Na+/Ca(2+ )Exchanger a Druggable Target to Promote beta -Cell Proliferation and Function

Autor: Francesco Paolo Zummo, Julien Papin, André Herchuelz, Romano Regazzi, Alessandra K Cardozo, Claudiane Guay, Nathalie Pachera
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Journal of the Endocrine Society, vol. 2, no. 7, pp. 631-645
Journal of the Endocrine Society, 2 (7
Journal of the Endocrine Society
Popis: An important feature of type 2 diabetes is a decrease in β-cell mass. Therefore, it is essential to find new approaches to stimulate β-cell proliferation. We have previously shown that heterozygous inactivation of the Na+/Ca2+ exchanger (isoform 1; NCX1), a protein responsible for Ca2+ extrusion from cells, increases β-cell proliferation, mass, and function in mice. Here, we show that Ncx1 inactivation also increases β-cell proliferation in 2-year-old mice and that NCX1 inhibition in adult mice by four small molecules of the benzoxyphenyl family stimulates β-cell proliferation both in vitro and in vivo. NCX1 inhibition by small interfering RNA or small molecules activates the calcineurin/nuclear factor of activated T cells (NFAT) pathway and inhibits apoptosis induced by the immunosuppressors cyclosporine A (CsA) and tacrolimus in insulin-producing cell. Moreover, NCX1 inhibition increases the expression of β-cell-specific genes, such as Ins1, Ins2, and Pdx1, and inactivates/downregulates the tumor suppressors retinoblastoma protein (pRb) and miR-193a and the cell cycle inhibitor p53. Our data show that Na+/Ca2+ exchange is a druggable target to stimulate β-cell function and proliferation. Specific β-cell inhibition of Na+/Ca2+ exchange by phenoxybenzamyl derivatives may represent an innovative approach to promote β-cell regeneration in diabetes and improve the efficiency of pancreatic islet transplantation for the treatment of the disease.
SCOPUS: ar.j
info:eu-repo/semantics/published
Databáze: OpenAIRE