Primary Beta-cells Research Articles

Glucotoxicity suppresses function of pancreatic beta and duct cells via miR-335-targeted Runx2 and insulin-mediated mechanism.

Pancreatic cell dynamics have important contributions to the development of type 2 diabetes and related diseases such as nonalcoholic fatty pancreas disease. The aim of this study was to investigate the effects of prolonged excessive glucose exposure on the functions of pancreatic beta cells and duct cells in single and co-culture conditions. In this study, we focused on the effects of glucotoxicity on insulin secretion which is the main function of beta cells and on progenitor functions of duct cells. Rat primary INS1 beta cells and ARIP duct cells were exposed to glucose (25mM) for 72h under single or indirect co-culture conditions. Glucotoxicity stimuli increased insulin secretion and decreased insulin expression in single beta cells while stimulating beta-cell differentiation and adipogenesis in single duct cells. On the other hand, glucotoxicity caused functional loss and increased proliferation and apoptosis in beta cells while increasing proliferation but suppressed beta-cell differentiation and adipogenesis in duct cells under co-culture conditions. The expression level of miR-335, a microRNA known to be upregulated by leptin and target Runx2, was measured. As a result, unlike single-cell culture, glucotoxicity upregulated miR-335, downregulated Runx2, and decreased insulin signaling in beta cells while downregulating miR-335 and upregulating Runx2, and decreased insulin signaling in duct cells under co-culture conditions. When the results of single and co-culture experiments are compared, insulin and miR-335 may be seen as important mediators for setting up the relation between beta and duct cells. Our findings are important for preventing the development of type 2 diabetes and nonalcoholic fatty pancreas disease, even developing new diagnosis and treatment strategies.

Serum from pregnant donors induces human beta cell proliferation

ABSTRACT Pancreatic beta cells are among the slowest replicating cells in the human body and have not been observed to increase in number except during the fetal and neonatal period, in cases of obesity, during puberty, as well as during pregnancy. Pregnancy is associated with increased beta cell mass to meet heightened insulin demands. This phenomenon raises the intriguing possibility that factors present in the serum of pregnant individuals may stimulate beta cell proliferation and offer insights into expansion of the beta cell mass for treatment and prevention of diabetes. The primary objective of this study was to test the hypothesis that serum from pregnant donors contains bioactive factors capable of inducing human beta cell proliferation. An immortalized human beta cell line with protracted replication (EndoC-βH1) was cultured in media supplemented with serum from pregnant and non-pregnant female and male donors and assessed for differences in proliferation. This experiment was followed by assessment of proliferation of primary human beta cells. Sera from five out of six pregnant donors induced a significant increase in the proliferation rate of EndoC-βH1 cells. Pooled serum from the cohort of pregnant donors also increased the rate of proliferation in primary human beta cells. This study demonstrates that serum from pregnant donors stimulates human beta cell proliferation. These findings suggest the existence of pregnancy-associated factors that can offer novel avenues for beta cell regeneration and diabetes prevention strategies. Further research is warranted to elucidate the specific factors responsible for this effect.

Apolipoprotein L genes are novel mediators of inflammation in beta cells

Aims/hypothesisInflammation induces beta cell dysfunction and demise but underlying molecular mechanisms remain unclear. The apolipoprotein L (APOL) family of genes has been associated with innate immunity and apoptosis in non-pancreatic cell types, but also with metabolic syndrome and type 2 diabetes mellitus. Here, we hypothesised that APOL genes play a role in inflammation-induced beta cell damage.MethodsWe used single-cell transcriptomics datasets of primary human pancreatic islet cells to study the expression of APOL genes upon specific stress conditions. Validation of the findings was carried out in EndoC-βH1 cells and primary human islets. Finally, we performed loss- and gain-of-function experiments to investigate the role of APOL genes in beta cells.ResultsAPOL genes are expressed in primary human beta cells and APOL1, 2 and 6 are strongly upregulated upon inflammation via the Janus kinase (JAK)−signal transducer and activator of transcription (STAT) pathway. APOL1 overexpression increases endoplasmic reticulum stress while APOL1 knockdown prevents cytokine-induced beta cell death and interferon-associated response. Furthermore, we found that APOL genes are upregulated in beta cells from donors with type 2 diabetes compared with donors without diabetes mellitus.Conclusions/interpretationAPOLs are novel regulators of islet inflammation and may contribute to beta cell damage during the development of diabetes.Data availabilityscRNAseq data generated by our laboratory and used in this study are available in the Gene Expression Omnibus (GEO; www.ncbi.nlm.nih.gov/geo/), accession number GSE218316.Graphical

Fine-tuned photochromic sulfonylureas for optical control of beta cell Ca2+ fluxes.

