We propose that exposure of pancreatic β-cells to high glucose, palmitate or cytokines leads to activation of Tiam1/Rac1 signaling axis culminating in the activation of Nox. This, in turn, results in generation of ROS, which adversely affect mitochondrial functions leading to loss in membrane potential thus favoring cytochrome C release into the cytosolic compartment. The latter promotes the activation of pro-apoptotic caspase 3 and associated cleavage of substrate proteins leading to the apoptotic demise of the β-cell. Inhibition of Nox by DPI appears to prevent such metabolic defects. Potential involvement of Taim1/Rac1 signaling cascade was verified by the use of NSC23766, a selective inhibitor of this pathway. It also appears that intracellularly-generated CER via the de novo pathway from palmitate mediates activation of Tiam1/Rac1 and Nox activation steps since fumonisin B1, a selective inhibitor of the ceramide biosynthesis from palmitate largely restored palmitate effects []. Furthermore, C2-CER, a cell permeable analogue of CER, mimicked palmitate effects []. It is likely that exposure of isolated β-cells to glucose also leads to intracellular accumulation of CER via activation of sphingomyelinases endogenous to the β-cell. In addition, glucose can directly activate Tiam1/Rac1 signaling pathway independent of its effects on intracellular CER levels. Our recently published evidence indicates that exposure of isolated β-cells to a mixture of cytokines [i.e., IL-1β, TNFα and IFNγ] also leads to increase in the expression of p47phox, Tiam1/Rac1 activation and metabolic dysfunction []. Together, these data appear to implicate critical regulatory roles of Tiam1/Rac1/Nox signaling steps in the metabolic dysfunction of the β-cell under the duress of various noxious stimuli.
Abbreviations used in this figure are: SMase: sphingomyelinase; Tiam1: T-lymphoma invasion and metastasis1; DPI: diphenyleneiodonium chloride.