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  1. Article ; Online: Pro-inflammatory cytokines induce cell death, inflammatory responses, and endoplasmic reticulum stress in human iPSC-derived beta cells.

    Demine, Stéphane / Schiavo, Andrea Alex / Marín-Cañas, Sandra / Marchetti, Piero / Cnop, Miriam / Eizirik, Decio L

    Stem cell research & therapy

    2020  Volume 11, Issue 1, Page(s) 7

    Abstract: Background: Adult human pancreatic beta cells are the "gold standard" for studies on diabetes pathogenesis, but their use is limited by insufficient availability and variable quality. An important effort has recently taken place to differentiate beta ... ...

    Abstract Background: Adult human pancreatic beta cells are the "gold standard" for studies on diabetes pathogenesis, but their use is limited by insufficient availability and variable quality. An important effort has recently taken place to differentiate beta cells from human induced pluripotent stem cells (iPSCs) and validate their use for diabetes research. We presently used a 7-stage protocol to generate beta cells from human iPSC and evaluated whether these cells are responsive to the pro-inflammatory cytokines (IFNγ, IL-1β, or IFNα) that play a role in type 1 diabetes.
    Methods: The iPSC-derived islet-like cell clusters contained 40-50% beta and 10-15% alpha cells and expressed the receptors for IFNγ, IL-1β, or IFNα. Cells were exposed to either IFNγ (1000 U/mL) + IL-1β (50 U/mL) or IFNα alone (2000 U/mL) for 24/48 h. Apoptosis was quantified using Hoechst/propidium iodide staining or the RealTime Glo Apoptosis Kit (Promega). After treatment, CXCL10 secretion was quantified by ELISA. The expression of multiples genes (Ins, Gcg, Nkx2.2, Nkx6.1, Pdx1, Mafa, BiP, Chop, Atf3, CXCL10, CXCL9, CCL5, and HLA-ABC) was quantified by RT-qPCR. Phosphorylation state and total expression of STAT1/STAT2, as well as expression of PDL1 and of the ER chaperone BiP, were quantified by Western blotting. The co-localization of HLA-ABC or cleaved caspase-3 and Ins/Gcg expression was assessed by immunohistochemistry. The presence of HLA-ABC at the plasma membrane was measured by flow cytometry.
    Results: IFNγ + IL-1β and IFNα induced apoptosis of the cells after 48 h of exposure. Cleaved caspase-3 co-localized mostly but not exclusively with Ins+ cells. Exposure to IFNγ + IL-1β induced a pro-inflammatory phenotype, including increased CXCL10, CXCL9, and CCL5 expression; CXCL10 secretion; and HLA-ABC expression. HLA overexpression was confirmed at the protein level by Western blotting and flow cytometry. Exposure to IFNγ + IL-1β (but not IFNα) also induced beta cell dedifferentiation and endoplasmic reticulum stress (increase in BiP, Chop, and Atf3 mRNA expression). Phosphorylation of STAT1 was stimulated already after 1 h by IFNγ + IL-1β and IFNα, while phosphorylation of STAT2 was only activated by IFNα at 1-4 h. PDL1 expression was increased by both IFNγ + IL-1β and IFNα.
    Conclusions: Our data show that human iPSC-derived beta cells respond to pro-inflammatory cytokines IL-1β + IFNγ and IFNα, by activating the same pathogenic processes as adult human primary beta cells. These cells thus represent a valuable tool for future research on the pathogenesis of type 1 diabetes.
    MeSH term(s) Cell Death ; Cytokines/adverse effects ; Endoplasmic Reticulum Stress ; Humans ; Induced Pluripotent Stem Cells/metabolism ; Insulin-Secreting Cells/pathology
    Chemical Substances Cytokines
    Language English
    Publishing date 2020-01-03
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2548671-8
    ISSN 1757-6512 ; 1757-6512
    ISSN (online) 1757-6512
    ISSN 1757-6512
    DOI 10.1186/s13287-019-1523-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Inhibition of the type 1 diabetes candidate gene PTPN2 aggravates TNF-α-induced human beta cell dysfunction and death.