We previously developed, synthesized and tested light-activated sulfonylureas for optical control of KATP channels and pancreatic beta cell activity in vitro and in vivo. Such technology relies on installation of azobenzene photoswitches onto the sulfonylurea backbone, affording light-dependent isomerization, alteration in ligand affinity for SUR1 and hence KATP channel conductance. Inspired by molecular dynamics simulations and to further improve photoswitching characteristics, we set out to develop a novel push-pull closed ring azobenzene unit, before installing this on the sulfonylurea glimepiride as a small molecule recipient. Three fine-tuned, light-activated sulfonylureas were synthesized, encompassing azetidine, pyrrolidine and piperidine closed rings. Azetidine-, pyrrolidine- and piperidine-based sulfonylureas all increased beta cell Ca2+ -spiking activity upon continuous blue light illumination, similarly to first generation JB253. Notably, the pyrrolidine-based sulfonylurea showed superior switch OFF performance to JB253. As such, third generation sulfonylureas afford more precise optical control over primary pancreatic beta cells, and showcase the potential of pyrrolidine-azobenzenes as chemical photoswitches across drug classes.

EndoC-βH5 cells are storable and ready-to-use human pancreatic beta cells with physiological insulin secretion

ObjectivesReadily accessible human pancreatic beta cells that are functionally close to primary adult beta cells are a crucial model to better understand human beta cell physiology and develop new treatments for diabetes. We here report the characterization of EndoC-βH5 cells, the latest in the EndoC-βH cell family. MethodsEndoC-βH5 cells were generated by integrative gene transfer of immortalizing transgenes hTERT and SV40 large T along with Herpes Simplex Virus-1 thymidine kinase into human fetal pancreas. Immortalizing transgenes were removed after amplification using CRE activation and remaining non-excized cells eliminated using ganciclovir. Resulting cells were distributed as ready to use EndoC-βH5 cells. We performed transcriptome, immunological and extensive functional assays. ResultsReady to use EndoC-βH5 cells display highly efficient glucose dependent insulin secretion. A robust 10-fold insulin secretion index was observed and reproduced in four independent laboratories across Europe. EndoC-βH5 cells secrete insulin in a dynamic manner in response to glucose and secretion is further potentiated by GIP and GLP-1 analogs. RNA-seq confirmed abundant expression of beta cell transcription factors and functional markers, including incretin receptors. Cytokines induce a gene expression signature of inflammatory pathways and antigen processing and presentation. Finally, modified HLA-A2 expressing EndoC-βH5 cells elicit specific A2-alloreactive CD8 T cell activation. ConclusionsEndoC-βH5 cells represent a unique storable and ready to use human pancreatic beta cell model with highly robust and reproducible features. Such cells are thus relevant for the study of beta cell function, screening and validation of new drugs, and development of disease models.

The Application of Stem Cell Therapy on Type 1 Diabetes

Type 1 diabetes (T1D) is also known as insulin-dependent diabetes caused by autoimmune reactions in the patient's body. T1D is caused by the destruction of the pancreatic β cells of the patient by their immune system in the case of autoimmunity. It can lead to dehydration, frequent urination, potential damage to many organs in the body etc. If left untreated, it can lead to death. Consequently, research groups have invested a huge effort to develop possible treatments for. Currently, the existing solutions for T1D mainly include insulin therapy and immunotherapy, but the high costs of insulin therapy and the adverse reactions associated with immunotherapy limits the efficacy of these treatments and are therefore imperfect. To this day, there is no permanent cure for T1D, many study groups have proved that stem cell therapy could provide a possible solution because of its success in curing other diseases. Stem cell therapy is a treatment in which pluripotent of multipotent cells are transplanted into a patient's body in a certain way to restore normal function. The capacity do differentiate into different cell types can help stem cells stop the process of β cell destructionz, preserve remaining beta cell blocks, and promote the regeneration of primary beta cells. This review provided an overview of the existing therapies available to treat T1D, gathered information from previous clinical trials and emphasized the importance of stem cell therapies based on the current state of art.

