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The maintenance of intracellular Ca2 homeostasis in the pancreatic [beta]-cell is closely regulated by activity of the sarco-endoplasmic reticulum Ca2 ATPase (SERCA) pump. Our data demonstrate a loss of [beta]-cell SERCA2b expression in several models of type 2 diabetes including islets from db/db mice and cadaveric diabetic human islets. Treatment of 832/13 rat INS-1-derived cells with 25 mM glucose and the proinflammatory cytokine IL-1[beta] led to a similar loss of SERCA2b expression, which was prevented by treatment with the peroxisome proliferator-activated receptor (PPAR)-[gamma] agonist, pioglitazone. Pioglitazone was able to also protect against hyperglycemia and cytokine-induced elevations in cytosolic Ca2 levels, insulin-secretory defects, and cell death. To determine whether PPAR-[gamma] was a direct transcriptional regulator of the SERCA2 gene, luciferase assays were performed and showed that a -259 bp region is sufficient to confer PPAR-[gamma] transactivation; EMSA and chromatin immunoprecipitation experiments confirmed that PPAR-[gamma] directly binds a PPAR response element in this proximal region. We next sought to characterize the mechanisms by which SERCA2b was down-regulated. INS-1 cells were exposed to high glucose and IL-1[beta] in time course experiments. Within 2 h of exposure, activation of cyclin-dependent kinase 5 (CDK5) was observed and correlated with increased serine-273 phosphorylation of PPAR-[gamma] and loss of SERCA2 protein expression, findings that were prevented by pioglitazone and roscovitine, a pharmacological inhibitor of CDK5. We conclude that pioglitazone modulates SERCA2b expression through direct transcriptional regulation of the gene and indirectly through prevention of CDK5-induced phosphorylation of PPAR-[gamma].

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