Hermann, F.M.* ; Kjærgaard, M.F.* ; Tian, C. ; Tiemann, U.* ; Jackson, A.* ; Olsen, L.R.* ; Kraft, M.* ; Carlsson, P.O.* ; Elfving, I.M.* ; Kettunen, J.L.T.* ; Tuomi, T.* ; Novak, I.* ; Semb, H.
     
 
    
        
An insulin hypersecretion phenotype precedes pancreatic β cell failure in MODY3 patient-specific cells.
    
    
        
    
    
        
        Cell Stem Cell 30, 38-51.e8 (2023)
    
    
    
		
		
			
				MODY3 is a monogenic hereditary form of diabetes caused by mutations in the transcription factor HNF1A. The patients progressively develop hyperglycemia due to perturbed insulin secretion, but the pathogenesis is unknown. Using patient-specific hiPSCs, we recapitulate the insulin secretion sensitivity to the membrane depolarizing agent sulfonylurea commonly observed in MODY3 patients. Unexpectedly, MODY3 patient-specific HNF1A+/R272C β cells hypersecrete insulin both in vitro and in vivo after transplantation into mice. Consistently, we identified a trend of increased birth weight in human HNF1A mutation carriers compared with healthy siblings. Reduced expression of potassium channels, specifically the KATP channel, in MODY3 β cells, increased calcium signaling, and rescue of the insulin hypersecretion phenotype by pharmacological targeting ATP-sensitive potassium channels or low-voltage-activated calcium channels suggest that more efficient membrane depolarization underlies the hypersecretion of insulin in MODY3 β cells. Our findings identify a pathogenic mechanism leading to β cell failure in MODY3.
			
			
				
			
		 
		
			
				
					
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        Publikationstyp
        Artikel: Journalartikel
    
 
    
        Dokumenttyp
        Wissenschaftlicher Artikel
    
 
    
        Typ der Hochschulschrift
        
    
 
    
        Herausgeber
        
    
    
        Schlagwörter
        Hnf1a ; Hnf4a ; K(atp) Channel ; Mody3 ; Calcium Signaling ; Congenital Hyperinsulinemia ; Disease Modeling ; Membrane Potential ; Pancreatic β Cell ; Patient-specific Hipscs; Beta-cells; Congenital Hyperinsulinism; Glucose; Hnf1a; Young; Expression; Mutations; Diagnosis; Gene; Hypoglycemia
    
 
    
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        Sprache
        englisch
    
 
    
        Veröffentlichungsjahr
        2023
    
 
    
        Prepublished im Jahr 
        2022
    
 
    
        HGF-Berichtsjahr
        2022
    
 
    
    
        ISSN (print) / ISBN
        1934-5909
    
 
    
        e-ISSN
        1875-9777
    
 
    
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	    Band: 30,  
	    Heft: 1,  
	    Seiten: 38-51.e8 
	    Artikelnummer: ,  
	    Supplement: ,  
	
    
 
  
        
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            Verlag
            Cell Press
        
 
        
            Verlagsort
            Cambridge, Mass.
        
 
	
        
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        Begutachtungsstatus
        Peer reviewed
    
 
     
    
        POF Topic(s)
        30201 - Metabolic Health
    
 
    
        Forschungsfeld(er)
        Helmholtz Diabetes Center
    
 
    
        PSP-Element(e)
        G-506800-001
    
 
    
        Förderungen
        Helmholtz Zentrum Munchen
Danmarks Frie Forskningsfond
Novo Nordisk Foundation Center for Stem Cell Biology , University of Copenhagen
Medical Sciences
Lund Stem Cell Center , Stem Therapy , Lund University
    
 
    
        Copyright
        
    
 	
    
    
    
    
    
        Erfassungsdatum
        2023-01-17