Heterogenous impairment of α cell function in type 2 diabetes is linked to cell maturation state.

Heterogenous impairment of α cell function in type 2 diabetes is linked to cell maturation state.
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DOI:
10.1016/j.cmet.2021.12.021
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发表时间:
2022-02-01
期刊:
影响因子:
29
通讯作者:
MacDonald PE
MacDonald PE
中科院分区:
生物学1区
文献类型:
--
作者:
Dai XQ;Camunas-Soler J;Briant LJB;Dos Santos T;Spigelman AF;Walker EM;Arrojo E Drigo R;Bautista A;Jones RC;Avrahami D;Lyon J;Nie A;Smith N;Zhang Y;Johnson J;Manning Fox JE;Michelakis ED;Light PE;Kaestner KH;Kim SK;Rorsman P;Stein RW;Quake SR;MacDonald PE

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In diabetes, glucagon secretion from pancreatic α-cells is dysregulated. The underlying mechanisms, and whether dysfunction occurs uniformly amongst cells, remain unclear. We examined α-cells from human donors and mice using electrophysiological, transcriptomic, and computational approaches. Rising glucose suppresses α-cell exocytosis by reducing P/Q-type Ca2+ channel activity, and this is disrupted in type 2 diabetes (T2D). Upon high-fat-feeding of mice, α-cells shift towards a ‘β-cell-like’ electrophysiologic profile in concert with indications of impaired identity. In human α-cells we identify links between cell membrane properties and cell surface signalling receptors, mitochondrial respiratory complex assembly, and cell maturation. Cell type classification using machine learning of electrophysiology data demonstrates a heterogenous loss of ‘electrophysiologic identity’ in α-cells from donors with T2D. Indeed, a sub-set of α-cells with impaired exocytosis is defined by an enrichment in progenitor and lineage markers, and up-regulation of an immature transcriptomic phenotype, suggesting important links between α-cell maturation state and dysfunction. In diabetes, glucagon secretion from pancreatic α-cells is dysregulated. Dai et al. examined electrical and transcriptomic α-cell phenotypes and find that dysfunction in type 2 diabetes is linked to cell maturation state and impaired α-cell identity. Notably, a sub-set of α-cells enriched for lineage markers appears uniquely susceptible to dysfunction.
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