[PDF][PDF] SerpinB1 promotes pancreatic β cell proliferation

A El Ouaamari, E Dirice, N Gedeon, J Hu, JY Zhou… - Cell metabolism, 2016 - cell.com
A El Ouaamari, E Dirice, N Gedeon, J Hu, JY Zhou, J Shirakawa, L Hou, J Goodman…
Cell metabolism, 2016cell.com
Although compensatory islet hyperplasia in response to insulin resistance is a recognized
feature in diabetes, the factor (s) that promote β cell proliferation have been elusive. We
previously reported that the liver is a source for such factors in the liver insulin receptor
knockout (LIRKO) mouse, an insulin resistance model that manifests islet hyperplasia. Using
proteomics we show that serpinB1, a protease inhibitor, which is abundant in the hepatocyte
secretome and sera derived from LIRKO mice, is the liver-derived secretory protein that …
Summary
Although compensatory islet hyperplasia in response to insulin resistance is a recognized feature in diabetes, the factor(s) that promote β cell proliferation have been elusive. We previously reported that the liver is a source for such factors in the liver insulin receptor knockout (LIRKO) mouse, an insulin resistance model that manifests islet hyperplasia. Using proteomics we show that serpinB1, a protease inhibitor, which is abundant in the hepatocyte secretome and sera derived from LIRKO mice, is the liver-derived secretory protein that regulates β cell proliferation in humans, mice, and zebrafish. Small-molecule compounds, that partially mimic serpinB1 effects of inhibiting elastase activity, enhanced proliferation of β cells, and mice lacking serpinB1 exhibit attenuated β cell compensation in response to insulin resistance. Finally, SerpinB1 treatment of islets modulated proteins in growth/survival pathways. Together, these data implicate serpinB1 as an endogenous protein that can potentially be harnessed to enhance functional β cell mass in patients with diabetes.
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