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C

Annexin V

7AAD

% of Annexin V

+

cells

in INS-GFP

+

cells

D

A

palm ctrl-p glu ctrl-g

wt-#1

wt-#2

CDKAL1

-/-

-#1

CDKAL1

-/-

-#2

B

n.s

% of PI

+

INS

+

cells

in INS

+

cells

ctrl-g glu ctrl-p palm

PI

insulin

DAPI

wt

wt-#1

CDKAL1

-/-

-

#1

wt-#1

CDKAL1

-/-

-#1

ctrl-p

palm

E

F

palm ctrl-p glu ctrl-g

22.2 22.9 22.8 20.9

42.2 42.0 60.4 57.9

n.s

****

****

n.s

ctrl-g glu ctrl-p palm

wt

CDKAL1

-/-

n.s

**

***

19.9 19.3 20.1 19.3

38.0 39.5 53.2 52.7

CDKAL1

-/-

wt-#1

wt-#2

CDKAL1

-/-

-#1

CDKAL1

-/-

-#2

Figure 3.

CDKAL1

–/–

Insulin-GFP

+

Cells Are Hypersensitive to Glucotoxicity and Lipotoxicity

(A and B) Immunocytochemistry analysis (A) and quantification of the percentage (B) of PI

+

/insulin

+

cells in wt or

CDKAL1

/

insulin

+

cells cultured in the presence

of 2 mM D-glucose (ctrl-g), 35 mM D-glucose (glu), no palmitate (ctrl-p), or 1 mM palmitate (palm). PI

+

/insulin

+

cells are highlighted by arrows.

(C and D) Flow cytometry analysis (C) and quantification of the percentage (D) of annexin V

+

cells in wt and

CDKAL1

/

insulin-GFP

+

cells cultured as in (A).

(E) Heatmap representing the expression profiles of ER-stress-related genes comparing wt and

CDKAL1

/

insulin

+

cells cultured in the absence or presence of

1 mM palmitate.

(F) Ingenuity pathway analysis of genes that are >2-fold upregulated in

CDKAL1

/

insulin

+

cells cultured in the presence of 1 mM palmitate.

INS, insulin; PI, propidium iodide. n = 3 independent biological replicates. n.s. indicates a non-significant difference. Clones no. 1 and no. 2 are two independent

isogenic hESC clones carrying different frameshift mutations. hESCs were differentiated using protocol 2. p values calculated by unpaired two-tailed Student’s

t test were *p < 0.05, **p < 0.01, ***p < 0.001, and ****p < 0.0001. The scale bar represents 100

m

m. See also Figure S3.

Cell Stem Cell

19

, 326–340, September 1, 2016

331