DM is a metabolic disease characterized by a high blood glucose level. The morbidity of DM in adults has continued to increase. Many studies have reported a close relationship between inflammation and DM. The inflammasome NLRP3 can be activated by metabolic signaling molecules such as glucose and saturated fatty acids. Once NLRP3 is activated, cells secrete a large number of pro-inflammatory cytokines, which affect glucose tolerance and insulin resistance, leading to DM progression. In addition, a high level of IL-1β may reduce insulin sensitivity in obese individuals[9, 10]. In our study, we used STZ to stimulate MIN6 cells to establish a DM model. We found that STZ stimulation could significantly reduce the level of insulin secretion in MIN6 cells (p < 0.001) and increase the levels of inflammatory factors IL-18 and IL-1β in the cell supernatant (p < 0.001), suggesting that inflammation is involved in the development of DM. Long-term chronic inflammation can damage pancreatic β cells and affect insulin secretion.
During pyroptosis, NLRP3 inflammasome is activated by pathogen-related and damage-related molecular patterns. Once activated, NLRP3 promotes polymerization of the adaptor protein ASC, recruits caspase-1, and promotes the dimerization and activation of caspase-1. Activated caspase-1 cleaves the precursors of IL-18 and IL-1β and activates GSDMD. Activated GSDMD binds to the plasma membrane to form pores, thereby triggering a series of inflammatory cascades[11, 12]. As a nuclear transcription factor with extensive biological activity, NF-κB regulates the expression of multiple genes, such as those encoding for cytokines, transcription factors, and oxidative stress-related enzymes. It is also involved in a variety processes of pathological processes, such as inflammation, oxidative stress, and apoptosis. Some studies have found that the NF-κB signaling pathway is closely related to inflammation and affects insulin resistance[13, 14]. In our study, we found that STZ stimulation can upregulate the expression levels of NF-κB, NLRP3, GSDMD, and caspase-1 (p < 0.01), as well as promote the release of LDH, IL-18, and IL-1β (p < 0.01). And we found the same trend in vivo experiments. This suggested that pyroptosis affects the development of DM. Pyroptosis increases the release of inflammatory factors and cell contents, thereby promoting the inflammatory response, affecting the function of pancreatic β cells, and aggravating DM.
VD can protect cells from oxidative damage mediated by hyperglycemia in DM. Some epidemiological studies have shown that circulating 1,25(OH)2D3 levels are negatively correlated with the occurrence of DM[15, 16]. Other studies have reported that VD has anti-inflammatory effects mediated by an altered balance between pro- and anti-inflammatory cytokines, thereby limiting metabolic inflammation[17]. However, the correlation between VD and DM needs further research. In vivo and vitro, we explored the relationship between 1,25(OH)2D3 and diabetic pyroptosis and found that 1,25(OH)2D3 treatment can increase insulin secretion from damaged cells (p < 0.05) as well as downregulate the increased expression of pyroptosis-related proteins (NF-κB, NLRP3, GSDMD, and caspase-1) (p < 0.001) caused by STZ stimulation. It can also decrease the release of LDH and inflammatory factors (IL-18 and IL-1β) from the cell supernatant (p < 0.01), suggesting that 1,25(OH)2D3 inhibits pyroptosis, reduces the release of inflammatory factors, and protects the pancreatic β cells. HE staining results found that the degree of pancreatic tissue damage decreased after 1,25(OH)2D3 intervention.
Furthermore, we explored the effects of 1,25(OH)2D3 on pyroptosis by transfecting MIN6 cells with GSDMD siRNA and use GSDMD-/- mice to make T2DM model. We found that the inhibition of GSDMD expression downregulated the expression levels of NF-κB and NLRP3 proteins and significantly reduced the increased release of inflammatory factors caused by STZ stimulation. GSDMD is an executor of pyroptosis. Inhibiting the expression of GSDMD can prevent the formation of pores in the cell plasma membranes, prevent the leakage of cell contents and inflammatory factors, and reduce cell damage. Interestingly, inhibiting the expression of GSDMD led to an increased expression level of caspase-1, with no significant difference between the groups. Therefore, STZ acts on GSDMD to induce pyroptosis in vitro. Inhibiting the expression of GSDMD leads to reduced expression level of inflammasomes and pyroptosis. However, the increased level of caspase-1 suggests that the inhibition of pyroptosis activates the apoptosis signaling pathway. This needs to be studied further.
In summary, STZ stimulation damages pancreatic β cells and induces pyroptosis. It promotes the formation of pores in the plasma membrane, upregulates the protein expression levels of NLRP3, NF-κB, caspase-1, and GSDMD in the pyroptosis signaling pathway, and increases the release of inflammatory factors. Treatment with 1,25(OH)2D3 reduces cell damage caused by STZ stimulation. It can downregulate the protein expression levels of NLRP3, NF-κB, caspase-1, and GSDMD in the pyroptosis signaling pathway, reduce the release level of inflammatory factors, and inhibit pyroptosis. Our experiments have demonstrated that pyroptosis is involved in the development of DM, and 1,25(OH)2D3 plays an important role in DM by acting on the canonical pyroptosis pathway. In addition, 1,25(OH)2D3 inhibits the expression of pyroptosis-related proteins and inflammatory factors to protect the pancreatic β cells and increase insulin secretion.