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mPGES-2 blockade antagonizes β-cell senescence to ameliorate diabetes by acting on NR4A1

Abstract

β-cell dysfunction is a hallmark of type 1 and type 2 diabetes. Type 2 diabetes is strongly associated with ageing-related β-cell abnormalities that arise through unknown mechanisms. Here we show better β-cell identity, less β-cell senescence, enhanced glucose-stimulated insulin secretion and improved glucose homeostasis in global microsomal prostaglandin E synthase-2 (mPGES-2)-deficient mice challenged with a high-fat diet or bred with a genetic model of type 2 diabetes (db/db mice). Furthermore, the function of mPGES-2 in β-cells is validated using mice with β-cell-specific mPGES-2 deficiency or overexpression. Mechanistically, the protective role of mPGES-2 deletion is induced by antagonizing β-cell senescence via interference of the PGE2–EP3–NR4A1 signalling axis. We also discover an inhibitor of mPGES-2, SZ0232, which protects against β-cell dysfunction and diabetes, similar to mPGES-2 deletion. We conclude that mPGES-2 contributes to ageing-associated β-cell senescence and dysfunction via the PGE2–EP3–NR4A1 signalling axis. Pharmacologic blockade of mPGES-2 might be effective for treating ageing-associated β-cell dysfunction and diabetes.

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Fig. 1: mPGES-2 KO mice exhibit improved glucose tolerance due to increased insulin secretion associated with age in both NCD and HFD mice.
Fig. 2: mPGES-2 deficiency enhances the expression of β-cell identity genes by antagonizing β-cell senescence in mice fed an NCD or HFD.
Fig. 3: mPGES-2 deficiency improves glucose tolerance, enhances the expression of β-cell identity genes and alleviates β-cell senescence in db/db mice.
Fig. 4: β-cell-specific mPGES-2 overexpression impairs glucose metabolism and accelerates β-cell senescence.
Fig. 5: mPGES-2 modulates PGE2 production in pancreatic islets and affects the EP3/cAMP signalling pathway to regulate β-cell function.
Fig. 6: SZ0232, an inhibitor of mPGES-2, exhibits beneficial effects on modulating β-cell function and glucose metabolism.
Fig. 7: Association of mPGES-2 with age in humans.

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Data availability

Source data are provided with this paper. All other data are available in the manuscript or the extended data. Additional source data are available from the corresponding authors upon reasonable request. RNA-seq data were deposited in NCBI Sequence Read Archive (SRA) under the accession number PRJNA795309.

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Acknowledgements

We thank X. Han (Nanjing Medical University) for guidance with islet isolation and sharing the β-cell line, H.G. for language advice, F. Dong (Public Experimental Research Center) and Z. Xu for supporting in the laser scanning confocal microscopy and quality control of compound. This work was supported by the National Natural Science Foundation of China (grant no. 81603179 to Y.S. and 82000683 to D.Z.), the China Postdoctoral Science Foundation (grant no. 2016M601893 to Y.S.), the China Postdoctoral Science Special Foundation (grant no. 2018T110555 to Y.S.), the Key Project of Natural Science Research in Jiangsu Universities (21KJA350002 to Y.S.), Jiangsu Research Innovation Program for College Graduates (KYCX20_2504 to J.C.), the Natural Science Research Project of Jiangsu Universities (20KJB310023 to Z.D.), Jiangsu Province Innovative and Entrepreneurial Team Program (RC7042012) and the Xuzhou Science and Technology Plan Project (KC20150 to Z.D.).

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Authors

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Y.S. and Z.J. provided the study concept and design. D.Z., Y.S., Z.W., J.C., L.Q. and H.G. contributed to data acquisition and drafting of the manuscript. D.Z., Z.W., T.T., R.Z., C.F., M.W., D.G. and H.Z. participated in critical data analysis and discussion of the manuscript.

Corresponding authors

Correspondence to Zhanjun Jia or Ying Sun.

