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TCF1 links GIPR signaling to the control of beta cell function and survival
Jonathan E Campbell1, John R Ussher1, Erin E Mulvihill1
1Lunenfeld-Tanenbaum Research Institute, Mt. Sinai Hospital, Toronto, Ontario, Canada.
Abstract:
The glucagon-like peptide-1 (GLP-1) receptor and the glucose-dependent insulinotropic polypeptide (GIP) receptor transduce nutrient-stimulated signals to control beta cell function. Although the GLP-1 receptor (GLP-1R) is a validated drug target for diabetes, the importance of the GIP receptor (GIPR) for the function of beta cells remains uncertain. We demonstrate that mice with selective ablation of GIPR in beta cells (MIP-Cre:Gipr(Flox/Flox); Gipr(-/-βCell)) exhibit lower levels of meal-stimulated insulin secretion, decreased expansion of adipose tissue mass and preservation of insulin sensitivity when compared to MIP-Cre controls. Beta cells from Gipr(-/-βCell) mice display greater sensitivity to apoptosis and markedly lower islet expression of T cell-specific transcription factor-1 (TCF1, encoded by Tcf7), a protein not previously characterized in beta cells. GIP, but not GLP-1, promotes beta cell Tcf7 expression via a cyclic adenosine monophosphate (cAMP)-independent and extracellular signal-regulated kinase (ERK)-dependent pathway. Tcf7 (in mice) or TCF7 (in humans) levels are lower in islets taken from diabetic mice and in humans with type 2 diabetes; knockdown of TCF7 in human and mouse islets impairs the cytoprotective responsiveness to GIP and enhances the magnitude of apoptotic injury, whereas restoring TCF1 levels in beta cells from Gipr(-/-βCell) mice lowers the number of apoptotic cells compared to that seen in MIP-Cre controls. Tcf7(-/-) mice show impaired insulin secretion, deterioration of glucose tolerance with either aging and/or high-fat feeding and increased sensitivity to beta cell injury relative to wild-type (WT) controls. Hence the GIPR-TCF1 axis represents a potential therapeutic target for preserving both the function and survival of vulnerable, diabetic beta cells.
Insights
The glucose-dependent insulinotropic polypeptide receptor (GIPR) is crucial for beta cell function and survival. Targeting the GIPR-TCF1 axis may offer new therapies for type 2 diabetes.
Area of Science:
- Endocrinology
- Molecular Biology
- Diabetes Research
Background:
- Glucagon-like peptide-1 receptor (GLP-1R) is a validated diabetes target.
- The role of glucose-dependent insulinotropic polypeptide receptor (GIPR) in beta cell function is unclear.
- Beta cell dysfunction and loss are key in type 2 diabetes.
Purpose of the Study:
- To investigate the specific role of GIPR in beta cells.
- To explore the molecular mechanisms linking GIPR signaling to beta cell survival.
- To evaluate the therapeutic potential of the GIPR-TCF1 axis in diabetes.
Main Methods:
- Generated beta cell-specific GIPR knockout mice (Gipr(-/-βCell)).
- Assessed insulin secretion, beta cell apoptosis, and TCF1 expression.
- Utilized in vitro studies with human and mouse islets, including gene knockdown and rescue experiments.
- Examined Tcf7 knockout mice for glucose tolerance and beta cell injury sensitivity.
Main Results:
- Beta cell-specific GIPR ablation reduced insulin secretion and increased apoptosis.
- GIPR signaling promotes beta cell expression of TCF1 via an ERK-dependent pathway.
- TCF1 levels are decreased in islets from diabetic mice and humans.
- TCF1 deficiency impairs GIP's protective effects and exacerbates beta cell injury.
Conclusions:
- The GIPR-TCF1 axis is vital for beta cell function and survival.
- GIPR signaling, through TCF1, protects beta cells from apoptosis.
- Targeting the GIPR-TCF1 pathway presents a promising therapeutic strategy for type 2 diabetes.
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