Differentiation of Alginate-Encapsulated Wharton Jelly-Derived Mesenchymal Stem Cells into Insulin Producing Cells.

Objective Insulin insufficiency due to the reduced pancreatic beta cell number is the hallmark of diabetes, resulting in an intense focus on the development of beta-cell replacement options. One approach to overcome the problem is to search for alternative sources to induce insulin-producing cells (IPCs), the advent of mesenchymal stem cells (MSCs) holds great promise for producing ample IPCs. Encapsulate the MSCs with alginate improved anti-inflammatory effects of MSC treatment. This study aimed to evaluate the differentiation of wharton jelly-derived MScs into insulin producing cells using alginate encapsulation. Materials and Methods In this experimental study, we established an efficient IPCs differentiation strategy of human MSCs derived from the umbilical cord’s Wharton jelly with lentiviral transduction of Pancreas/duodenum homeobox protein 1 (PDX1) in a 21-day period using alginate encapsulation by poly-L-lysine (PLL) and poly-L-ornithine (PLO) outer layer. During differentiation, the expression level of PDX1 and secretion of insulin proteins were increased. Results Results showed that during time, the cell viability remained high at 87% at day 7. After 21 days, the differentiated beta-like cells in microcapsules were morphologically similar to primary beta cells. Evaluation of the expression of PDX1 and INS by quantitative reverse transcriptase-polymerase chain reaction (qRT-PCR) on days 7, 14 and 21 of differentiation exhibited the highest expression on day 14. At the protein level, the expression of these two pancreatic markers was observed after PDX1 transduction. Results showed that the intracellular and extracellular insulin levels in the cells receiving PDX1 is higher than the control group. The current data showed that encapsulation with alginate by PLL and PLO outer layer permitted to increase the microcapsules’ beta cell differentiation. ConclusionEncapsulate the transduced-MSCs with alginate can be applied in an in vivo model in order to do the further analysis.

Opposing effects on regulated insulin secretion of acute vs chronic stimulation of AMP-activated protein kinase

Aims/hypothesisAlthough targeted in extrapancreatic tissues by several drugs used to treat type 2 diabetes, the role of AMP-activated protein kinase (AMPK) in the control of insulin secretion is still debatable. Previous studies have used pharmacological activators of limited selectivity and specificity, and none has examined in primary pancreatic beta cells the actions of the latest generation of highly potent and specific activators that act via the allosteric drug and metabolite (ADaM) site.MethodsAMPK was activated acutely in islets isolated from C57BL6/J mice, and in an EndoC-βH3 cell line, using three structurally distinct ADaM site activators (991, PF-06409577 and RA089), with varying selectivity for β1- vs β2-containing complexes. Mouse lines expressing a gain-of-function mutation in the γ1 AMPK subunit (D316a) were generated to examine the effects of chronic AMPK stimulation in the whole body, or selectively in the beta cell.ResultsAcute (1.5 h) treatment of wild-type mouse islets with 991, PF-06409577 or RA089 robustly stimulated insulin secretion at high glucose concentrations (p<0.01, p<0.05 and p<0.001, respectively), despite a lowering of glucose-induced intracellular free Ca2+ dynamics in response to 991 (AUC, p<0.05) and to RA089 at the highest dose (25 μmol/l) at 5.59 min (p<0.05). Although abolished in the absence of AMPK, the effects of 991 were observed in the absence of the upstream kinase, liver kinase B1, further implicating ‘amplifying’ pathways. In marked contrast, chronic activation of AMPK, either globally or selectively in the beta cell, achieved using a gain-of-function mutant, impaired insulin release in vivo (p<0.05 at 15 min following i.p. injection of 3 mmol/l glucose) and in vitro (p<0.01 following incubation of islets with 17 mmol/l glucose), and lowered glucose tolerance (p<0.001).Conclusions/interpretationAMPK activation exerts complex, time-dependent effects on insulin secretion. These observations should inform the design and future clinical use of AMPK modulators.Graphical abstract

Investigation of the utility of the 1.1B4 cell as a model human beta cell line for study of persistent enteroviral infection

