High-Throughput Methods for the Discovery of Small Molecule Modulators of Pancreatic Beta-Cell Function and

Sean M McCarty1,2, Martin C Clasby1, Jonathan Z Sexton1,2

  • 1Department of Medicinal Chemistry, College of Pharmacy, University of Michigan, Ann Arbor, Michigan, USA.

Insights

Type II diabetes (T2D) involves beta-cell loss. This review examines high-throughput screening methods for discovering drugs that protect or restore beta-cell mass and function, crucial for diabetes treatment.

Area of Science:

  • Endocrinology
  • Pharmacology
  • Cell Biology

Background:

  • Type II diabetes (T2D) is marked by progressive beta-cell dysfunction and loss, impairing insulin secretion.
  • Current T2D drug discovery relies heavily on limited beta-cell models, often yielding insights not directly applicable to human physiology.
  • Rodent beta-cell lines, while useful, primarily illuminate rodent-specific proliferation pathways, limiting translational relevance.

Purpose of the Study:

  • To review current high-throughput screening (HTS) methods for identifying small molecules that modulate beta-cell mass and function.
  • To highlight the limitations of traditional screening models and the potential of emerging 3D microtissue approaches.
  • To discuss the strategic importance of HTS in advancing diabetes drug discovery.

Main Methods:

  • Exploration of established HTS techniques: luciferase reporter assays, glucose-stimulated insulin secretion (GSIS), and high-content screening.
  • Evaluation of 3D primary islets and pseudoislets for enhanced physiological relevance compared to 2D monolayer cultures.
  • Discussion of novel methods integrating high-throughput 3D islet imaging and machine learning for scalable screening.

Main Results:

  • Traditional HTS methods using rodent beta-cell lines have advanced understanding of rodent pathways but lack human relevance.
  • 3D primary islet and pseudoislet cultures offer greater physiological fidelity but are typically low-throughput.
  • Emerging technologies combining 3D imaging and AI show promise for high-throughput screening of 3D microtissues.

Conclusions:

  • There is a critical need for HTS methods that accurately reflect human beta-cell biology for effective T2D drug discovery.
  • Advancements in 3D culture and imaging technologies, coupled with machine learning, are paving the way for more physiologically relevant HTS.
  • Integrating these novel approaches into drug discovery pipelines is pivotal for developing novel therapeutics for T2D.

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