title: A novel strategy to increase the proliferative potential of adult human β-cells while maintaining their differentiated phenotype.
abstract: Our previous studies demonstrated that Wnt/GSK-3/β-catenin and mTOR signaling are necessary to stimulate proliferative processes in adult human β-cells. Direct inhibition of GSK-3, that engages Wnt signaling downstream of the Wnt receptor, increases β-catenin nuclear translocation and β-cell proliferation but results in lower insulin content. Our current goal was to engage canonical and non-canonical Wnt signaling at the receptor level to significantly increase human β-cell proliferation while maintaining a β-cell phenotype in intact islets. We adopted a system that utilized conditioned medium from L cells that expressed Wnt3a, R-spondin-3 and Noggin (L-WRN conditioned medium). In addition we used a ROCK inhibitor (Y-27632) and SB-431542 (that results in RhoA inhibition) in these cultures. Treatment of intact human islets with L-WRN conditioned medium plus inhibitors significantly increased DNA synthesis ∼6 fold in a rapamycin-sensitive manner. Moreover, this treatment strikingly increased human β-cell proliferation ∼20 fold above glucose alone. Only the combination of L-WRN conditioned medium with RhoA/ROCK inhibitors resulted in substantial proliferation. Transcriptome-wide gene expression profiling demonstrated that L-WRN medium provoked robust changes in several signaling families, including enhanced β-catenin-mediated and β-cell-specific gene expression. This treatment also increased expression of Nr4a2 and Irs2 and resulted in phosphorylation of Akt. Importantly, glucose-stimulated insulin secretion and content were not downregulated by L-WRN medium treatment. Our data demonstrate that engaging Wnt signaling at the receptor level by this method leads to necessary crosstalk between multiple signaling pathways including activation of Akt, mTOR, Wnt/β-catenin, PKA/CREB, and inhibition of RhoA/ROCK that substantially increase human β-cell proliferation while maintaining the β-cell phenotype.
authors.affiliation: Department of Pathology and Immunology Washington University in St. Louis, St. Louis, Missouri, United States of America.
authors.forename: Haytham
authors.initials: H
authors.lastname: Aly
authors.forename: Nidhi
authors.initials: N
authors.lastname: Rohatgi
authors.forename: Connie A
authors.initials: CA
authors.lastname: Marshall
authors.forename: Tiffani C
authors.initials: TC
authors.lastname: Grossenheider
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Miyoshi
authors.forename: Thaddeus S
authors.initials: TS
authors.lastname: Stappenbeck
authors.forename: Scot J
authors.initials: SJ
authors.lastname: Matkovich
authors.forename: Michael L
authors.initials: ML
authors.lastname: McDaniel
mesh_terms: D000328:Adult; D000577:Amides; D001549:Benzamides; D002352:Carrier Proteins / Q000378:metabolism; D018929:Cell Culture Techniques / Q000379:methods*; D002454:Cell Differentiation / Q000502:physiology; D049109:Cell Proliferation / Q000187:drug effects*; D017077:Culture Media, Conditioned / Q000737:chemistry / Q000494:pharmacology; D004149:Dioxoles; D020869:Gene Expression Profiling; D006801:Humans; D050417:Insulin-Secreting Cells / Q000502:physiology*; D011725:Pyridines; D020239:Receptor Cross-Talk / Q000502:physiology; D019699:Thrombospondins / Q000378:metabolism; D060449:Wnt Signaling Pathway / Q000502:physiology*; D060509:Wnt3A Protein / Q000378:metabolism; D051176:beta Catenin / Q000378:metabolism; D054460:rho-Associated Kinases / Q000037:antagonists & inhibitors; D000099176:Noggin Protein; D000098907:R-Spondins
chemical_list: D000577:Amides; D001549:Benzamides; D002352:Carrier Proteins; D017077:Culture Media, Conditioned; D004149:Dioxoles; D011725:Pyridines; D019699:Thrombospondins; D060509:Wnt3A Protein; D051176:beta Catenin; D054460:rho-Associated Kinases; D000099176:Noggin Protein; C459179:4-(5-benzo(1,3)dioxol-5-yl-4-pyridin-2-yl-1H-imidazol-2-yl)benzamide; C475438:RSPO3 protein, human; D000098907:R-Spondins; C555510:WNT3A protein, human; C108830:Y 27632