Adenosine kinase inhibition selectively promotes rodent and porcine islet β-cell replication

JP Annes, JH Ryu, K Lam, PJ Carolan… - Proceedings of the …, 2012 - National Acad Sciences
JP Annes, JH Ryu, K Lam, PJ Carolan, K Utz, J Hollister-Lock, AC Arvanites, LL Rubin
Proceedings of the National Academy of Sciences, 2012National Acad Sciences
Diabetes is a pathological condition characterized by relative insulin deficiency, persistent
hyperglycemia, and, consequently, diffuse micro-and macrovascular disease. One
therapeutic strategy is to amplify insulin-secretion capacity by increasing the number of the
insulin-producing β cells without triggering a generalized proliferative response. Here, we
present the development of a small-molecule screening platform for the identification of
molecules that increase β-cell replication. Using this platform, we identify a class of …
Diabetes is a pathological condition characterized by relative insulin deficiency, persistent hyperglycemia, and, consequently, diffuse micro- and macrovascular disease. One therapeutic strategy is to amplify insulin-secretion capacity by increasing the number of the insulin-producing β cells without triggering a generalized proliferative response. Here, we present the development of a small-molecule screening platform for the identification of molecules that increase β-cell replication. Using this platform, we identify a class of compounds [adenosine kinase inhibitors (ADK-Is)] that promote replication of primary β cells in three species (mouse, rat, and pig). Furthermore, the replication effect of ADK-Is is cell type-selective: treatment of islet cell cultures with ADK-Is increases replication of β cells but not that of α cells, PP cells, or fibroblasts. Short-term in vivo treatment with an ADK-I also increases β-cell replication but not exocrine cell or hepatocyte replication. Therefore, we propose ADK inhibition as a strategy for the treatment of diabetes.
National Acad Sciences