The generation of a human pancreatic beta cell line which reproduces the responses seen in primary beta cells, but is amenable to propagation in culture, has long been an important goal in diabetes research. This is particularly true for studies focussing on the role of enteroviral infection as a potential cause of beta-cell autoimmunity in type 1 diabetes. In the present work we made use of a clonal beta cell line (1.1B4) available from the European Collection of Authenticated Cell Cultures, which had been generated by the fusion of primary human beta-cells with a pancreatic ductal carcinoma cell, PANC-1. Our goal was to study the factors allowing the development and persistence of a chronic enteroviral infection in human beta-cells. Since PANC-1 cells have been reported to support persistent enteroviral infection, the hybrid 1.1B4 cells appeared to offer an ideal vehicle for our studies. In support of this, infection of the cells with a Coxsackie virus isolated originally from the pancreas of a child with type 1 diabetes, CVB4.E2, at a low multiplicity of infection, resulted in the development of a state of persistent infection. Investigation of the molecular mechanisms suggested that this response was facilitated by a number of unexpected outcomes including an apparent failure of the cells to up-regulate certain anti-viral response gene products in response to interferons. However, more detailed exploration revealed that this lack of response was restricted to molecular targets that were either activated by, or detected with, human-selective reagents. By contrast, and to our surprise, the cells were much more responsive to rodent-selective reagents. Using multiple approaches, we then established that populations of 1.1B4 cells are not homogeneous but that they contain a mixture of rodent and human cells. This was true both of our own cell stocks and those held by the European Collection of Authenticated Cell Cultures. In view of this unexpected finding, we developed a strategy to harvest, isolate and expand single cell clones from the heterogeneous population, which allowed us to establish colonies of 1.1B4 cells that were uniquely human (h1.1.B4). However, extensive analysis of the gene expression profiles, immunoreactive insulin content, regulated secretory pathways and the electrophysiological properties of these cells demonstrated that they did not retain the principal characteristics expected of human beta cells. Our data suggest that stocks of 1.1B4 cells should be evaluated carefully prior to their use as a model human beta-cell since they may not retain the phenotype expected of human beta-cells.

Exposure to cytokines IL‐6 and IL‐1beta changes intracellular distributions and total content of calcium, zinc and iron in mouse primary pancreatic beta‐cells

Pancreatic beta-cells secrete insulin, a hormone that maintains blood glucose homeostasis. The dysfunction of beta-cells leads to development of type2 diabetes (T2D). The causes of beta-cell dysfunction in T2D are complex. In obese individuals, increases in circulating proinflammatory cytokines IL-6 and IL-1beta are linked to a higher risk of developing diabetes, suggesting that these cytokines can be diabetes-promoting. When used at circulating concentrations found in obese individuals, these cytokines have been shown to alter calcium homeostasis in mouse beta-cells. In addition, changes in homeostasis of zinc and iron have been reported in diabetic individuals. The central hypothesis of this study: exposure to diabetes-promoting cytokines, at concentrations found in obese individuals, leads to changes in metal intracellular concentrations or distributions in beta-cells. Mouse primary beta-cells were exposed for 48 hours to cytokines: 10pg/mL IL-1beta and 20pg/mL IL-6. After cytokine exposure the cells were chemically fixed and synchrotron X-Ray fluorescence (SXRF) was employed, to investigate intracellular distributions and concentrations of zinc, calcium and iron. SXRF estimated the total cellular iron content to be 30.44 ± 12.18 (fg), and after acute exposure to cytokines the iron content was slightly increased to 47.21 ± 36.44 (fg) (mean ± S.D.). High concentrations of iron were localized in puncta structures, which were observed throughout the cytosol in all beta-cells and further analysis of the iron puncta revealed that iron was found at higher density in puncta of cells after they were exposed to cytokines, suggesting iron accumulation in these structures. The total cellular zinc content was 158.69 ± 57.68 (fg) in control cells and was significantly decreased to 65.73 ± 29.65 (fg) in cells after exposure to cytokines (mean ± S.D.) (Welch's t-test, t(28.97) = 6.655, P<0.0001). Zinc was localized to a perinuclear space of the cells in control cells and was evenly distributed after exposure to cytokines, suggesting that cytokines had a significant effect on zinc homeostasis in beta-cells. Calcium was also observed in perinuclear space of beta-cells before cytokine exposure and was localized to similar cellular compartments as zinc. Synchrotron X-ray fluorescence estimated total cellular calcium to be 216.10 ± 67.37 femtograms (fg) control cells and was significantly decreased to 154.28 ± 68.66 (fg) after the exposure to cytokines (mean ± S.D.), (Two sample t-test, t(43)=3.040, P=0.0040). In conclusion, the synchrotron X-ray fluorescence identified significant changes to zinc, calcium and iron metallomes of pancreatic beta-cells after exposure to cytokines, which warrant further investigation.