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Nature Metabolism thanks Manuel Collado and the other, anonymous, reviewers for their contribution to the peer review of this work. Primary Handling Editor: Isabella Samuelson.

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Extended data

Extended Data Fig. 1 The expression of mPGES-2 in islet of mice and human.

a, Genotyping of mPGES-2 WT and KO mice. Genotyping was repeated more than twice, independently, with similar results. b, Expression of mPGES-2 in different tissues in mPGES-2 WT and KO mice. The experiment was repeated more than twice, independently, with similar results. c, Body weight of mPGES-2 WT and KO mice fed an NCD at different weeks (n = 10 per point except n = 9 for 52 w WT). d, qRT–PCR analysis of Ptges, Ptges2 and Ptges3 expression in WT islets at 8 and 32 weeks (n = 4). e, Labeling for insulin and mPGES-2, or glucagon and mPGES-2 on the same sections in mouse islets; scale bars = 20 μm. The experiment was repeated more than twice, independently, with similar results. f, Labeling for insulin and mPGES-2, or glucagon and mPGES-2 on the same sections in human islets; scale bars = 20 μm. The experiment was repeated more than twice, independently, with similar results. g, Body weight of mPGES-2 WT and KO mice fed an HFD at different weeks (n = 6). Data are expressed as mean ± SEM. Statistical significance was assessed using a two-tailed unpaired Student’s t-test. Exact P values are indicated.

Source data

Extended Data Fig. 2 Phenotype of mPGES-1-deficient mice.

a, Genotyping of mPGES-1 WT (Ptges+/+) and KO (Ptges−/−) mice. Genotyping was repeated more than twice, independently, with similar results. b, Body weight of mPGES-1 WT and KO mice fed an NCD at different weeks (n = 5 per group). c, Body weight of mPGES-1 WT and KO mice fed an HFD at different weeks (n = 6 per group). d, IPGTT and AUC of mPGES-1 WT or KO mice fed an HFD at 16 weeks (n = 6). e, IPGTT and AUC of mPGES-1 WT or KO mice fed an NCD at 32 weeks (n = 5). f, IPGTT and AUC of mPGES-1 WT or KO mice fed an NCD at 52 weeks (n = 5). g, Insulin secretion from mouse islets isolated from 16-week-old WT and mPGES-1 KO mice under conditions of low or high glucose (n = 3). h, PGE2 levels in islets isolated from mPGES-1 WT or KO mice (n = 3). Data are expressed as mean ± SEM. Statistical significance was assessed using and a two-tailed unpaired Student’s t-test.

Source data

Extended Data Fig. 3 The effect of mPGES-2 on β-cell function under physiological conditions.

a, qRT–PCR analysis of Mafa, Slc2a2, Nkx6-1 and Pdx1 expression in WT and KO islets at 32 weeks (n = 5 per group). b, Representative IF for Glut2 (green) and insulin (red) in islets of WT and KO mice fed an NCD at 16, 52 weeks and an HFD at 52 weeks; scale bars = 20 μm. c, Statistical quantification of IF for Glut2 (n = 4 per group). d, H&E staining of pancreas in db/db Ptges2+/+ and db/db Ptges2−/− mice (n = 4 per group); scale bars = 20 μm. e, Body weights of db/db Ptges2+/+ and db/db Ptges2−/− mice at different weeks (n = 10 per group). f, Representative IF and quantification for Glut2 (green) and insulin (red) in islets of db/db Ptges2+/+ and db/db Ptges2−/− mice; scale bars = 20 μm (n = 5 per group). H&E staining and IF were repeated more than twice, independently and similar results were obtained. Data are expressed as mean ± SEM. Statistical significance was assessed using a two-tailed unpaired Student’s t-test. Exact P values are indicated.

Source data

Extended Data Fig. 4 β-cell-specific mPGES-2 deficiency improves β-cell senescence and glucose metabolism.

