PMID- 31756973 OWN - NLM STAT- MEDLINE DCOM- 20200414 LR - 20200414 IS - 1420-3049 (Electronic) IS - 1420-3049 (Linking) VI - 24 IP - 23 DP - 2019 Nov 20 TI - Deficiency of Urokinase Plasminogen Activator May Impair beta Cells Regeneration and Insulin Secretion in Type 2 Diabetes Mellitus. LID - 10.3390/molecules24234208 [doi] LID - 4208 AB - : Background: The relationship between urokinase-type plasminogen activator (uPA) and the development of type 2 diabetes mellitus (T2DM) was investigated in the study by using mice and cell models, as well as patients with T2DM. METHODS: In mice models, wild-type and uPA knockout (uPA-/-) BALB/c mice were used for induction of T2DM. In cell models, insulin secretion rate and beta cell proliferation were assessed in normal and high glucose after treating uPA siRNA, uPA, or anti-uPA antibody. In our clinical study, patients with T2DM received an oral glucose-tolerance test, and the relationship between uPA and insulin secretion was assessed. RESULTS: Insulin particles and insulin secretion were mildly restored one month after induction in wild-type mice, but not in uPA-/- mice. In cell models, insulin secretion rate and cell proliferation declined in high glucose after uPA silencing either by siRNA or by anti-uPA antibody. After treatment with uPA, beta cell proliferation increased in normal glucose. In clinical study, patients with T2DM and higher uPA levels had better ability of insulin secretion than those with lower uPA levels. CONCLUSION: uPA may play a substantial role in insulin secretion, beta cell regeneration, and progressive development of T2DM. Supplementation of uPA might be a novel approach for prevention and treatment of T2DM in the future. FAU - Wu, Chung-Ze AU - Wu CZ AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan. AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan. FAU - Ou, Shih-Hsiang AU - Ou SH AD - Division of Nephrology, Department of Internal Medicine, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. FAU - Chang, Li-Chien AU - Chang LC AD - School of Pharmacy, National Defense Medical Center, Taipei 11490, Taiwan. FAU - Lin, Yuh-Feng AU - Lin YF AD - Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan. AD - Deputy Superintendent, Shuang Ho Hospital, Taipei Medical University, New Taipei City 23561, Taiwan. FAU - Pei, Dee AU - Pei D AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Fu Jen Catholic University Hospital, New Taipei City 24352, Taiwan. AD - School of Medicine, College of Medicine, Fu Jen Catholic University, New Taipei City 24205, Taiwan. FAU - Chen, Jin-Shuen AU - Chen JS AD - Department of Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung 81362, Taiwan. LA - eng PT - Journal Article DEP - 20191120 PL - Switzerland TA - Molecules JT - Molecules (Basel, Switzerland) JID - 100964009 RN - EC 3.4.21.73 (Urokinase-Type Plasminogen Activator) SB - IM MH - Animals MH - Diabetes Mellitus, Experimental/genetics/*metabolism/pathology MH - Diabetes Mellitus, Type 2/genetics/*metabolism/pathology MH - Insulin-Secreting Cells/*metabolism/pathology MH - Mice MH - Mice, Inbred BALB C MH - Mice, Knockout MH - *Regeneration MH - Urokinase-Type Plasminogen Activator/*deficiency/metabolism PMC - PMC6930534 OTO - NOTNLM OT - insulin secretion OT - type 2 diabetes mellitus OT - urokinase plasminogen activator OT - beta cell regeneration COIS- The authors declare no conflicts of interest EDAT- 2019/11/24 06:00 MHDA- 2020/04/15 06:00 PMCR- 2019/11/20 CRDT- 2019/11/24 06:00 PHST- 2019/08/29 00:00 [received] PHST- 2019/11/05 00:00 [revised] PHST- 2019/11/16 00:00 [accepted] PHST- 2019/11/24 06:00 [entrez] PHST- 2019/11/24 06:00 [pubmed] PHST- 2020/04/15 06:00 [medline] PHST- 2019/11/20 00:00 [pmc-release] AID - molecules24234208 [pii] AID - molecules-24-04208 [pii] AID - 10.3390/molecules24234208 [doi] PST - epublish SO - Molecules. 2019 Nov 20;24(23):4208. doi: 10.3390/molecules24234208.