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Loss of O-GlcNAcylation modulates mTORC1 and autophagy in β cells, driving diabetes 2 progression
Seokwon Jo, Nicholas Esch, Anh Nguyen, Alicia Wong, Ramkumar Mohan, Clara Kim, Manuel Blandino-Rosano, Ernesto Bernal-Mizrachi, Emilyn U. Alejandro
Seokwon Jo, Nicholas Esch, Anh Nguyen, Alicia Wong, Ramkumar Mohan, Clara Kim, Manuel Blandino-Rosano, Ernesto Bernal-Mizrachi, Emilyn U. Alejandro
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Research Article Endocrinology Metabolism

Loss of O-GlcNAcylation modulates mTORC1 and autophagy in β cells, driving diabetes 2 progression

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Abstract

Type 2 diabetes (T2D) arises when pancreatic β cells fail to produce sufficient insulin to control blood glucose appropriately. Aberrant nutrient sensing by O-GlcNAcylation and mTORC1 is linked to T2D and the failure of insulin-producing β cells. However, the nature of their crosstalk in β cells remains unexplored. Recently, O-GlcNAcylation, a posttranslation modification controlled by enzymes O-GlcNAc transferase/O-GlcNAcase (OGT/OGA), emerged as a pivotal regulator for β cell health; deficiency in either enzyme causes β cell failure. The present study investigates the previously unidentified connection between nutrient sensor OGT and mTORC1 crosstalk to regulate β cell mass and function in vivo. We show reduced OGT and mTORC1 activity in islets of a preclinical β cell dysfunction model and islets from humans with obesity. Using loss or gain of function of OGT, we identified that O-GlcNAcylation positively regulated mTORC1 signaling in β cells. O-GlcNAcylation negatively modulated autophagy, as the removal of OGT increased autophagy, while the deletion of OGA decreased it. Increasing mTORC1 signaling, via deletion of TSC2, alleviated the diabetic phenotypes by increasing β cell mass but not β cell function in OGT-deficient mice. Downstream phospho-protein signaling analyses revealed diverging effects on MKK4 and calmodulin signaling between islets with OGT, TSC2, or combined deletion. These data provide evidence of OGT’s significance as an upstream regulator of mTORC1 and autophagy, crucial for the regulation of β cell function and glucose homeostasis.

Authors

Seokwon Jo, Nicholas Esch, Anh Nguyen, Alicia Wong, Ramkumar Mohan, Clara Kim, Manuel Blandino-Rosano, Ernesto Bernal-Mizrachi, Emilyn U. Alejandro

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Figure 6

Pancreatic β cell proliferation is primarily driven by mTORC1, independently of O-GlcNAcylation.

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Pancreatic β cell proliferation is primarily driven by mTORC1, independe...
(A–D) Ex vivo β cell mass and immunofluorescence-based analysis of apoptosis (TUNEL) and proliferation (Ki67) of insulin+ β cells from control, βOGT-KO, and βOGT/TSC2-KO pancreas (n = 4–6). Scale bar: 25 um. Statistical analysis by 1-way ANOVA. Total original magnification, ×200. *P ≤ 0.05, ***P < 0.001. (E) Proposed model. OGT positively and negatively modulates mTORC1 and autophagy, respectively, in pancreatic β cells. Mechanistically, OGT regulate apoptosis and proliferation to maintain proper β cell mass, and it modulates insulin biosynthesis and processing to control insulin content and secretion. While mTORC1 can gate apoptosis and positively signal insulin biosynthesis and processing, without OGT, it is unable to do so, suggesting that OGT is a dominant signal for these pathways in β cells (light blue line). Conversely, while OGT has been shown to modulate cell proliferation, mTORC1 can induce proliferation in the absence of O-GlcNAcylation (light blue line). Future direction includes studying the downstream effect of altered autophagy (e.g., vesicophagy, mitophagy) that may regulate β cell function. Statistical analysis by Student’s t test and 1-way ANOVA. Significance P ≤ 0.05.

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