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 Musashi expression in beta-cells coordinates insulin expression, apoptosis and  proliferation in response to endoplasmic reticulum stress in diabetes Szabat M; Kalynyak TB; Lim GE; Chu KY; Yang YH; Asadi A; Gage BK; Ao Z; Warnock GL; Piret JM; Kieffer TJ; Johnson JDCell Death Dis  2011[Nov]; 2 (11): e232Diabetes is associated with the death and dysfunction of insulin-producing  pancreatic beta-cells. In other systems, Musashi genes regulate cell fate via Notch  signaling, which we recently showed regulates beta-cell survival. Here we show for  the first time that human and mouse adult islet cells express mRNA and protein of  both Musashi isoforms, as well Numb/Notch/Hes/neurogenin-3 pathway components.  Musashi expression was observed in insulin/glucagon double-positive cells during  human fetal development and increased during directed differentiation of human  embryonic stem cells (hESCs) to the pancreatic lineage. De-differentiation of  beta-cells with activin A increased Msi1 expression. Endoplasmic reticulum (ER)  stress increased Msi2 and Hes1, while it decreased Ins1 and Ins2 expression,  revealing a molecular link between ER stress and beta-cell dedifferentiation in type  2 diabetes. These effects were independent of changes in Numb protein levels and  Notch activation. Overexpression of MSI1 was sufficient to increase Hes1,  stimulate proliferation, inhibit apoptosis and reduce insulin expression, whereas  Msi1 knockdown had the converse effects on proliferation and insulin expression.  Overexpression of MSI2 resulted in a decrease in MSI1 expression. Taken together,  these results demonstrate overlapping, but distinct roles for Musashi-1 and  Musashi-2 in the control of insulin expression and beta-cell proliferation. Our data  also suggest that Musashi is a novel link between ER stress and the compensatory  beta-cell proliferation and the loss of beta-cell gene expression seen in specific  phases of the progression to type 2 diabetes.|*Apoptosis[MESH]|Activins/metabolism[MESH]|Animals[MESH]|Basic Helix-Loop-Helix Transcription Factors/metabolism[MESH]|Cell Differentiation[MESH]|Cell Proliferation[MESH]|Cells, Cultured[MESH]|Diabetes Mellitus, Type 2/*metabolism/pathology[MESH]|Embryonic Stem Cells/cytology[MESH]|Endoplasmic Reticulum Stress/*physiology[MESH]|Gene Expression Regulation[MESH]|Homeodomain Proteins/metabolism[MESH]|Humans[MESH]|Insulin-Secreting Cells/*metabolism[MESH]|Insulin/*metabolism[MESH]|Mice[MESH]|Nerve Tissue Proteins/antagonists & inhibitors/*metabolism[MESH]|RNA-Binding Proteins/antagonists & inhibitors/*metabolism[MESH]|Receptors, Notch/metabolism[MESH]|Transcription Factor HES-1[MESH]
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