PMID- 33790119 OWN - NLM STAT- MEDLINE DCOM- 20210702 LR - 20240226 IS - 1347-5231 (Electronic) IS - 0031-6903 (Linking) VI - 141 IP - 4 DP - 2021 TI - [VNUT Is a Therapeutic Target for Type 2 Diabetes and NASH]. PG - 517-526 LID - 10.1248/yakushi.20-00204-4 [doi] AB - ATP, used in cells as an energy currency, also acts as an extracellular signaling molecule. Studies of purinergic receptor subtypes have revealed that purinergic chemical transmission plays important roles in various cell types. The vesicular nucleotide transporter (VNUT), the ninth transporter in the SLC17 organic anion transporter family, is essential for vesicular ATP storage and its subsequent release. The VNUT is localized on the membrane of secretory vesicles and actively transports ATP into vesicles using an electrochemical gradient of protons supplied by vacuolar proton ATPase (V-ATPase) as a driving force. ATP acts as a damage-associated molecular pattern (DAMPs), contributing to the persistence of chronic inflammation. Chronic inflammation induces systemic insulin resistance, which is the underlying pathology of type 2 diabetes and non-alcoholic fatty liver disease (NAFLD), ranging from simple steatosis to non-alcoholic steatohepatitis (NASH). We previously demonstrated that ATP transported in insulin granules via the VNUT negatively regulates insulin secretion. We also found that hepatocytes release ATP in a VNUT-dependent manner, which elicits hepatic insulin resistance and inflammation. VNUT-knockout mice exhibited improved glucose tolerance and were resistant to the development of high fat diet-induced NAFLD. In this article, we summarize recent advances in our understanding of the mechanism of the VNUT, the development of inhibitors, and its pathological involvement in type 2 diabetes and NAFLD. The pharmacological inhibition of the VNUT may represent a potential therapeutic approach for the treatment of metabolic diseases. FAU - Hasuzawa, Nao AU - Hasuzawa N AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine. FAU - Tatsushima, Keita AU - Tatsushima K AD - Department of Endocrinology and Metabolism, Toranomon Hospital. FAU - Tokubuchi, Rie AU - Tokubuchi R AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine. FAU - Kabashima, Masaharu AU - Kabashima M AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine. FAU - Nomura, Masatoshi AU - Nomura M AD - Division of Endocrinology and Metabolism, Department of Internal Medicine, Kurume University School of Medicine. LA - jpn PT - Journal Article PT - Review PL - Japan TA - Yakugaku Zasshi JT - Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan JID - 0413613 RN - 0 (Nucleotide Transport Proteins) RN - 0 (Slc17a9 protein, human) RN - 0813BZ6866 (Clodronic Acid) RN - 8L70Q75FXE (Adenosine Triphosphate) SB - IM MH - Adenosine Triphosphate/metabolism MH - Animals MH - Clodronic Acid/pharmacology/therapeutic use MH - Diabetes Mellitus, Type 2/*drug therapy/*genetics MH - Drug Discovery MH - Humans MH - Insulin Resistance/genetics MH - Insulin Secretion/genetics MH - Mice, Knockout MH - *Molecular Targeted Therapy MH - Non-alcoholic Fatty Liver Disease/*drug therapy/*genetics MH - Nucleotide Transport Proteins/antagonists & inhibitors/*physiology MH - Secretory Vesicles/metabolism MH - Mice OTO - NOTNLM OT - ATP OT - diabetes OT - non-alcoholic fatty liver disease OT - purinergic signaling OT - vesicular nucleotide transporter EDAT- 2021/04/02 06:00 MHDA- 2021/07/03 06:00 CRDT- 2021/04/01 05:53 PHST- 2021/04/01 05:53 [entrez] PHST- 2021/04/02 06:00 [pubmed] PHST- 2021/07/03 06:00 [medline] AID - 10.1248/yakushi.20-00204-4 [doi] PST - ppublish SO - Yakugaku Zasshi. 2021;141(4):517-526. doi: 10.1248/yakushi.20-00204-4.