    Roca-Rivada, Arturo / Marín-Cañas, Sandra / Colli, Maikel L / Vinci, Chiara / Sawatani, Toshiaki / Marselli, Lorella / Cnop, Miriam / Marchetti, Piero / Eizirik, Decio L

    Diabetologia

    2023  Volume 66, Issue 8, Page(s) 1544–1556

    Abstract: Aims/hypothesis: TNF-α plays a role in pancreatic beta cell loss in type 1 diabetes mellitus. In clinical interventions, TNF-α inhibition preserves C-peptide levels in early type 1 diabetes. In this study we evaluated the crosstalk of TNF-α, as compared ...

    Abstract Aims/hypothesis: TNF-α plays a role in pancreatic beta cell loss in type 1 diabetes mellitus. In clinical interventions, TNF-α inhibition preserves C-peptide levels in early type 1 diabetes. In this study we evaluated the crosstalk of TNF-α, as compared with type I IFNs, with the type 1 diabetes candidate gene PTPN2 (encoding protein tyrosine phosphatase non-receptor type 2 [PTPN2]) in human beta cells.
    Methods: EndoC-βH1 cells, dispersed human pancreatic islets or induced pluripotent stem cell (iPSC)-derived islet-like cells were transfected with siRNAs targeting various genes (siCTRL, siPTPN2, siJNK1, siJNK3 or siBIM). Cells were treated for 48 h with IFN-α (2000 U/ml) or TNF-α (1000 U/ml). Cell death was evaluated using Hoechst 33342 and propidium iodide staining. mRNA levels were assessed by quantitative reverse transcription PCR (qRT-PCR) and protein expression by immunoblot.
    Results: PTPN2 silencing sensitised beta cells to cytotoxicity induced by IFN-α and/or TNF-α by 20-50%, depending on the human cell model utilised; there was no potentiation between the cytokines. We silenced c-Jun N-terminal kinase (JNK)1 or Bcl-2-like protein 2 (BIM), and this abolished the proapoptotic effects of IFN-α, TNF-α or the combination of both after PTPN2 inhibition. We further observed that PTPN2 silencing increased TNF-α-induced JNK1 and BIM phosphorylation and that JNK3 is necessary for beta cell resistance to IFN-α cytotoxicity.
    Conclusions/interpretation: We show that the type 1 diabetes candidate gene PTPN2 is a key regulator of the deleterious effects of TNF-α in human beta cells. It is conceivable that people with type 1 diabetes carrying risk-associated PTPN2 polymorphisms may particularly benefit from therapies inhibiting TNF-α.
    MeSH term(s) Humans ; Tumor Necrosis Factor-alpha/pharmacology ; Tumor Necrosis Factor-alpha/metabolism ; Diabetes Mellitus, Type 1/genetics ; Diabetes Mellitus, Type 1/metabolism ; Protein Tyrosine Phosphatase, Non-Receptor Type 2/genetics ; Protein Tyrosine Phosphatase, Non-Receptor Type 2/metabolism ; Protein Tyrosine Phosphatase, Non-Receptor Type 2/pharmacology ; Cytokines/metabolism ; Cell Death ; Insulin-Secreting Cells/metabolism ; Interferon-alpha/pharmacology
    Chemical Substances Tumor Necrosis Factor-alpha ; Protein Tyrosine Phosphatase, Non-Receptor Type 2 (EC 3.1.3.48) ; Cytokines ; Interferon-alpha ; PTPN2 protein, human (EC 3.1.3.48)
    Language English
    Publishing date 2023-03-29
    Publishing country Germany
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1694-9
    ISSN 1432-0428 ; 0012-186X
    ISSN (online) 1432-0428
    ISSN 0012-186X
    DOI 10.1007/s00125-023-05908-5
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  3. Article ; Online: Transcription and splicing regulation by NLRC5 shape the interferon response in human pancreatic β cells.

