An insulin hypersecretion phenotype precedes pancreatic β cell failure in MODY3 patient-specific cells
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An insulin hypersecretion phenotype precedes pancreatic β cell failure in MODY3 patient-specific cells. / Hermann, Florian M.; Kjærgaard, Maya Friis; Tian, Chenglei; Tiemann, Ulf; Jackson, Abigail; Olsen, Lars Rønn; Kraft, Maria; Carlsson, Per Ola; Elfving, Iina M.; Kettunen, Jarno L.T.; Tuomi, Tiinamaija; Novak, Ivana; Semb, Henrik.
In: Cell Stem Cell, Vol. 30, No. 1, 2023, p. 38-51.e8.Research output: Contribution to journal › Journal article › Research › peer-review
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T1 - An insulin hypersecretion phenotype precedes pancreatic β cell failure in MODY3 patient-specific cells
AU - Hermann, Florian M.
AU - Kjærgaard, Maya Friis
AU - Tian, Chenglei
AU - Tiemann, Ulf
AU - Jackson, Abigail
AU - Olsen, Lars Rønn
AU - Kraft, Maria
AU - Carlsson, Per Ola
AU - Elfving, Iina M.
AU - Kettunen, Jarno L.T.
AU - Tuomi, Tiinamaija
AU - Novak, Ivana
AU - Semb, Henrik
N1 - Publisher Copyright: © 2022 The Author(s)
PY - 2023
Y1 - 2023
N2 - MODY3 is a monogenic hereditary form of diabetes caused by mutations in the transcription factor HNF1A. The patients progressively develop hyperglycemia due to perturbed insulin secretion, but the pathogenesis is unknown. Using patient-specific hiPSCs, we recapitulate the insulin secretion sensitivity to the membrane depolarizing agent sulfonylurea commonly observed in MODY3 patients. Unexpectedly, MODY3 patient-specific HNF1A+/R272C β cells hypersecrete insulin both in vitro and in vivo after transplantation into mice. Consistently, we identified a trend of increased birth weight in human HNF1A mutation carriers compared with healthy siblings. Reduced expression of potassium channels, specifically the KATP channel, in MODY3 β cells, increased calcium signaling, and rescue of the insulin hypersecretion phenotype by pharmacological targeting ATP-sensitive potassium channels or low-voltage-activated calcium channels suggest that more efficient membrane depolarization underlies the hypersecretion of insulin in MODY3 β cells. Our findings identify a pathogenic mechanism leading to β cell failure in MODY3.
AB - MODY3 is a monogenic hereditary form of diabetes caused by mutations in the transcription factor HNF1A. The patients progressively develop hyperglycemia due to perturbed insulin secretion, but the pathogenesis is unknown. Using patient-specific hiPSCs, we recapitulate the insulin secretion sensitivity to the membrane depolarizing agent sulfonylurea commonly observed in MODY3 patients. Unexpectedly, MODY3 patient-specific HNF1A+/R272C β cells hypersecrete insulin both in vitro and in vivo after transplantation into mice. Consistently, we identified a trend of increased birth weight in human HNF1A mutation carriers compared with healthy siblings. Reduced expression of potassium channels, specifically the KATP channel, in MODY3 β cells, increased calcium signaling, and rescue of the insulin hypersecretion phenotype by pharmacological targeting ATP-sensitive potassium channels or low-voltage-activated calcium channels suggest that more efficient membrane depolarization underlies the hypersecretion of insulin in MODY3 β cells. Our findings identify a pathogenic mechanism leading to β cell failure in MODY3.
KW - calcium signaling
KW - congenital hyperinsulinemia
KW - disease modeling
KW - HNF1A
KW - HNF4A
KW - K channel
KW - membrane potential
KW - MODY3
KW - pancreatic β cell
KW - patient-specific hiPSCs
U2 - 10.1016/j.stem.2022.12.001
DO - 10.1016/j.stem.2022.12.001
M3 - Journal article
C2 - 36563694
AN - SCOPUS:85145229760
VL - 30
SP - 38-51.e8
JO - Cell Stem Cell
JF - Cell Stem Cell
SN - 1934-5909
IS - 1
ER -
ID: 332195647