EZH2 抑制剂促进年轻和成年 1 型糖尿病供体中的β样细胞再生。
EZH2 inhibitors promote β-like cell regeneration in young and adult type 1 diabetes donors.
机构信息
Epigenetics in Human Health and Disease Program, Baker Heart and Diabetes Institute, 75 Commercial Road, Melbourne, 3004, VIC, Australia.
Department of Diabetes, Central Clinical School, Monash University, Melbourne, 3004, VIC, Australia.
出版信息
Signal Transduct Target Ther. 2024 Jan 1;9(1):2. doi: 10.1038/s41392-023-01707-x.
β-cells are a type of endocrine cell found in pancreatic islets that synthesize, store and release insulin. In type 1 diabetes (T1D), T-cells of the immune system selectively destroy the insulin-producing β-cells. Destruction of these cells leads to a lifelong dependence on exogenous insulin administration for survival. Consequently, there is an urgent need to identify novel therapies that stimulate β-cell growth and induce β-cell function. We and others have shown that pancreatic ductal progenitor cells are a promising source for regenerating β-cells for T1D owing to their inherent differentiation capacity. Default transcriptional suppression is refractory to exocrine reaction and tightly controls the regenerative potential by the EZH2 methyltransferase. In the present study, we show that transient stimulation of exocrine cells, derived from juvenile and adult T1D donors to the FDA-approved EZH2 inhibitors GSK126 and Tazemetostat (Taz) influence a phenotypic shift towards a β-like cell identity. The transition from repressed to permissive chromatin states are dependent on bivalent H3K27me3 and H3K4me3 chromatin modification. Targeting EZH2 is fundamental to β-cell regenerative potential. Reprogrammed pancreatic ductal cells exhibit insulin production and secretion in response to a physiological glucose challenge ex vivo. These pre-clinical studies underscore the potential of small molecule inhibitors as novel modulators of ductal progenitor differentiation and a promising new approach for the restoration of β-like cell function.
β 细胞是胰岛中发现的一种内分泌细胞,它合成、储存和释放胰岛素。在 1 型糖尿病(T1D)中,免疫系统的 T 细胞选择性地破坏产生胰岛素的β细胞。这些细胞的破坏导致对生存所需的外源性胰岛素的终身依赖。因此,迫切需要确定新的治疗方法,以刺激β细胞的生长并诱导β细胞功能。我们和其他人已经表明,由于其内在的分化能力,胰腺导管祖细胞是再生 T1D 中β细胞的有前途的来源。默认转录抑制对外分泌反应有抵抗力,并通过 EZH2 甲基转移酶严格控制再生潜能。在本研究中,我们表明,来自幼年和成年 T1D 供体的外分泌细胞的短暂刺激,对 FDA 批准的 EZH2 抑制剂 GSK126 和 Tazemetostat(Taz),会影响向类似β细胞的表型转变。从抑制到允许染色质状态的转变取决于二价 H3K27me3 和 H3K4me3 染色质修饰。靶向 EZH2 对于β细胞的再生潜能至关重要。重编程的胰腺导管细胞在体外对生理葡萄糖挑战表现出胰岛素的产生和分泌。这些临床前研究强调了小分子抑制剂作为导管祖细胞分化的新型调节剂的潜力,以及恢复类似β细胞功能的有前途的新方法。