    Szymczak, Florian / Alvelos, Maria Inês / Marín-Cañas, Sandra / Castela, Ângela / Demine, Stéphane / Colli, Maikel Luis / Op de Beeck, Anne / Thomaidou, Sofia / Marselli, Lorella / Zaldumbide, Arnaud / Marchetti, Piero / Eizirik, Décio L

    Science advances

    2022  Volume 8, Issue 37, Page(s) eabn5732

    Abstract: IFNα is a key regulator of the dialogue between pancreatic β cells and the immune system in early type 1 diabetes (T1D). IFNα up-regulates HLA class I expression in human β cells, fostering autoantigen presentation to the immune system. We observed by ... ...

    Abstract IFNα is a key regulator of the dialogue between pancreatic β cells and the immune system in early type 1 diabetes (T1D). IFNα up-regulates HLA class I expression in human β cells, fostering autoantigen presentation to the immune system. We observed by bulk and single-cell RNA sequencing that exposure of human induced pluripotent-derived islet-like cells to IFNα induces expression of HLA class I and of other genes involved in antigen presentation, including the transcriptional activator NLRC5. We next evaluated the global role of NLRC5 in human insulin-producing EndoC-βH1 and human islet cells by RNA sequencing and targeted gene/protein determination. NLRC5 regulates expression of HLA class I, antigen presentation-related genes, and chemokines. NLRC5 also mediates the effects of IFNα on alternative splicing, a generator of β cell neoantigens, suggesting that it is a central player of the effects of IFNα on β cells that contribute to trigger and amplify autoimmunity in T1D.
    MeSH term(s) Alternative Splicing ; Diabetes Mellitus, Type 1/genetics ; Diabetes Mellitus, Type 1/metabolism ; Humans ; Insulin-Secreting Cells ; Interferon-alpha/pharmacology ; Intracellular Signaling Peptides and Proteins/metabolism ; Islets of Langerhans/metabolism ; Transcription, Genetic
    Chemical Substances Interferon-alpha ; Intracellular Signaling Peptides and Proteins ; NLRC5 protein, human
    Language English
    Publishing date 2022-09-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2810933-8
    ISSN 2375-2548 ; 2375-2548
    ISSN (online) 2375-2548
    ISSN 2375-2548
    DOI 10.1126/sciadv.abn5732
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  4. Article ; Online: Pancreatic ductal cells may have a negative effect on human islet transplantation.

    Marín-Cañas, Sandra / Estil Les, Elisabet / Llado, Laura / San José, Patricia / Nacher, Montserrat / Téllez, Noèlia / Montanya, Eduard

    PloS one

    2019  Volume 14, Issue 7, Page(s) e0220064

    Abstract: Aim: To evaluate the effect of pancreatic ductal cells on experimental human islet transplantation.: Materials and methods: Isolated islets were additionally purified by handpicking. Ductal cells were purified by magnetic cell sorting and then ... ...

