1. A20 Inhibits β-Cell Apoptosis by Multiple Mechanisms and Predicts Residual β-Cell Function in Type 1 Diabetes
- Author
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Diane Delaroche, E C Vanzela, Fernanda Ortis, Henrik B. Mortensen, Lotte B Nielsen, Alessandra K Cardozo, Joachim Størling, Geert van Loo, Leen Catrysse, Makiko Fukaya, Rudi Beyaert, Flemming Pociot, Marie Louise Max M.L. Andersen, Caroline Brorsson, and Kira Meyerovich
- Subjects
Male ,0301 basic medicine ,Apoptosis ,Biology ,Polymorphism, Single Nucleotide ,TNFAIP3 ,Mice ,03 medical and health sciences ,Endocrinology ,immune system diseases ,Insulin-Secreting Cells ,hemic and lymphatic diseases ,Animals ,Humans ,Child ,Protein kinase A ,Molecular Biology ,Protein kinase B ,Transcription factor ,Tumor Necrosis Factor alpha-Induced Protein 3 ,Original Research ,Mice, Knockout ,Intracellular Signaling Peptides and Proteins ,JNK Mitogen-Activated Protein Kinases ,General Medicine ,NFKB1 ,Rats ,Antiapoptotic Agent ,Cysteine Endopeptidases ,Disease Models, Animal ,Diabetes Mellitus, Type 1 ,030104 developmental biology ,Knockout mouse ,Cancer research ,Female ,Mitogen-Activated Protein Kinases ,Signal transduction ,Signal Transduction - Abstract
Activation of the transcription factor nuclear factor kappa B (NFkB) contributes to β-cell death in type 1 diabetes (T1D). Genome-wide association studies have identified the gene TNF-induced protein 3 (TNFAIP3), encoding for the zinc finger protein A20, as a susceptibility locus for T1D. A20 restricts NF-κB signaling and has strong antiapoptotic activities in β-cells. Although the role of A20 on NF-κB inhibition is well characterized, its other antiapoptotic functions are largely unknown. By studying INS-1E cells and rat dispersed islet cells knocked down or overexpressing A20 and islets isolated from the β-cell-specific A20 knockout mice, we presently demonstrate that A20 has broader effects in β-cells that are not restricted to inhibition of NF-κB. These involves, suppression of the proapoptotic mitogen-activated protein kinase c-Jun N-terminal kinase (JNK), activation of survival signaling via v-akt murine thymoma viral oncogene homolog (Akt) and consequently inhibition of the intrinsic apoptotic pathway. Finally, in a cohort of T1D children, we observed that the risk allele of the rs2327832 single nucleotide polymorphism of TNFAIP3 predicted lower C-peptide and higher hemoglobin A1c (HbA1c) levels 12 months after disease onset, indicating reduced residual β-cell function and impaired glycemic control. In conclusion, our results indicate a critical role for A20 in the regulation of β-cell survival and unveil novel mechanisms by which A20 controls β-cell fate. Moreover, we identify the single nucleotide polymorphism rs2327832 of TNFAIP3 as a possible prognostic marker for diabetes outcome in children with T1D.
- Published
- 2016
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