Phenotypic Screening for Small Molecules that Protect β-Cells from Glucolipotoxicity

Jonnell C Small1,2, Aidan Joblin-Mills3, Kaycee Carbone1

  • 1Chemical Biology and Therapeutics Science Program, Broad Institute, Cambridge, Massachusetts 02142, United States.

ACS Chemical Biology
|April 19, 2022
PubMed

Insights

Researchers screened thousands of compounds to find small molecules that protect pancreatic beta cells from glucolipotoxicity, a key factor in type 2 diabetes. Ten promising kinase inhibitors were identified to preserve beta cell viability.

Area of Science:

  • Endocrinology
  • Molecular Biology
  • Pharmacology

Background:

  • Type 2 diabetes is characterized by progressive beta-cell failure and loss of beta-cell mass.
  • Obesity-associated hyperglycemia and elevated free fatty acids cause beta-cell glucolipotoxicity, with no current therapies targeting this in obese patients.
  • Identifying novel therapeutic targets is crucial for preserving beta-cell function.

Purpose of the Study:

  • To identify small molecules that protect pancreatic beta cells from glucolipotoxicity.
  • To discover potential therapeutic agents for type 2 diabetes by screening for compounds that enhance beta-cell survival.

Main Methods:

  • A high-throughput screen of 20,876 compounds was conducted using the INS-1E rat insulinoma cell line under glucolipotoxic conditions (elevated glucose and palmitate).
  • Compounds demonstrating protective effects on INS-1E cell viability were further analyzed for known biological targets.
  • Promising candidates were validated in dissociated human islets to assess their efficacy in reducing glucolipotoxicity-induced beta-cell death.

Main Results:

  • 312 glucolipotoxicity-protective small molecules were identified, with 17 selected for further investigation based on known targets.
  • 16 of these compounds were kinase inhibitors, including inhibitors of cyclin-dependent kinases (CDK), PI-3 kinase (PI3K), Janus kinase (JAK), and Rho-associated kinase 2 (ROCK2).
  • Ten compounds (KD025, ETP-45658, BMS-536924, AT-9283, PF-03814735, torin-2, AZD5438, CP-640186, ETP-46464, GSK2126458) successfully reduced glucolipotoxicity-induced beta-cell death in human islets by decreasing caspase activation, mitochondrial depolarization, and calcium flux.

Conclusions:

  • This study identified novel small molecules, primarily kinase inhibitors, that protect beta cells from glucolipotoxicity.
  • These findings offer a promising foundation for developing new treatments to preserve beta-cell viability in type 2 diabetes patients.
  • Targeting kinase pathways presents a viable strategy for combating beta-cell loss in the context of obesity and type 2 diabetes.

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