The islet tissue plasminogen activator/plasmin system is upregulated with human islet amyloid polypeptide aggregation and protects beta cells from aggregation-induced toxicity.

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    • Source:
      Publisher: Springer Verlag Country of Publication: Germany NLM ID: 0006777 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1432-0428 (Electronic) Linking ISSN: 0012186X NLM ISO Abbreviation: Diabetologia Subsets: MEDLINE
    • Publication Information:
      Original Publication: Berlin Springer Verlag
    • Subject Terms:
    • Abstract:
      Aims/hypothesis: Apart from its fibrinolytic activity, the tissue plasminogen activator (tPA)/plasmin system has been reported to cleave the peptide amyloid beta, attenuating brain amyloid deposition in Alzheimer's disease. As aggregation of human islet amyloid polypeptide (hIAPP) is toxic to beta cells, we sought to determine whether activation of the fibrinolytic system can also reduce islet amyloid deposition and its cytotoxic effects, which are both observed in type 2 diabetes.
      Methods: The expression of Plat (encoding tPA) and plasmin activity were measured in isolated islets from amyloid-prone hIAPP transgenic mice or non-transgenic control islets expressing non-amyloidogenic mouse islet amyloid polypeptide cultured in the absence or presence of the amyloid inhibitor Congo Red. Plat expression was also determined in hIAPP-treated primary islet endothelial cells, bone marrow-derived macrophages (BMDM) and INS-1 cells, in order to determine the islet cell type(s) producing tPA in response to hIAPP aggregation. Cell-free thioflavin-T assays and MS were used to respectively monitor hIAPP aggregation kinetics and investigate plasmin cleavage of hIAPP. Cell viability was assessed in INS-1 beta cells treated with hIAPP with or without plasmin. Finally, to confirm the findings in human samples, PLAT expression was measured in freshly isolated islets from donors with and without type 2 diabetes.
      Results: In isolated islets from transgenic mice, islet Plat expression and plasmin activity increased significantly with the process of amyloid deposition (p≤0.01, n=5); these effects were not observed in islets from non-transgenic mice and were blocked by Congo Red (p≤0.01, n=4). In response to hIAPP exposure, Plat expression increased in BMDM and INS-1 cells vs vehicle-treated cells (p≤0.05, n=4), but not in islet endothelial cells. Plasmin reduced hIAPP fibril formation in a dose-dependent manner in a cell-free system, and restored hIAPP-induced loss of cell viability in INS-1 beta cells (p≤0.01, n=5). Plasmin cleaved monomeric hIAPP, inducing a rapid decrease in the abundance of full-length hIAPP and the appearance of hIAPP 1-11 and 12-37 fragments. hIAPP 12-37, which contains the critical amyloidogenic region, was not toxic to INS-1 cells. Finally, PLAT expression was significantly increased by 2.4-fold in islets from donors with type 2 diabetes (n=4) vs islets from donors without type 2 diabetes (n=7) (p≤0.05).
      Conclusions/interpretation: The fibrinolytic system is upregulated in islets with hIAPP aggregation. Plasmin rapidly degrades hIAPP, limiting its aggregation into amyloid and thus protecting beta cells from hIAPP-induced toxicity. Thus, increasing islet plasmin activity might be a strategy to limit beta cell loss in type 2 diabetes.
      (© 2024. The Author(s).)
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    • Grant Information:
      T32 HL007028 United States HL NHLBI NIH HHS; T32 DK007247 United States DK NIDDK NIH HHS; 107927/Z/15/Z United Kingdom WT_ Wellcome Trust; T32 HL007028 United States NH NIH HHS; I01 BX001060 United States BX BLRD VA; R01 GM078114 United States NH NIH HHS; I01 BX004063 United States BX BLRD VA; P30 DK017047 United States NH NIH HHS; Julia McAbee Endowed Postdoctoral Fellows Diabetes Research Center, University of Washington; R01 GM078114 United States GM NIGMS NIH HHS; T32 DK007247 United States NH NIH HHS; United Kingdom WT_ Wellcome Trust; Post doctorate Clinical Master Specialist Fonds De La Recherche Scientifique - FNRS; P30 DK017047 United States DK NIDDK NIH HHS; 1-INO-2022-1123-A-N Juvenile Diabetes Research Foundation Australia; IK2 BX004659 United States BX BLRD VA; Dick Diabetes Research Center, University of Washington; Postdoctoral Fellowship 1-18-PDF-174 American Diabetes Association
    • Contributed Indexing:
      Keywords: Amyloid; Beta cell; Fibrinolysis; Human islet; Islet amyloid polypeptide; Plasmin; Tissue plasminogen activator; Type 2 diabetes
    • Accession Number:
      0 (Islet Amyloid Polypeptide)
      EC 3.4.21.7 (Fibrinolysin)
      EC 3.4.21.68 (Tissue Plasminogen Activator)
    • Publication Date:
      Date Created: 20240908 Date Completed: 20240918 Latest Revision: 20240922
    • Publication Date:
      20240922
    • Accession Number:
      PMC11410534
    • Accession Number:
      10.1007/s00125-024-06161-0
    • Accession Number:
      39245780