    Abstract Aim: To evaluate the effect of pancreatic ductal cells on experimental human islet transplantation.
    Materials and methods: Isolated islets were additionally purified by handpicking. Ductal cells were purified by magnetic cell sorting and then clustered into ductal pancreatospheres (DPS). Islets, DPS, and islets + DPS (100 islets + 75 DPS, or 100 islets + 200 DPS) were cultured and glucose-stimulated insulin secretion, β-cell apoptosis, and gene expression was determined. Islets and islets + DPS preparations (800 islets + 600 DPS) were transplanted to streptozotocin-treated immunodeficient mice and glycemia, graft morphometry, and gene expression were determined.
    Results: Insulin stimulation index was higher in islets than in islets co-cultured with DPS (5.59 ± 0.93 vs 4.02 ± 0.46; p<0.05). IL1B and CXCL11 expression was higher in 100 islets + 200 DPS than in islets (p<0.01), and IL-1β was detected in supernatants collected from DPS and islets + DPS preparations, but not in islets. Hyperglycemia developed in 33% and 67% of mice transplanted with islets or with islets + DPS respectively. β-cell mass was 26% lower in islets + DPS than in islets grafts (p>0.05), and the ratio β-/endocrine non-β-cell mass was lower in islets + DPS grafts (islets: 2.05 ± 0.18, islets + DPS: 1.35 ± 0.15; p<0.01). IL1B and IL1RN expression was significantly higher in islets + DPS grafts.
    Conclusions: Islet preparations enriched with ductal cells have a lower insulin stimulation index in vitro and achieved a worse metabolic outcome after transplantation. Inflammation may mediate the deleterious effects of ductal cells on islet cells.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Animals ; Apoptosis ; Biomarkers ; Female ; Gene Expression ; Glucose/metabolism ; Humans ; Insulin/metabolism ; Insulin-Secreting Cells/metabolism ; Islets of Langerhans/cytology ; Islets of Langerhans/metabolism ; Islets of Langerhans Transplantation/adverse effects ; Islets of Langerhans Transplantation/methods ; Male ; Mice ; Middle Aged ; Pancreatic Ducts/cytology
    Chemical Substances Biomarkers ; Insulin ; Glucose (IY9XDZ35W2)
    Language English
    Publishing date 2019-07-19
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0220064
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  5. Article ; Online: Interferons are key cytokines acting on pancreatic islets in type 1 diabetes.

    Coomans de Brachène, Alexandra / Alvelos, Maria Ines / Szymczak, Florian / Zimath, Priscila L / Castela, Angela / Marmontel de Souza, Bianca / Roca Rivada, Arturo / Marín-Cañas, Sandra / Yi, Xiaoyan / Op de Beeck, Anne / Morgan, Noel G / Sonntag, Sebastian / Jawurek, Sayro / Title, Alexandra C / Yesildag, Burcak / Pattou, François / Kerr-Conte, Julie / Montanya, Eduard / Nacher, Montserrat /
    Marselli, Lorella / Marchetti, Piero / Richardson, Sarah J / Eizirik, Decio L

    Diabetologia

    2024  Volume 67, Issue 5, Page(s) 908–927

    Abstract: Aims/hypothesis: The proinflammatory cytokines IFN-α, IFN-γ, IL-1β and TNF-α may contribute to innate and adaptive immune responses during insulitis in type 1 diabetes and therefore represent attractive therapeutic targets to protect beta cells. However, ...

    Abstract Aims/hypothesis: The proinflammatory cytokines IFN-α, IFN-γ, IL-1β and TNF-α may contribute to innate and adaptive immune responses during insulitis in type 1 diabetes and therefore represent attractive therapeutic targets to protect beta cells. However, the specific role of each of these cytokines individually on pancreatic beta cells remains unknown.
    Methods: We used deep RNA-seq analysis, followed by extensive confirmation experiments based on reverse transcription-quantitative PCR (RT-qPCR), western blot, histology and use of siRNAs, to characterise the response of human pancreatic beta cells to each cytokine individually and compared the signatures obtained with those present in islets of individuals affected by type 1 diabetes.
    Results: IFN-α and IFN-γ had a greater impact on the beta cell transcriptome when compared with IL-1β and TNF-α. The IFN-induced gene signatures have a strong correlation with those observed in beta cells from individuals with type 1 diabetes, and the level of expression of specific IFN-stimulated genes is positively correlated with proteins present in islets of these individuals, regulating beta cell responses to 'danger signals' such as viral infections. Zinc finger NFX1-type containing 1 (ZNFX1), a double-stranded RNA sensor, was identified as highly induced by IFNs and shown to play a key role in the antiviral response in beta cells.
    Conclusions/interpretation: These data suggest that IFN-α and IFN-γ are key cytokines at the islet level in human type 1 diabetes, contributing to the triggering and amplification of autoimmunity.
    MeSH term(s) Humans ; Cytokines/metabolism ; Diabetes Mellitus, Type 1/metabolism ; Interferons/metabolism ; Tumor Necrosis Factor-alpha/metabolism ; Interferon-gamma/metabolism ; Islets of Langerhans/metabolism
    Chemical Substances Cytokines ; Interferons (9008-11-1) ; Tumor Necrosis Factor-alpha ; Interferon-gamma (82115-62-6)
    Language English
    Publishing date 2024-02-26
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1694-9
    ISSN 1432-0428 ; 0012-186X
    ISSN (online) 1432-0428
    ISSN 0012-186X
    DOI 10.1007/s00125-024-06106-7
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  6. Article ; Online: GLP-1R agonists demonstrate potential to treat Wolfram syndrome in human preclinical models.

