Abstract
Cell replacement therapy for diabetes mellitus requires cost-effective generation of high-quality, insulin-producing, pancreatic β cells from pluripotent stem cells. Development of this technique has been hampered by a lack of knowledge of the molecular mechanisms underlying β-cell differentiation. The present study identified reserpine and tetrabenazine (TBZ), both vesicular monoamine transporter 2 (VMAT2) inhibitors, as promoters of late-stage differentiation of Pdx1-positive pancreatic progenitor cells into Neurog3 (referred to henceforth as Ngn3)-positive endocrine precursors. VMAT2-controlled monoamines, such as dopamine, histamine and serotonin, negatively regulated β-cell differentiation. Reserpine or TBZ acted additively with dibutyryl adenosine 3',5'-cyclic AMP, a cell-permeable cAMP analog, to potentiate differentiation of embryonic stem (ES) cells into β cells that exhibited glucose-stimulated insulin secretion. When ES cell–derived β cells were transplanted into AKITA diabetic mice, the cells reversed hyperglycemia. Our protocol provides a basis for the understanding of β-cell differentiation and its application to a cost-effective production of functional β cells for cell therapy.
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Acknowledgements
We thank members of the Gene Technology Center and Center for Animal Resources and Development at Kumamoto University for technical assistance. This work was supported by the Funding Program for Next Generation World-Leading Researchers (to S.K. (no. LS099) and M.U.); the Japan Society for the Promotion of Science, the Realization of Regenerative Medicine (to S.K. and M.U.); the Program for Leading Graduate Schools 'HIGO' (awarded to S.K.); Grants-in-Aid from the Ministry of Education, Culture, Sports, Science and Technology (MEXT), Japan (no. 21390280 to S.K. and no. 22790653 to D. Sakano); and the Collaborative Research Program of Institute for Chemical Research, Kyoto University (grant no. 2010-44). The iCeMS is supported by World Premier International Research Center Initiative, MEXT, Japan.
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D. Sakano performed chemical screening, cellular and biochemical analyses; D. Sakano, N.S. and K.U. established the ES cell differentiation system; D. Sakano, K. Kikawa, M.K. and T.Y. performed transplantation assays; K.A. established the ES cell line; S.M., F.E. and N.N. helped maintain AKITA mice; D.M. and M.U. provided and analyzed the chemical library; O.A. and D. Stainier provided chemicals; K. Kume and S.K. provided technical advices, S.K. designed the experiments and wrote the paper. All of the authors discussed the results and commented on the manuscript.
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Sakano, D., Shiraki, N., Kikawa, K. et al. VMAT2 identified as a regulator of late-stage β-cell differentiation. Nat Chem Biol 10, 141–148 (2014). https://doi.org/10.1038/nchembio.1410
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DOI: https://doi.org/10.1038/nchembio.1410
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