TRAIL induces proliferation in rodent pancreatic beta cells via AKT activation.

Strategies to increase functional pancreatic beta cell mass is of great interest in diabetes-related research. TNF-related apoptosis-inducing ligand (TRAIL) is well known to promote proliferation and survival in various cell types, including vascular smooth muscle and endothelial cells. Correlation between the protective nature of TRAIL on these cells and its proliferative effect is noteworthy. TRAIL's seemingly protective/therapeutic effect in diabetes prompted us to question whether it may act as an inducer of proliferation in pancreatic beta cells. We used rat primary islet cells and MIN6 mouse beta cell line to investigate TRAIL-induced proliferation. Cell viability and/or death was analyzed by MTT, WST-1, and Annexin-V/PI assays, while proliferation rates and pathways were assessed via immunocytochemical and Western blot analyses. Receptor neutralization antibodies identified the mediator receptors. Recombinant soluble TRAIL (sTRAIL) treatment led to 1.6-fold increased proliferation in insulin-positive cells in dispersed rat islets compared to the untreated group, while adenovirus-mediated overexpression of TRAIL increased the number of proliferating beta cells up to more than six-fold. sTRAIL or adenoviral vector-mediated TRAIL overexpression induced proliferation in MIN6 cells also. TRAIL's proliferative effect was mediated via AKT activation, which was suppressed upon specific inhibition. Neutralization of each TRAIL receptor reversed the proliferative effect to some degree, with the highest level of inhibition in death receptor 5 (DR5) blockage in MIN6 cells and in decoy receptor 1 (DcR1) blockage in primary rat beta cells. Thus, TRAIL induces proliferation in rodent pancreatic beta cells through activation of the AKT pathway.

Endogenous mitochondrial double\u2010stranded RNA is not an activator of the type I interferon response in human pancreatic beta cells

BackgroundType 1 diabetes (T1D) is an autoimmune disease characterized by the progressive destruction of pancreatic beta cells. Interferon-α (IFNα), an antiviral cytokine, is expressed in the pancreatic islets in early T1D, which may be secondary to viral infections. However, not all patients harboring a type I IFN signature present signals of viral infection, suggesting that this response might be initiated by other “danger signals”. Accumulation of mitochondrial double-stranded RNA (mtdsRNA; a danger signal), secondary to silencing of members of the mitochondrial degradosome, PNPT1 and SUV3, has been described to activate the innate immune response.MethodsTo evaluate whether mtdsRNA represents a “danger signal” for pancreatic beta cells in the context of T1D, we silenced PNPT1 and/or SUV3 in slowly proliferating human insulin-secreting EndoC-βH1 cells and in non-proliferating primary human beta cells and evaluated dsRNA accumulation by immunofluorescence and the type I IFN response by western blotting and RT-qPCR.ResultsOnly the simultaneous silencing of PNPT1/SUV3 induced dsRNA accumulation in EndoC-βH1 cells but not in dispersed human islets, and there was no induction of a type I IFN response. By contrast, silencing of these two genes individually was enough to induce dsRNA accumulation in fibroblasts present in the human islet preparations.ConclusionsThese data suggest that accumulation of endogenous mtdsRNA following degradosome knockdown depends on the proliferative capacity of the cells and is not a mediator of the type I IFN response in human pancreatic beta cells.