    Gorgogietas, Vyron / Rajaei, Bahareh / Heeyoung, Chae / Santacreu, Bruno J / Marín-Cañas, Sandra / Salpea, Paraskevi / Sawatani, Toshiaki / Musuaya, Anyishai / Arroyo, María N / Moreno-Castro, Cristina / Benabdallah, Khadija / Demarez, Celine / Toivonen, Sanna / Cosentino, Cristina / Pachera, Nathalie / Lytrivi, Maria / Cai, Ying / Carnel, Lode / Brown, Cris /
    Urano, Fumihiko / Marchetti, Piero / Gilon, Patrick / Eizirik, Decio L / Cnop, Miriam / Igoillo-Esteve, Mariana

    Diabetologia

    2023  Volume 66, Issue 7, Page(s) 1306–1321

    Abstract: Aims/hypothesis: Wolfram syndrome is a rare autosomal recessive disorder caused by pathogenic variants in the WFS1 gene. It is characterised by insulin-dependent diabetes mellitus, optic nerve atrophy, diabetes insipidus, hearing loss and ... ...

    Abstract Aims/hypothesis: Wolfram syndrome is a rare autosomal recessive disorder caused by pathogenic variants in the WFS1 gene. It is characterised by insulin-dependent diabetes mellitus, optic nerve atrophy, diabetes insipidus, hearing loss and neurodegeneration. Considering the unmet treatment need for this orphan disease, this study aimed to evaluate the therapeutic potential of glucagon-like peptide 1 receptor (GLP-1R) agonists under wolframin (WFS1) deficiency with a particular focus on human beta cells and neurons.
    Methods: The effect of the GLP-1R agonists dulaglutide and exenatide was examined in Wfs1 knockout mice and in an array of human preclinical models of Wolfram syndrome, including WFS1-deficient human beta cells, human induced pluripotent stem cell (iPSC)-derived beta-like cells and neurons from control individuals and individuals affected by Wolfram syndrome, and humanised mice.
    Results: Our study shows that the long-lasting GLP-1R agonist dulaglutide reverses impaired glucose tolerance in WFS1-deficient mice, and that exenatide and dulaglutide improve beta cell function and prevent apoptosis in different human WFS1-deficient models including iPSC-derived beta cells from people with Wolfram syndrome. Exenatide improved mitochondrial function, reduced oxidative stress and prevented apoptosis in Wolfram syndrome iPSC-derived neural precursors and cerebellar neurons.
    Conclusions/interpretation: Our study provides novel evidence for the beneficial effect of GLP-1R agonists on WFS1-deficient human pancreatic beta cells and neurons, suggesting that these drugs may be considered as a treatment for individuals with Wolfram syndrome.
    MeSH term(s) Humans ; Animals ; Mice ; Wolfram Syndrome/drug therapy ; Wolfram Syndrome/genetics ; Exenatide/therapeutic use ; Induced Pluripotent Stem Cells ; Optic Atrophy/pathology ; Insulin-Secreting Cells/pathology ; Mice, Knockout
    Chemical Substances Exenatide (9P1872D4OL)
    Language English
    Publishing date 2023-03-30
    Publishing country Germany
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 1694-9
    ISSN 1432-0428 ; 0012-186X
    ISSN (online) 1432-0428
    ISSN 0012-186X
    DOI 10.1007/s00125-023-05905-8
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  7. Article ; Online: A functional genomic approach to identify reference genes for human pancreatic beta cell real-time quantitative RT-PCR analysis.

