Abstract
β-Cell dysfunction and reduction in β-cell mass are hallmark events of diabetes mellitus. Here we show that β-cells express abundant Kindlin-2 and deleting its expression causes severe diabetes-like phenotypes without markedly causing peripheral insulin resistance. Kindlin-2, through its C-terminal region, binds to and stabilizes MafA, which activates insulin expression. Kindlin-2 loss impairs insulin secretion in primary human and mouse islets in vitro and in mice by reducing, at least in part, Ca2+ release in β-cells. Kindlin-2 loss activates GSK-3β and downregulates β-catenin, leading to reduced β-cell proliferation and mass. Kindlin-2 loss reduces the percentage of β-cells and concomitantly increases that of α-cells during early pancreatic development. Genetic activation of β-catenin in β-cells restores the diabetes-like phenotypes induced by Kindlin-2 loss. Finally, the inducible deletion of β-cell Kindlin-2 causes diabetic phenotypes in adult mice. Collectively, our results establish an important function of Kindlin-2 and provide a potential therapeutic target for diabetes.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Cell Proliferation
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Cytoskeletal Proteins / deficiency
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Cytoskeletal Proteins / genetics
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Cytoskeletal Proteins / metabolism*
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Diabetes Mellitus, Experimental / etiology
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Diabetes Mellitus, Experimental / metabolism
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Diabetes Mellitus, Experimental / pathology
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Female
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Gene Expression
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Gene Knockdown Techniques
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Humans
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Insulin / genetics
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Insulin Resistance
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Insulin-Secreting Cells / cytology*
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Insulin-Secreting Cells / metabolism*
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Islets of Langerhans / growth & development
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Islets of Langerhans / metabolism
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Maf Transcription Factors, Large / metabolism*
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Male
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Membrane Proteins / antagonists & inhibitors
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Membrane Proteins / genetics
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Membrane Proteins / metabolism
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Mice
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Mice, Inbred C57BL
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Mice, Knockout
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Mice, Transgenic
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Muscle Proteins / deficiency
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Muscle Proteins / genetics
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Muscle Proteins / metabolism*
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Neoplasm Proteins / antagonists & inhibitors
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Neoplasm Proteins / genetics
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Neoplasm Proteins / metabolism
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Phenotype
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Protein Stability
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beta Catenin / genetics
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beta Catenin / metabolism*
Substances
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CTNNB1 protein, mouse
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Cytoskeletal Proteins
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FERMT2 protein, human
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Insulin
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Maf Transcription Factors, Large
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Mafa protein, mouse
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Membrane Proteins
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Muscle Proteins
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Neoplasm Proteins
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beta Catenin
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kindlin-2 protein, mouse