21Inhibition of glucagon hypersecretion from pancreatic α-cells is an appealing strategy for the treatment of 22 diabetes. Our hypothesis is that proteins that associate with glucagon within alpha cell secretory granules 23 will regulate glucagon secretion, and may provide druggable targets for controlling abnormal glucagon 24 secretion in diabetes. Recently, we identified a dynamic glucagon interactome within the secretory granules 25 of the α cell line, αTC1-6, and showed that select proteins within the interactome could modulate glucagon 26 secretion. In the present study, we show that one of these interactome proteins, the neuronal protein 27 stathmin-2, is expressed in aTC1-6 cells and in mouse pancreatic alpha cells, and is a novel regulator of 28 glucagon secretion. Stathmin-2 was co-secreted with glucagon in response to 55 mM K+, and 29 immunofluorescence confocal microscopy showed co-localization of stathmin-2 with glucagon and the 30 secretory granule markers chromogranin A and VAMP-2 in αTC1-6 cells. In mouse pancreatic islets, 31Stathmin-2 co-localized with glucagon, but not with insulin, indicating that it is an alpha cell protein.To 32 show a function for stathmin-2 in regulating glucagon secretion, we showed that siRNA -mediated 33 depletion of stathmin-2 in aTC1-6 cells caused glucagon secretion to become constitutive without any effect 34 on proglucagon mRNA levels, while overexpression of stathmin-2 completely abolished both basal and 35 K+-stimulated glucagon secretion. Overexpression of stathmin-2 increased the localization of glucagon into 36 the endosomal-lysosomal compartment, while depletion of stathmin-2 reduced the endosomal localization 37 of glucagon. Therefore, we describe stathmin-2 as having a novel role as an alpha cell secretory granule 38 protein that modulates glucagon secretion via trafficking through the endosomal-lysosomal system. These 39 findings describe a potential new pathway for the regulation of glucagon secretion, and may have 40 implications for controlling glucagon hypersecretion in diabetes. 41 42 43 44 Glucagon secretion and Stathmin-2 3 Introduction 45 Hyperglucagonemia is a characteristic sign of diabetes, causing fasting hyperglycemia and 46 glycemic volatility. Clinically, glycemic variability contributes to the development of diabetes 47 complications (1). Persistent hyperglucagonemia may exacerbate abnormal glucose metabolism 48 in patients with type 2 diabetes and lead to metabolic disturbances in obese and prediabetic 49 individuals (2). Accordingly, controlling this excess glucagon secretion may be a potential 50 therapeutic strategy for diabetes (3) so that glycemia and glucose metabolism may be better 51 regulated. Such an approach has been suggested as a priority for the treatment of diabetes (1).
52Combating hyperglucagonemia could be theoretically achieved by i) inhibition of glucagon action 53 at target organs by blocking the glucagon receptor, or ii) inhibition of glucagon secretion from the 54 pancreatic α cells. While in the short-term the former...