Abstract

Type-1 diabetes (T1D) is an autoimmune disease in which insulin-secreting pancreatic beta cells are destroyed by the immune system. An emerging strategy to regenerate beta-cell mass is through transdifferentiation of pancreatic alpha cells to beta cells. We previously reported two small molecules, BRD7389 and GW8510, that induce insulin expression in a mouse alpha cell line and provide a glimpse into potential intermediate cell states in beta-cell reprogramming from alpha cells. These small-molecule studies suggested that inhibition of kinases in particular may induce the expression of several beta-cell markers in alpha cells. To identify potential lineage reprogramming protein targets, we compared the transcriptome, proteome, and phosphoproteome of alpha cells, beta cells, and compound-treated alpha cells. Our phosphoproteomic analysis indicated that two kinases, BRSK1 and CAMKK2, exhibit decreased phosphorylation in beta cells compared to alpha cells, and in compound-treated alpha cells compared to DMSO-treated alpha cells. Knock-down of these kinases in alpha cells resulted in expression of key beta-cell markers. These results provide evidence that perturbation of the kinome may be important for lineage reprogramming of alpha cells to beta cells.

Highlights

  • Type-1 diabetes (T1D) is a chronic autoimmune disease affecting 35 million patients worldwide

  • BR serine/threonine kinase 1 (Brsk1) and calcium/calmodulin-dependent protein kinase kinase 2 (Camkk2), which were each phosphorylated at higher levels for specific phosphosites in alpha cells as compared to those in beta cells

  • Several kinases were differentially expressed in alpha and beta cells, we focused our attention on BRSK1 and CAMKK2, as they were more highly phosphorylated in alpha cells compared to beta cells, and in untreated alpha cells compared to compound-treated cells (Table S6 in File S1)

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Summary

Introduction

Type-1 diabetes (T1D) is a chronic autoimmune disease affecting 35 million patients worldwide. In T1D, insulin-secreting pancreatic beta cells are destroyed by autoreactive immune cells [1,2]._ENREF_1 The most common treatment for T1D is daily injection of insulin; this treatment cannot always ensure optimal glucose homeostasis, leading to complications such as blindness, heart disease, limb amputation, and death [3]. Another therapeutic strategy involves transplantation of pancreatic islets [4] via infusion through the portal vein into the liver, but high cost [5], limited donor availability, and beta-cell toxicity [6,7] of immunosuppressive drugs severely restrict the use of this treatment protocol. Identification of proteins or pathways that can be targeted for chemical transdifferentiation requires knowledge of the similarities and differences in the molecular and physiological architecture of the initial state and the final, transdifferentiated state

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