Diabetes
123x66mm (300 x 300 DPI)
Page 29 of 37 Diabetes
179x245mm (150 x 150 DPI)
Page 30 of 37Diabetes
89x105mm (300 x 300 DPI)
Page 31 of 37 Diabetes
184x244mm (150 x 150 DPI)
Page 32 of 37Diabetes
193x336mm (150 x 150 DPI)
Page 33 of 37 Diabetes
180x70mm (300 x 300 DPI)
Page 34 of 37Diabetes
148x185mm (150 x 150 DPI)
Page 35 of 37 Diabetes
197x91mm (150 x 150 DPI)
Page 36 of 37Diabetes
200x260mm (150 x 150 DPI)
Page 37 of 37 Diabetes