2021
DOI: 10.1007/s00018-021-03871-1
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Distinct states of proinsulin misfolding in MIDY

Abstract: A precondition for efficient proinsulin export from the endoplasmic reticulum (ER) is that proinsulin meets ER quality control folding requirements, including formation of the Cys(B19)–Cys(A20) “interchain” disulfide bond, facilitating formation of the Cys(B7)–Cys(A7) bridge. The third proinsulin disulfide, Cys(A6)–Cys(A11), is not required for anterograde trafficking, i.e., a “lose-A6/A11” mutant [Cys(A6), Cys(A11) both converted to Ser] is well secreted. Nevertheless, an unpaired Cys(A11) can participate in … Show more

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Cited by 23 publications
(17 citation statements)
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“… 17 , 18 , 20 In humans, monogenic forms of diabetes arising from INS mutations can prevent proper proinsulin disulfide bond formation acting as dominant negative suppressors of wild type proinsulin trafficking. 24 , 60 , 61 While these studies demonstrate that perturbations in ER functions and proinsulin folding can compromise β-cell health and insulin production, direct evidence for ER stress as a causative feature in the development of T2D is less clear. 7 , 39 Increased PERK and Ire1α activity have been described in pre-diabetic β-cells, 37 , 62 , 63 yet diminished, rather than increased, expression of ATF6 and XBP-1(s) occur in β-cells from humans with long-standing T2D 62 .…”
Section: Discussionmentioning
confidence: 99%
“… 17 , 18 , 20 In humans, monogenic forms of diabetes arising from INS mutations can prevent proper proinsulin disulfide bond formation acting as dominant negative suppressors of wild type proinsulin trafficking. 24 , 60 , 61 While these studies demonstrate that perturbations in ER functions and proinsulin folding can compromise β-cell health and insulin production, direct evidence for ER stress as a causative feature in the development of T2D is less clear. 7 , 39 Increased PERK and Ire1α activity have been described in pre-diabetic β-cells, 37 , 62 , 63 yet diminished, rather than increased, expression of ATF6 and XBP-1(s) occur in β-cells from humans with long-standing T2D 62 .…”
Section: Discussionmentioning
confidence: 99%
“…In the majority of MIDY cases, heterozygous mutations in proinsulin folding function as dominant negative alleles. Dimerization of mutant, misfolded proinsulin with wild type proinsulin prevents the successful exit of the wild type proinsulin from the ER [ 95 ]. The subsequent buildup of proinsulin aggregates becomes proteotoxic to ER function and ultimately leads to β-cell loss from apoptosis [ 96 ].…”
Section: Proinsulin Folding In the Endoplasmic Reticulum (Er)mentioning
confidence: 99%
“…2 A – D ) for as long as we followed the animals (up to 6 months of life). Nevertheless, different cell lines may exhibit different degrees of ER quality control of mutant proinsulin ( 34 ); moreover, proinsulin-R(B22)E showed evidence of misfolding in the ER ( Figs. 1 , 7 , and 8 , and Supplementary Fig.…”
Section: Discussionmentioning
confidence: 99%