899 Effect of maternal serum on proliferation of the EndoC-ßH1 human beta cell line

During pregnancy, the placenta secretes hormones that increase insulin resistance and raise blood glucose to support the growing fetus. To prevent maternal hyperglycemia, pregnancy is also associated with an increase in pancreatic beta cell mass. If molecular mechanisms that trigger maternal beta cell expansion can be determined, such pathways could be targeted for therapeutic beta cell regeneration. Exosomes, a type of extracellular vesicle, contain signaling molecules and are released by placental cells. Exosomes may be a source of inter-organ communication that signals beta cells to proliferate during pregnancy. Our purpose is to determine if exposure to maternal serum containing placental-derived exosomes triggers human beta cell proliferation. The genetically engineered human beta cell line EndoC-βH1 was used for this study because its phenotype and function are similar to primary human beta cells, and it proliferates reliably. EndoC-βH1 cells were cultured for one week in the presence of third trimester and postpartum serum drawn within 48 hours of delivery. We compared the maternal serum to serum from a male donor, fetal bovine serum, and serum-free conditions. Cell proliferation was measured using an EdU(5-ethynyl-2-deoxyuridine) assay. Six third trimester and postpartum donors were studied. Serum from three of six maternal donors induced a substantial (20-30%) increase in beta cell proliferation relative to serum-free conditions (Figure 1A). Of the three donors, five of six samples showed significant proliferation (p<0.05). (Figure 1A). Male human serum and fetal bovine serum only increased beta cell proliferation moderately (7-9%). We found no difference in the degree of beta-cell expansion induced when comparing serum samples collected during the third trimester and postpartum (Figure 1B). The results suggest a factor present in serum from 50% of pregnant donors triggers beta cells to proliferate. In future studies, we will deplete maternal serum of exosomes to determine whether the increased proliferation is attributable to maternal exosomes.

Dynamic Regulation of JAK-STAT Signaling Through the Prolactin Receptor Predicted by Computational Modeling

IntroductionThe expansion of insulin-producing beta cells during pregnancy is critical to maintain glucose homeostasis in the face of increasing insulin resistance. Prolactin receptor (PRLR) signaling is one of the primary mediators of beta cell expansion during pregnancy, and loss of PRLR signaling results in reduced beta cell mass and gestational diabetes. Harnessing the proliferative potential of prolactin signaling to expand beta cell mass outside of the context of pregnancy requires quantitative understanding of the signaling at the molecular level.MethodsA mechanistic computational model was constructed to describe prolactin-mediated JAK-STAT signaling in pancreatic beta cells. The effect of different regulatory modules was explored through ensemble modeling. A Bayesian approach for likelihood estimation was used to fit the model to experimental data from the literature.ResultsIncluding receptor upregulation, with either inhibition by SOCS proteins, receptor internalization, or both, allowed the model to match experimental results for INS-1 cells treated with prolactin. The model predicts that faster dimerization and nuclear import rates of STAT5B compared to STAT5A can explain the higher STAT5B nuclear translocation. The model was used to predict the dose response of STAT5B translocation in rat primary beta cells treated with prolactin and reveal possible strategies to modulate STAT5 signaling.ConclusionsJAK-STAT signaling must be tightly controlled to obtain the biphasic response in STAT5 activation seen experimentally. Receptor up-regulation, combined with SOCS inhibition, receptor internalization, or both is required to match experimental data. Modulating reactions upstream in the signaling can enhance STAT5 activation to increase beta cell survival.

2114-P: Quantification of GLP-1R Trafficking in Primary Beta Cells in Response to Different Ligands

The glucagon-like peptide 1 receptor (GLP-1R) is a class B G-protein coupled receptor that is insulinotropic in β-cells. Multiple endogenous and synthetic ligands exist for the GLP-1R and each ligand interacts with the receptor differently to produce specific activation of intracellular signaling pathways. Ligand binding typically induces receptor internalization, leading to either i) receptor degradation or ii) recycling to the cell membrane. We hypothesized that each specific GLP-1R ligand would produce a unique trafficking profile in primary β-cells. To test this hypothesis, we developed flow cytometry-based assay that can be utilized in primary dispersed mouse islets. First, we validated a GLP-1R antibody (GLP-1R-APC) for flow cytometry application. The GLP-1R-APC stained β-cells, but not α-cells, aligning with the reported expression pattern in islets. Post-sort analysis confirmed GLP-1R expression only in the GLP-1R-APC+ population. Finally, GLP-1R-APC did not stain any cell populations in GLP1R-/- islets. Next, we used this assay to quantify GLP-1R internalization in wild type β-cells. To induce internalization, we treated dispersed islets with either vehicle or a GLP-1R ligand for 30 minutes prior to antibody staining. After vehicle treatment, 90% of the β-cells stained GLP-1R-APC+. Treatment with either GLP-1 or exendin-4 reduced the number of GLP-1R-APC+ β-cells by 97 and 89%, respectively, suggesting near complete internalization of all GLP-1Rs. In contrast, treatment with the GLP-1R antagonist exendin-9 produced staining similar to PBS controls. Finally, we used image-stream technology, a combination of brightfield microscopy and flow cytometry, to visually confirm GLP-1R internalization. Here, vehicle-treated cells produced GLP-1R staining only on the cell membrane, which was nearly ablated by the treatment with a ligand. In conclusion, we have developed an assay that allows for quantification of GLP-1R trafficking in primary mouse islets. Disclosure S.M. Gray: None. P. Ravn: Employee; Self; AstraZeneca. K. Sloop: None. J. Campbell: Research Support; Self; Eli Lilly and Company, Novo Nordisk Inc. Speaker’s Bureau; Self; Merck Sharp &amp; Dohme Corp. D. D’Alessio: Advisory Panel; Self; Eli Lilly and Company. Consultant; Self; Intarcia Therapeutics. Research Support; Self; Ansh Labs, Eli Lilly and Company, Merck Sharp &amp; Dohme Corp. Other Relationship; Self; Novo Nordisk A/S.