    Alvelos, Maria Inês / Szymczak, Florian / Castela, Ângela / Marín-Cañas, Sandra / de Souza, Bianca Marmontel / Gkantounas, Ioannis / Colli, Maikel / Fantuzzi, Federica / Cosentino, Cristina / Igoillo-Esteve, Mariana / Marselli, Lorella / Marchetti, Piero / Cnop, Miriam / Eizirik, Décio L

    Islets

    2021  Volume 13, Issue 3-4, Page(s) 51–65

    Abstract: Exposure of human pancreatic beta cells to pro-inflammatory cytokines or metabolic stressors is used to model events related to type 1 and type 2 diabetes, respectively. Quantitative real-time PCR is commonly used to quantify changes in gene expression. ... ...

    Abstract Exposure of human pancreatic beta cells to pro-inflammatory cytokines or metabolic stressors is used to model events related to type 1 and type 2 diabetes, respectively. Quantitative real-time PCR is commonly used to quantify changes in gene expression. The selection of the most adequate reference gene(s) for gene expression normalization is an important pre-requisite to obtain accurate and reliable results. There are no universally applicable reference genes, and the human beta cell expression of commonly used reference genes can be altered by different stressors. Here we aimed to identify the most stably expressed genes in human beta cells to normalize quantitative real-time PCR gene expression.We used comprehensive RNA-sequencing data from the human pancreatic beta cell line EndoC-βH1, human islets exposed to cytokines or the free fatty acid palmitate in order to identify the most stably expressed genes. Genes were filtered based on their level of significance (adjusted
    MeSH term(s) Genomics/methods ; Humans ; Insulin-Secreting Cells/metabolism ; Real-Time Polymerase Chain Reaction ; Reverse Transcriptase Polymerase Chain Reaction
    Language English
    Publishing date 2021-07-09
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1938-2022
    ISSN (online) 1938-2022
    DOI 10.1080/19382014.2021.1948282
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  8. Article ; Online: NR5A2/LRH-1 regulates the PTGS2-PGE

    Martin Vázquez, Eugenia / Cobo-Vuilleumier, Nadia / Araujo Legido, Raquel / Marín-Cañas, Sandra / Nola, Emanuele / Dorronsoro, Akaitz / López Bermudo, Lucia / Crespo, Alejandra / Romero-Zerbo, Silvana Y / García-Fernández, Maria / Martin Montalvo, Alejandro / Rojas, Anabel / Comaills, Valentine / Bérmudez-Silva, Francisco J / Gannon, Maureen / Martin, Franz / Eizirik, Decio / Lorenzo, Petra I / Gauthier, Benoit R

    iScience

    2022  Volume 25, Issue 5, Page(s) 104345

    Abstract: LRH-1/NR5A2 is implicated in islet morphogenesis postnatally, and its activation using the agonist BL001 protects islets against apoptosis, reverting hyperglycemia in mouse models of Type 1 Diabetes Mellitus. Islet transcriptome profiling revealed that ... ...

    Abstract LRH-1/NR5A2 is implicated in islet morphogenesis postnatally, and its activation using the agonist BL001 protects islets against apoptosis, reverting hyperglycemia in mouse models of Type 1 Diabetes Mellitus. Islet transcriptome profiling revealed that the expression of PTGS2/COX2 is increased by BL001. Herein, we sought to define the role of LRH-1 in postnatal islet morphogenesis and chart the BL001 mode of action conferring beta cell protection. LRH-1 ablation within developing beta cells impeded beta cell proliferation, correlating with mouse growth retardation, weight loss, and hypoglycemia leading to lethality. LRH-1 deletion in adult beta cells abolished the BL001 antidiabetic action, correlating with beta cell destruction and blunted
    Language English
    Publishing date 2022-05-02
    Publishing country United States
    Document type Journal Article
    ISSN 2589-0042
    ISSN (online) 2589-0042
    DOI 10.1016/j.isci.2022.104345
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  9. Article ; Online: DNAJC3 deficiency induces β-cell mitochondrial apoptosis and causes syndromic young-onset diabetes.

