Inhibition of DYRK1A stimulates human β-cell proliferation

E Dirice, D Walpita, A Vetere, BC Meier… - Diabetes, 2016 - Am Diabetes Assoc
E Dirice, D Walpita, A Vetere, BC Meier, S Kahraman, J Hu, V Dančík, SM Burns, TJ Gilbert…
Diabetes, 2016Am Diabetes Assoc
Restoring functional β-cell mass is an important therapeutic goal for both type 1 and type 2
diabetes. While proliferation of existing β-cells is the primary means of β-cell replacement in
rodents, it is unclear whether a similar principle applies to humans, as human β-cells are
remarkably resistant to stimulation of division (,). Here, we show that 5-iodotubercidin (5-IT),
an annotated adenosine kinase inhibitor previously reported to increase proliferation in
rodent and porcine islets, strongly and selectively increases human β-cell proliferation in …
Restoring functional β-cell mass is an important therapeutic goal for both type 1 and type 2 diabetes . While proliferation of existing β-cells is the primary means of β-cell replacement in rodents , it is unclear whether a similar principle applies to humans, as human β-cells are remarkably resistant to stimulation of division (,). Here, we show that 5-iodotubercidin (5-IT), an annotated adenosine kinase inhibitor previously reported to increase proliferation in rodent and porcine islets , strongly and selectively increases human β-cell proliferation in vitro and in vivo. Remarkably, 5-IT also increased glucose-dependent insulin secretion after prolonged treatment. Kinome profiling revealed 5-IT to be a potent and selective inhibitor of the dual-specificity tyrosine phosphorylation–regulated kinase (DYRK) and cell division cycle–like kinase families. Induction of β-cell proliferation by either 5-IT or harmine, another natural product DYRK1A inhibitor, was suppressed by coincubation with the calcineurin inhibitor FK506, suggesting involvement of DYRK1A and nuclear factor of activated T cells signaling. Gene expression profiling in whole islets treated with 5-IT revealed induction of proliferation- and cell cycle–related genes, suggesting that true proliferation is induced by 5-IT. Furthermore, 5-IT promotes β-cell proliferation in human islets grafted under the kidney capsule of NOD-scid IL2Rgnull mice. These results point to inhibition of DYRK1A as a therapeutic strategy to increase human β-cell proliferation.
Am Diabetes Assoc