GLP-1 receptor agonists synergize with DYRK1A inhibitors to potentiate functional human β cell regeneration.

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Serval ID
serval:BIB_4E3C5CE86DB9
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
GLP-1 receptor agonists synergize with DYRK1A inhibitors to potentiate functional human β cell regeneration.
Journal
Science translational medicine
Author(s)
Ackeifi C., Wang P., Karakose E., Manning Fox J.E., González B.J., Liu H., Wilson J., Swartz E., Berrouet C., Li Y., Kumar K., MacDonald P.E., Sanchez R., Thorens B., DeVita R., Homann D., Egli D., Scott D.K., Garcia-Ocaña A., Stewart A.F.
ISSN
1946-6242 (Electronic)
ISSN-L
1946-6234
Publication state
Published
Issued date
12/02/2020
Peer-reviewed
Oui
Volume
12
Number
530
Language
english
Notes
Publication types: Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
Glucagon-like peptide-1 receptor (GLP1R) agonists and dipeptidyl peptidase 4 inhibitors are widely prescribed diabetes drugs due to their ability to stimulate insulin secretion from remaining β cells and to reduce caloric intake. Unfortunately, they fail to increase human β cell proliferation. Small-molecule inhibitors of dual-specificity tyrosine-regulated kinase 1A (DYRK1A) are able to induce adult human β cell proliferation, but rates are modest (~2%), and their specificity to β cells is limited. Here, we provide evidence that combining any member of the GLP1R agonist class with any member of the DYRK1A inhibitor class induces a synergistic increase in human β cell replication (5 to 6%) accompanied by an actual increase in numbers of human β cells. GLP1R agonist-DYRK1A inhibitor synergy required combined inhibition of DYRK1A and an increase in cAMP and did not lead to β cell dedifferentiation. These beneficial effects on proliferation were seen in both normal human β cells and β cells derived from individuals with type 2 diabetes. The ability of the GLP1R agonist-DYRK1A inhibitor combination to enhance human β cell proliferation, human insulin secretion, and blood glucose control extended in vivo to studies of human islets transplanted into euglycemic and streptozotocin-diabetic immunodeficient mice. No adverse events were observed in the mouse studies during a 1-week period. Because of the relative β cell specificity of GLP1R agonists, the combination provides an improved, although not complete, degree of human β cell specificity.
Keywords
Adult, Animals, Diabetes Mellitus, Type 2, Glucagon-Like Peptide-1 Receptor/agonists, Humans, Insulin-Secreting Cells, Mice, Protein Kinase Inhibitors/pharmacology, Protein Serine-Threonine Kinases/antagonists & inhibitors, Protein-Tyrosine Kinases/antagonists & inhibitors, Regeneration
Pubmed
Web of science
Open Access
Yes
Create date
29/06/2021 15:05
Last modification date
12/03/2022 7:29
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