Project Summary/Abstract
Cadmium (Cd) is a ubiquitous environmental and industrial pollutant that currently ranks seventh on the US
EPA/ATSDR Priority List of Hazardous Substances and is a known human carcinogen that causes kidney, liver
and bone damage. Cd is associated with diabetes mellitus (DM) and prediabetes in epidemiological and
experimental studies. In a study of the US population, 25% of individuals that were diabetic or prediabetic had
elevated urinary Cd levels. It is unknown how Cd disrupts blood glucose levels. However, Cd exposure is
associated with low serum insulin levels in individuals with occupational exposure and Cd has been shown to
impair glucose-stimulated insulin secretion in animal studies. For a large subsection of patients with DM impaired
glucose-stimulated insulin, secretion occurs in the progression of type II DM. The overall aim of the proposed
project is to determine the mechanism by which Cd causes impaired glucose-stimulated insulin release. Normal
insulin secretion and pancreatic ß-cell function are dependent upon cell-cell adhesion; especially important is
the role of the calcium-dependent cell adhesion molecule, E-cadherin. Cd has been shown to disrupt E-cadherin
mediated cell-cell adhesion in the kidney. Initial studies will establish a range of doses and duration of exposure
of Cd that result in necrotic and/or apoptotic cell death in isolated islets and the pancreatic ß-cell line, MIN6.
Subsequent studies will be determined if impaired glucose-stimulated insulin release is a response to a
generalized Cd-induced oxidative stress response or altered energy status (ADP/ATP) at doses and durations
of exposure below those that cause cell death. Live cell imaging studies will be utilized with sensitive
fluorophores to detect changes in the production of mediators of oxidative stress. Studies outlined in Aim two
will determine the ability of Cd to cause loss of E-cadherin mediated cell-cell adhesion in relation to glucose-
stimulated insulin release in isolated islets and the MIN6 cell line. Additional studies will examine the effects of
E-cadherin antibodies that bind to the extracellular domain and siRNA of E-cadherin to experimentally disrupt
cell-cell adhesion to determine if there are synergistic effects of Cd on inhibiting glucose-stimulated insulin
release. Aim three will determine if Cd causes voltage-gated calcium channel blockade resulting in subsequent
impaired glucose-stimulated insulin release in isolated islets and MIN6 cells. Additional studies will determine if
there are synergistic effects of Cd to impair glucose-stimulated insulin release in the presence or absence of the
L-type voltage-gated calcium channel blockers. Also, live cell imaging will be utilized with fluorophores that
selectively detect changes of intracellular Cd, zinc or calcium. In Aims two and three, in vivo studies using a
well-characterized model of long term Cd poisoning will be used to verify the in vitro findings. Overall, these
studies will identify the mechanism of the diabetogenic effects of Cd, a widespread environmental contaminant
that is associated with DM and prediabetes.