Both types 1 & 2 diabetes (T1DM, T2DM) result from the inability of ?-cells to secrete sufficient insulin to maintain normal glucose homeostasis due to an acquired secretory defect and/or inadequate ?-cell mass. Mammalian target of rapamycin (mTOR) is a protein kinase that integrates signals from growth factors (GFs) & nutrients to regulate cell growth & proliferation. Recent studies have determined that inhibition of glycogen synthase kinase-3 (GSK-3) & tuberous sclerosis complex 2 (TSC2) are required for mTOR activation. Our studies have shown that GSK-3 inhibition stimulates mTOR-mediated DNA synthesis & cell cycle progression in rodent & human islets. The highly reproducible stimulation of mTOR-mediated DNA synthesis by lithium, a GSK-3 inhibitor, in human islets is remarkable since nutrients are rarely effective. Since GSK-3 inhibition is also integral to Wnt/2-catenin transcriptional regulation, we propose to evaluate possible interactions of this pathway with mTOR signaling. Our goal is to enhance the growth & proliferative capacity of adult ? ?-cells by appropriately regulating both mTOR & the canonical Wnt signaling pathways using GSK-3 inhibitors, Wnt agonists & nutrients.
Specific aim 1 is to establish the functions of the GSK-3/TSC/mTOR & the canonical Wnt/GSK-3/2-catenin pathways in primary adult rodent & human islets by A) identifying the molecular & cellular targets & the ability of GSK-3 inhibitors, Wnt agonists, nutrients & rapamycin to modulate these pathways, B) elucidating the role of these pathways in the growth, proliferation & function of ?-cells & C) determining if a differential capacity to affect feedback inhibition of growth factor (GF) signaling distinguishes nutrients from GSK-3 inhibitors. Using isolated islets, we will utilize siRNA of GSK-3, ?-catenin & mTOR, study Wnt- dependent TCF/LEF1 transcription using transgenic TOPGAL mice & evaluate GF signaling and GSK-3 activity after chronic nutrient or GSK-3 inhibitor treatment.
Specific aim 2 is to determine if the mitochondrial transition pore (MTP) & nitric oxide (NO) are required for GSK-3 & mTOR signaling by A) examining if RNA interference of nitric oxide synthase (NOS) isoforms or MTP components, VDAC & ANT, alter the physiological responses of rodent & human islets to nutrients or GSK-3 inhibition, B) evaluating the ability of GSK-3 inhibitors, Wnt agonists or nutrients to regulate NOS expression & NO production & C) investigating how exogenous NO affects the MTP & ?-cell growth, proliferation & function.
Specific aim 3 is to determine whether manipulation of GSK-3 and mTOR signaling will promote ?-cell function, growth & proliferation in a T1DM islet transplantation model by pre-culture of human or rodent islets with GSK-3 inhibitors or Wnt agonists 1 rapamycin prior to transplanting a """"""""marginal dose"""""""" of islets into STZ-diabetic SCID mice. Understanding the co-regulation of the GSK-3/TSC/mTOR & Wnt/GSK-3/?-catenin pathways will provide new strategies to enhance growth & proliferation of adult ?-cells, serve important unmet medical needs of T1DM & T2DM & provide basic mechanistic knowledge of how nutrients affect these pathways. ? ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Research Project (R01)
Project #
2R01DK006181-45A1
Application #
7362469
Study Section
Cellular Aspects of Diabetes and Obesity Study Section (CADO)
Program Officer
Appel, Michael C
Project Start
1977-05-01
Project End
2013-06-30
Budget Start
2008-07-01
Budget End
2009-06-30
Support Year
45
Fiscal Year
2008
Total Cost
$349,600
Indirect Cost
Name
Washington University
Department
Pathology
Type
Schools of Medicine
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Rohatgi, Nidhi; Aly, Haytham; Marshall, Connie A et al. (2013) Novel insulin sensitizer modulates nutrient sensing pathways and maintains ýý-cell phenotype in human islets. PLoS One 8:e62012
Aly, Haytham; Rohatgi, Nidhi; Marshall, Connie A et al. (2013) A novel strategy to increase the proliferative potential of adult human ?-cells while maintaining their differentiated phenotype. PLoS One 8:e66131
Vernier, Stephanie; Chiu, Angela; Schober, Joseph et al. (2012) ?-cell metabolic alterations under chronic nutrient overload in rat and human islets. Islets 4:379-92
Rohatgi, Nidhi; Remedi, Maria S; Kwon, Guim et al. (2010) Therapeutic Strategies to Increase Human ?-Cell Growth and Proliferation by Regulating mTOR and GSK-3/?-Catenin Pathways. Open Endocrinol J 4:
Liu, Hui; Remedi, Maria S; Pappan, Kirk L et al. (2009) Glycogen synthase kinase-3 and mammalian target of rapamycin pathways contribute to DNA synthesis, cell cycle progression, and proliferation in human islets. Diabetes 58:663-72
Kwon, Guim; Marshall, Connie A; Liu, Hui et al. (2006) Glucose-stimulated DNA synthesis through mammalian target of rapamycin (mTOR) is regulated by KATP channels: effects on cell cycle progression in rodent islets. J Biol Chem 281:3261-7
Pappan, Kirk L; Pan, Zhijun; Kwon, Guim et al. (2005) Pancreatic beta-cell lipoprotein lipase independently regulates islet glucose metabolism and normal insulin secretion. J Biol Chem 280:9023-9
Kwon, Guim; Pappan, Kirk L; Marshall, Connie A et al. (2004) cAMP Dose-dependently prevents palmitate-induced apoptosis by both protein kinase A- and cAMP-guanine nucleotide exchange factor-dependent pathways in beta-cells. J Biol Chem 279:8938-45
Cruz, W S; Kwon, G; Marshall, C A et al. (2001) Glucose and insulin stimulate heparin-releasable lipoprotein lipase activity in mouse islets and INS-1 cells. A potential link between insulin resistance and beta-cell dysfunction. J Biol Chem 276:12162-8
Hill, J R; Kwon, G; Marshall, C A et al. (1998) Hyperglycemic levels of glucose inhibit interleukin 1 release from RAW 264.7 murine macrophages by activation of protein kinase C. J Biol Chem 273:3308-13

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