DOC2b Protects Functional Beta‐cell Mass via A Novel Tyrosine Phosphorylation Dependent Mechanism

Type 2 diabetes (T2D) has reached the stage of a global pandemic. Approximately 10% of the total US population (~30 million people) are impacted by T2D and 86 million more are in the stage of prediabetes. Accumulating evidence suggests that intrinsic beta‐cell stresses, secretory dysfunction, and inflammation are the early players during the progression of the T2D and leads to the loss of functional beta‐cell mass. Hence, reduction of cell stress and enhancement of beta‐cell secretory function hold promise towards delayed disease progression and prevention. Our lab has revealed the crucial role of the SNARE‐regulator protein DOC2b (double C2 domain‐containing protein) on stimulating the glucose‐stimulated insulin secretion (GSIS) and protecting the beta‐cell from the diabetogenic stresses. The objective of this study is to develop DOC2b as a therapeutic target for the treatment of T2D by elucidating the mechanism by which DOC2b preserves functional beta‐cell mass. We hypothesize that tyrosine phosphorylation of DOC2b’s functionally indispensable C2AB domain is required for DOC2b’s beneficial function during the pathological conditions related to T2D.To test this hypothesis we have used human and rodent clonal beta‐cell lines and primary human islets procured from non‐diabetic and T2D donors. Our results showed a marked loss of DOC2b mRNA and protein (~50% reduction) in the T2D human islets and a resurrected first phase of GSIS in otherwise dysfunctional T2D islets following DOC2b overexpression. Multiple studies confirmed elevated expressions of the CXCL9 and 10 (chemokine receptor 3 ligands) in diabetics. Our qPCR and biochemical analysis revealed significant attenuation of cytokine‐induced elevation of CXCL9 and 10 gene expressions following DOC2b overexpression in the clonal and primary beta‐cells. These results again signified the beneficial effect of DOC2b enrichment in the beta‐cell. In islet beta‐cells, glucose‐stimulated tyrosine phosphorylation events regulate SNARE complex assembly and GSIS. Using biochemical approaches, we determined that DOC2b is phosphorylated following glucose stimulation and pervanadate (a tyrosine phosphatase inhibitor) treatment in the clonal beta‐cells. In silico evaluation from the crystal structure of the C2B domain of DOC2b protein revealed three putative tyrosine phosphorylation sites: Y301 (within the loop region), and Y305, Y309 (within the ordered domain) and our results using point mutants of each putative site (Y to F) indicated the requirement for all three phosphorylation sites for the boosting effect of DOC2b on GSIS in the beta‐cells. We further identified that the mutations in at least Y301 and Y305 residues significantly blunted DOC2b’s ability to protect beta‐cells from cytokine‐induced beta‐cell stress and apoptosis. These results unveil a novel mechanism by which DOC2b enrichment boosts GSIS and protects beta‐cells against diabetogenic stimuli, the knowledge of which would be crucial for pursuing DOC2b as a novel drug target to prevent and/treat diabetes.Support or Funding Information5R01DK112917‐02

Pro-inflammatory cytokines induce cell death, inflammatory responses, and endoplasmic reticulum stress in human iPSC-derived beta cells

BackgroundAdult 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.MethodsThe 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.ResultsIFNγ + 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.ConclusionsOur 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.

