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2017 ; 214
(9
): 2591-2610
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Induction of IAPP amyloid deposition and associated diabetic abnormalities by a
prion-like mechanism
#MMPMID28765400
Mukherjee A
; Morales-Scheihing D
; Salvadores N
; Moreno-Gonzalez I
; Gonzalez C
; Taylor-Presse K
; Mendez N
; Shahnawaz M
; Gaber AO
; Sabek OM
; Fraga DW
; Soto C
J Exp Med
2017[Sep]; 214
(9
): 2591-2610
PMID28765400
show ga
Although a large proportion of patients with type 2 diabetes (T2D) accumulate
misfolded aggregates composed of the islet amyloid polypeptide (IAPP), its role
in the disease is unknown. Here, we show that pancreatic IAPP aggregates can
promote the misfolding and aggregation of endogenous IAPP in islet cultures
obtained from transgenic mouse or healthy human pancreas. Islet homogenates
immunodepleted with anti-IAPP-specific antibodies were not able to induce IAPP
aggregation. Importantly, intraperitoneal inoculation of pancreatic homogenates
containing IAPP aggregates into transgenic mice expressing human IAPP
dramatically accelerates IAPP amyloid deposition, which was accompanied by
clinical abnormalities typical of T2D, including hyperglycemia, impaired glucose
tolerance, and a substantial reduction on ? cell number and mass. Finally,
induction of IAPP deposition and diabetic abnormalities were also induced in vivo
by administration of IAPP aggregates prepared in vitro using pure, synthetic
IAPP. Our findings suggest that some of the pathologic and clinical alterations
of T2D might be transmissible through a similar mechanism by which prions
propagate in prion diseases.
|Animals
[MESH]
|Diabetes Mellitus, Type 2/etiology/*metabolism/pathology
[MESH]
|Female
[MESH]
|Humans
[MESH]
|Islet Amyloid Polypeptide/*metabolism
[MESH]
|Islets of Langerhans/*metabolism/pathology
[MESH]