Inhibition of Y1 receptor signaling improves islet transplant outcome.
Kim LohYan-Chuan ShiStacey WaltersMohammed BensellamKailun LeeKatsuya DezakiMasanori NakataChi Kin IpJeng Yie ChanEsteban Nicolas GurzovHelen E ThomasMichaela WaibelJames CantleyThomas W KayToshihiko YadaD Ross LaybuttShane T GreyHerbert HerzogPublished in: Nature communications (2017)
Failure to secrete sufficient quantities of insulin is a pathological feature of type-1 and type-2 diabetes, and also reduces the success of islet cell transplantation. Here we demonstrate that Y1 receptor signaling inhibits insulin release in β-cells, and show that this can be pharmacologically exploited to boost insulin secretion. Transplanting islets with Y1 receptor deficiency accelerates the normalization of hyperglycemia in chemically induced diabetic recipient mice, which can also be achieved by short-term pharmacological blockade of Y1 receptors in transplanted mouse and human islets. Furthermore, treatment of non-obese diabetic mice with a Y1 receptor antagonist delays the onset of diabetes. Mechanistically, Y1 receptor signaling inhibits the production of cAMP in islets, which via CREB mediated pathways results in the down-regulation of several key enzymes in glycolysis and ATP production. Thus, manipulating Y1 receptor signaling in β-cells offers a unique therapeutic opportunity for correcting insulin deficiency as it occurs in the pathological state of type-1 diabetes as well as during islet transplantation.Islet transplantation is considered one of the potential treatments for T1DM but limited islet survival and their impaired function pose limitations to this approach. Here Loh et al. show that the Y1 receptor is expressed in β- cells and inhibition of its signalling, both genetic and pharmacological, improves mouse and human islet function.
Keyphrases
- type diabetes
- glycemic control
- induced apoptosis
- cell cycle arrest
- endothelial cells
- cell therapy
- cardiovascular disease
- stem cells
- oxidative stress
- metabolic syndrome
- insulin resistance
- adipose tissue
- weight loss
- machine learning
- bariatric surgery
- high glucose
- bone marrow
- drug induced
- human health
- pi k akt
- skeletal muscle
- pluripotent stem cells
- neural network