2190-P: Sex-Based Differences in Nr4a1 Beta-Cell Activity

The orphan nuclear hormone receptor Nr4a1 plays a critical role in maintaining and expanding functional beta cell mass. Overexpression of Nr4a1 is sufficient to induce beta cell proliferation in primary beta cells by upregulating cell cycle progression, while maintaining glucose-stimulated insulin secretion. Full body deletion of Nr4a1 results in decreased beta cell mass, while resulting in modified fuel utilization in liver and muscle. Knock down of Nr4a1 decreases glycolytic and TCA cycle gene expression, impairs mitochondrial respiration, decreases cellular ATP levels, and ultimately decreases glucose-stimulated insulin secretion. While Nr4a1 is currently considered an orphaned nuclear hormone receptor, recent findings suggest that unsaturated fatty acids may function as a ligand, and that exposure to these fatty acid’s changes Nr4a1 affinity for promoters of genes involved in fuel utilization. To determine the effect of Nr4a1 presence of absence in the beta cell, and the effect of fatty acid exposure, we developed a beta cell specific, inducible, Nr4a1 knock out mouse. Male and female mice, deficient for Nr4a1 beginning at 3 months of age, were fed a normal chow or high fat diet for an additional four months. Here we present data demonstrating a sex specific difference in phenotype. Male mice demonstrated improved glucose tolerance at four months of feeding, while female mice demonstrated impaired glucose tolerance as early as one month of feeding. Here we present data regarding differences in beta cell mass, glucose stimulated insulin secretion, as well as Nr4a1 DNA binding from in islets from male and female mice exposed to unsaturated and saturated fatty acids. These data begin to demonstrate the role of Nr4a1 in controlling gene expression as a function of nutrient exposure, as well as sex-based differences in Nr4a1 activity. Disclosure J.S. Tessem: None. J. Herring: None. C.J. Smith: None. M.C. Austin: None. A.G. Wynn: None. Funding American Diabetes Association (1-17-IBS-101 to J.S.T.)

Electrophysiological properties of human beta-cell lines EndoC-\u03b2H1 and -\u03b2H2 conform with human beta-cells

Limited access to human islets has prompted the development of human beta cell models. The human beta cell lines EndoC-βH1 and EndoC-βH2 are increasingly used by the research community. However, little is known of their electrophysiological and secretory properties. Here, we monitored parameters that constitute the glucose-triggering pathway of insulin release. Both cell lines respond to glucose (6 and 20 mM) with 2- to 3-fold stimulation of insulin secretion which correlated with an elevation of [Ca2+]i, membrane depolarisation and increased action potential firing. Similar to human primary beta cells, KATP channel activity is low at 1 mM glucose and is further reduced upon increasing glucose concentration; an effect that was mimicked by the KATP channel blocker tolbutamide. The upstroke of the action potentials reflects the activation of Ca2+ channels with some small contribution of TTX-sensitive Na+ channels. The repolarisation involves activation of voltage-gated Kv2.2 channels and large-conductance Ca2+-activated K+ channels. Exocytosis presented a similar kinetics to human primary beta cells. The ultrastructure of these cells shows insulin vesicles composed of an electron-dense core surrounded by a thin clear halo. We conclude that the EndoC-βH1 and -βH2 cells share many features of primary human β-cells and thus represent a useful experimental model.

Imaging of Human Insulin Secreting Cells with Gd-DOTA-P88, a Paramagnetic Contrast Agent Targeting the Beta Cell Biomarker FXYD2γa.

Non-invasive imaging and quantification of human beta cell mass remains a major challenge. We performed pre-clinical in vivo validation of a peptide previously discovered by our group, namely, P88 that targets a beta cell specific biomarker, FXYD2γa. We conjugated P88 with DOTA and then complexed it with GdCl3 to obtain the MRI (magnetic resonance imaging) contrast agent (CA) Gd-DOTA-P88. A scrambled peptide was used as a negative control CA, namely Gd-DOTA-Scramble. The CAs were injected in immunodeficient mice implanted with EndoC-βH1 cells, a human beta cell line that expresses FXYD2γa similarly to primary human beta cells. The xenograft-bearing mice were analyzed by MRI. At the end, the mice were euthanized and the CA biodistribution was evaluated on the excised tissues by measuring the Gd concentration with inductively coupled plasma mass spectrometry (ICP-MS). The MRI and biodistribution studies indicated that Gd-DOTA-P88 accumulates in EndoC-βH1 xenografts above the level observed in the background tissue, and that its uptake is significantly higher than that observed for Gd-DOTA-Scramble. In addition, the Gd-DOTA-P88 showed good xenograft-to-muscle and xenograft-to-liver uptake ratios, two potential sites of human islets transplantation. The CA shows good potential for future use to non-invasively image implanted human beta cells.