PMID- 19073772 OWN - NLM STAT- MEDLINE DCOM- 20090324 LR - 20211203 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 58 IP - 3 DP - 2009 Mar TI - Glycogen synthase kinase-3 and mammalian target of rapamycin pathways contribute to DNA synthesis, cell cycle progression, and proliferation in human islets. PG - 663-72 LID - 10.2337/db07-1208 [doi] AB - OBJECTIVE: Our previous studies demonstrated that nutrient regulation of mammalian target of rapamycin (mTOR) signaling promotes regenerative processes in rodent islets but rarely in human islets. Our objective was to extend these findings by using therapeutic agents to determine whether the regulation of glycogen synthase kinase-3 (GSK-3)/beta-catenin and mTOR signaling represent key components necessary for effecting a positive impact on human beta-cell mass relevant to type 1 and 2 diabetes. RESEARCH DESIGN AND METHODS: Primary adult human and rat islets were treated with the GSK-3 inhibitors, LiCl and the highly potent 1-azakenpaullone (1-Akp), and with nutrients. DNA synthesis, cell cycle progression, and proliferation of beta-cells were assessed. Measurement of insulin secretion and content and Western blot analysis of GSK-3 and mTOR signaling components were performed. RESULTS: Human islets treated for 4 days with LiCl or 1-Akp exhibited significant increases in DNA synthesis, cell cycle progression, and proliferation of beta-cells that displayed varying degrees of sensitivity to rapamycin. Intermediate glucose (8 mmol/l) produced a striking degree of synergism in combination with GSK-3 inhibition to enhance bromodeoxyuridine (BrdU) incorporation and Ki-67 expression in human beta-cells. Nuclear translocation of beta-catenin responsible for cell proliferation was found to be particularly sensitive to rapamycin. CONCLUSIONS: A combination of GSK-3 inhibition and nutrient activation of mTOR contributes to enhanced DNA synthesis, cell cycle progression, and proliferation of human beta-cells. Identification of therapeutic agents that appropriately regulate GSK-3 and mTOR signaling may provide a feasible and available approach to enhance human islet growth and proliferation. FAU - Liu, Hui AU - Liu H AD - Department of Pathology and Immunology, Washington University, St. Louis, Missouri, USA. FAU - Remedi, Maria S AU - Remedi MS FAU - Pappan, Kirk L AU - Pappan KL FAU - Kwon, Guim AU - Kwon G FAU - Rohatgi, Nidhi AU - Rohatgi N FAU - Marshall, Connie A AU - Marshall CA FAU - McDaniel, Michael L AU - McDaniel ML LA - eng GR - R56 DK006181/DK/NIDDK NIH HHS/United States GR - DK-07296/DK/NIDDK NIH HHS/United States GR - T32 DK007296/DK/NIDDK NIH HHS/United States GR - DK-56341/DK/NIDDK NIH HHS/United States GR - R01 DK006181/DK/NIDDK NIH HHS/United States GR - DK-006181/DK/NIDDK NIH HHS/United States GR - P30 DK056341-08/DK/NIDDK NIH HHS/United States GR - P30 DK056341/DK/NIDDK NIH HHS/United States GR - P30 DK056341-07/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20081210 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Insulin) RN - 0 (Ki-67 Antigen) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, rat) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.26 (Glycogen Synthase Kinase 3) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Animals MH - Cell Cycle/*physiology MH - Cell Division/*physiology MH - *DNA Replication/drug effects MH - Diabetes Mellitus, Type 1/enzymology/*physiopathology MH - Diabetes Mellitus, Type 2/enzymology/*physiopathology MH - Female MH - Glycogen Synthase Kinase 3/antagonists & inhibitors/*metabolism MH - Humans MH - Insulin/pharmacology MH - Islets of Langerhans/*cytology/enzymology/*physiology MH - Ki-67 Antigen/genetics MH - Male MH - Middle Aged MH - Protein Kinases/genetics/*metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Signal Transduction MH - TOR Serine-Threonine Kinases MH - Young Adult PMC - PMC2646065 EDAT- 2008/12/17 09:00 MHDA- 2009/03/25 09:00 PMCR- 2010/03/01 CRDT- 2008/12/17 09:00 PHST- 2008/12/17 09:00 [entrez] PHST- 2008/12/17 09:00 [pubmed] PHST- 2009/03/25 09:00 [medline] PHST- 2010/03/01 00:00 [pmc-release] AID - db07-1208 [pii] AID - 583663 [pii] AID - 10.2337/db07-1208 [doi] PST - ppublish SO - Diabetes. 2009 Mar;58(3):663-72. doi: 10.2337/db07-1208. Epub 2008 Dec 10.