    Lytrivi, Maria / Senée, Valérie / Salpea, Paraskevi / Fantuzzi, Federica / Philippi, Anne / Abdulkarim, Baroj / Sawatani, Toshiaki / Marín-Cañas, Sandra / Pachera, Nathalie / Degavre, Anne / Singh, Pratibha / Derbois, Céline / Lechner, Doris / Ladrière, Laurence / Igoillo-Esteve, Mariana / Cosentino, Cristina / Marselli, Lorella / Deleuze, Jean-François / Marchetti, Piero /
    Eizirik, Décio L / Nicolino, Marc / Chaussenot, Annabelle / Julier, Cécile / Cnop, Miriam

    European journal of endocrinology

    2021  Volume 184, Issue 3, Page(s) 455–468

    Abstract: Objective: DNAJC3, also known as P58IPK, is an Hsp40 family member that interacts with and inhibits PKR-like ER-localized eIF2α kinase (PERK). Dnajc3 deficiency in mice causes pancreatic β-cell loss and diabetes. Loss-of-function mutations in DNAJC3 ... ...

    Abstract Objective: DNAJC3, also known as P58IPK, is an Hsp40 family member that interacts with and inhibits PKR-like ER-localized eIF2α kinase (PERK). Dnajc3 deficiency in mice causes pancreatic β-cell loss and diabetes. Loss-of-function mutations in DNAJC3 cause early-onset diabetes and multisystemic neurodegeneration. The aim of our study was to investigate the genetic cause of early-onset syndromic diabetes in two unrelated patients, and elucidate the mechanisms of β-cell failure in this syndrome.
    Methods: Whole exome sequencing was performed and identified variants were confirmed by Sanger sequencing. DNAJC3 was silenced by RNAi in INS-1E cells, primary rat β-cells, human islets, and induced pluripotent stem cell-derived β-cells. β-cell function and apoptosis were assessed, and potential mediators of apoptosis examined.
    Results: The two patients presented with juvenile-onset diabetes, short stature, hypothyroidism, neurodegeneration, facial dysmorphism, hypoacusis, microcephaly and skeletal bone deformities. They were heterozygous compound and homozygous for novel loss-of-function mutations in DNAJC3. DNAJC3 silencing did not impair insulin content or secretion. Instead, the knockdown induced rat and human β-cell apoptosis and further sensitized cells to endoplasmic reticulum stress, triggering mitochondrial apoptosis via the pro-apoptototic Bcl-2 proteins BIM and PUMA.
    Conclusions: This report confirms previously described features and expands the clinical spectrum of syndromic DNAJC3 diabetes, one of the five monogenic forms of diabetes pertaining to the PERK pathway of the endoplasmic reticulum stress response. DNAJC3 deficiency may lead to β-cell loss through BIM- and PUMA-dependent activation of the mitochondrial pathway of apoptosis.
    MeSH term(s) Adolescent ; Adult ; Age Factors ; Animals ; Apoptosis/genetics ; Cells, Cultured ; Diabetes Mellitus, Type 1/genetics ; Diabetes Mellitus, Type 1/metabolism ; Female ; HSP40 Heat-Shock Proteins/genetics ; Humans ; Insulin-Secreting Cells/metabolism ; Insulin-Secreting Cells/physiology ; Loss of Function Mutation ; Male ; Mice ; Mitochondria/metabolism ; Mitochondria/pathology ; Pedigree ; Rats ; Syndrome
    Chemical Substances DNAJC3 protein, human ; HSP40 Heat-Shock Proteins
    Language English
    Publishing date 2021-01-14
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1183856-5
    ISSN 1479-683X ; 0804-4643
    ISSN (online) 1479-683X
    ISSN 0804-4643
    DOI 10.1530/EJE-20-0636
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