Insulin demand regulates β cell number via the unfolded protein response.

TitleInsulin demand regulates β cell number via the unfolded protein response.
Publication TypeJournal Article
Year of Publication2015
AuthorsSharma RB, O'Donnell AC, Stamateris RE, Ha B, McCloskey KM, Reynolds PR, Arvan P, Alonso LC
JournalJ Clin Invest
Volume125
Issue10
Pagination3831-46
Date Published2015 Oct 01
ISSN1558-8238
KeywordsActivating Transcription Factor 6, Adaptation, Physiological, Animals, Biomarkers, Calcium Signaling, Cell Division, Cells, Cultured, Endoplasmic Reticulum Stress, Endoplasmic Reticulum, Rough, Gene Expression Regulation, Glycosylation, Humans, Hyperglycemia, Insulin, Insulin-Secreting Cells, Male, Mice, Inbred C57BL, Mice, Mutant Strains, Models, Biological, Obesity, Proinsulin, Protein Processing, Post-Translational, Receptors, Leptin, Recombinant Fusion Proteins, Unfolded Protein Response
Abstract

Although stem cell populations mediate regeneration of rapid turnover tissues, such as skin, blood, and gut, a stem cell reservoir has not been identified for some slower turnover tissues, such as the pancreatic islet. Despite lacking identifiable stem cells, murine pancreatic β cell number expands in response to an increase in insulin demand. Lineage tracing shows that new β cells are generated from proliferation of mature, differentiated β cells; however, the mechanism by which these mature cells sense systemic insulin demand and initiate a proliferative response remains unknown. Here, we identified the β cell unfolded protein response (UPR), which senses insulin production, as a regulator of β cell proliferation. Using genetic and physiologic models, we determined that among the population of β cells, those with an active UPR are more likely to proliferate. Moreover, subthreshold endoplasmic reticulum stress (ER stress) drove insulin demand-induced β cell proliferation, through activation of ATF6. We also confirmed that the UPR regulates proliferation of human β cells, suggesting that therapeutic UPR modulation has potential to expand β cell mass in people at risk for diabetes. Together, this work defines a stem cell-independent model of tissue homeostasis, in which differentiated secretory cells use the UPR sensor to adapt organ size to meet demand.

DOI10.1172/JCI79264
Alternate JournalJ. Clin. Invest.
PubMed ID26389675
PubMed Central IDPMC4607122
Grant ListU24-DK093000 / DK / NIDDK NIH HHS / United States
R01 DK095140 / DK / NIDDK NIH HHS / United States
R01 DK048280 / DK / NIDDK NIH HHS / United States
K08 DK076562 / DK / NIDDK NIH HHS / United States
U24 DK093000 / DK / NIDDK NIH HHS / United States
DK095140 / DK / NIDDK NIH HHS / United States
DK076562 / DK / NIDDK NIH HHS / United States
P30 DK020572 / DK / NIDDK NIH HHS / United States
DK48280 / DK / NIDDK NIH HHS / United States