大腸炎症がインスリン産生を促す仕組みを解明~糖尿病の新たな予防法・治療法の開発に期待~

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2025-05-09 東北大学

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東北大学の研究チームは、大腸の炎症が膵臓のインスリン産生細胞(β細胞)の増加を促す仕組みをマウス実験で解明しました。肥満や高カロリー食によって大腸に炎症が生じると、炎症性物質が肝臓に流入し、肝臓がその情報を脳や膵臓へ神経信号で伝達することで、β細胞の増殖が促進され、インスリン分泌が増加して血糖値が正常に保たれることが確認されました。さらに、肥満でなくても大腸に炎症が起こるだけで同様の仕組みが働くことが示されました。この発見は、糖尿病の新たな予防法や治療法の開発に貢献する可能性があります。研究成果は『JCI Insight』に掲載されました 。

大腸炎症がインスリン産生を促す仕組みを解明~糖尿病の新たな予防法・治療法の開発に期待~図1. β細胞を増加させ、インスリンを増やす神経信号伝達システム

<関連情報>

大腸炎症を起点とした肥満時の肝臓-膵β細胞間連関メカニズムによる膵β細胞増殖 Colonic inflammation triggers β cell proliferation during obesity development via a liver-to-pancreas interorgan mechanism

Haremaru Kubo, Junta Imai, Tomohito Izumi, Masato Kohata, Yohei Kawana, Akira Endo, Hiroto Sugawara, Junro Seike, Takahiro Horiuchi, Hiroshi Komamura, Toshihiro Sato, Shinichiro Hosaka, Yoichiro Asai, Shinjiro Kodama, Kei Takahashi, Keizo Kaneko, and Hideki Katagiri
JCI Insight  Published: May 8, 2025
DOI:https://doi.org/10.1172/jci.insight.183864

Abstract

Under insulin-resistant conditions, such as obesity, pancreatic β cells adaptively proliferate and secrete more insulin to prevent blood glucose elevation. We previously reported hepatic ERK activation during obesity development to stimulate a neuronal relay system, consisting of afferent splanchnic nerves from the liver and efferent vagal nerves to the pancreas, thereby triggering adaptive β cell proliferation. However, the mechanism linking obesity with the interorgan system originating in hepatic ERK activation remains unclear. Herein, we clarified that colonic inflammation promotes β cell proliferation through this interorgan system from the liver to the pancreas. First, dextran sodium sulfate (DSS) treatment induced colonic inflammation and hepatic ERK activation as well as β cell proliferation, all of which were suppressed by blockades of the neuronal relay system by several approaches. In addition, treatment with anti–lymphocyte Peyer’s patch adhesion molecule-1 (anti-LPAM1) antibody suppressed β cell proliferation induced by DSS treatment. Importantly, high-fat diet (HFD) feeding also elicited colonic inflammation, and its inhibition by anti-LPAM1 antibody administration suppressed hepatic ERK activation and β cell proliferation induced by HFD. Thus, colonic inflammation triggers adaptive β cell proliferation via the interorgan mechanism originating in hepatic ERK activation. The present study revealed a potentially novel role of the gastrointestinal tract in the maintenance of β cell regulation.

医療・健康
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