Ptges2flox/flox mice (six-week-old) were injected with AAV8-MIP-control or AAV8-MIP-cre via pancreatic intraductal viral infusion. a, Pancreatic tissues were collected from mice infused after 2 weeks. Representative images of insulin, visualized by staining of β-cell-specific mPGES-2-knockout islets with an anti-insulin antibody (red), GFP by direct fluorescence (green) and DAPI (blue); scale bars = 20 μm. The experiment was repeated more than twice, independently, with similar results. b-g, Control mice (β-WT) and β-cell-specific mPGES-2-knockout mice (β-KO) were fed an HFD for 10 weeks after viral infusion. b, Western blotting and quantification of mPGES-2 expression in islets from control and β-cell-specific mPGES-2-knockout mice (n = 3 per group). c, Results of an IPGTT (n = 5 per group). d, Measurement of plasma insulin levels (n = 5 per group). e, IF analysis of MafA, Pdx1, p16, IGF1R (red) and GFP (green); scale bars = 20 μm. f, Statistical quantification of IF intensities for MafA, Pdx1, p16, and IGF1R (n = 4 per group). g, Representative images of β-Gal staining and quantification (n = 4 per group); scale bars = 20 μm. Data are expressed as mean ± SEM. Statistical significance was assessed using a two-tailed unpaired Student’s t-tests. Exact P values are indicated.

Source data

Extended Data Fig. 5 Assessment of mPGES-2 function in β-cells.

a, PGE2 levels were determined in tissues of liver, kidney, or brown fat in mPGES-2 WT and mPGES-2 KO mice (n = 5 per group). b, Islets were isolated from mPGES-2 WT and KO mice to assess the expression levels of different PGE2 synthases. Levels of Ptges, Ptges2 and Ptges3 mRNA expression (n = 4 WT, n = 5 KO). c, Immunoblotting and quantification of mPGES-2 in INS-1 cells (n = 4). d, NR4A1 expression induced by 10 μM 8-Br-cAMP at different times (n = 5), the samples derive from the same experiment and that gels/blots were processed in parallel. e, The expression of p21 in NR4A1-overexpressing INS-1 cells (n = 6). f, The expression of p21 and p16 in INS-1 cells with mPGES-2 overexpression or NR4A1 overexpression or dual overexpression (n = 4). g, The effect of mPGES-2 knockdown on NR4A1 signaling pathway, senescence markers and quantification of western blotting in INS-1 cells (n = 4). NC, negative control; KD, knockdown. h, The influence of mPGES-2 knockdown on insulin secretion under low glucose or high glucose (n = 3). Data are expressed as mean ± SEM. Statistical significance was assessed using one-way ANOVA with Tukey’s test (d and f) and a two-tailed unpaired Student’s t-test (a, b, c, e, g and h). Exact P values are indicated.

Source data

Extended Data Fig. 6 Effects of SZ0232 on PGE2 synthase inhibitory rates and insulin secretion in vitro.

a, Cell viability of INS-1 cells at the indicated concentrations of SZ0232 (n = 6). b, Inhibition of COX-2 enzyme activity by SZ0232 (n = 3). c, Inhibition of mPGES-1 enzyme activity by SZ0232 (n = 3). d, Effect of SZ0232 on insulin secretion in islets isolated from WT mice at the indicated weeks (n = 3). e, Effects of SZ0232 on insulin secretion in islets isolated from mPGES-2 WT and KO mice under low glucose conditions (n = 3). f, Effects of SZ0232 on insulin secretion in islets isolated from mPGES-2 WT and KO mice under high glucose conditions (n = 3). g, Effects of SZ0232 on insulin secretion in islets isolated from β-WT and β-KO mice under high glucose conditions (n = 4 for control group, n = 3 for SZ0232 group). h, Representative images and quantification of β-Gal staining of INS-1 cells with or without mPGES-2 overexpression or OE cells treated with SZ0232 (n = 4); scale bars = 20 μm. β-Gal staining was repeated more than twice, independently, with similar results. Data are expressed as mean ± SEM. Statistical significance was assessed using a two-tailed unpaired Student’s t-test (d, e, f and g) and one-way ANOVA with Tukey’s test (h). Exact P values are indicated.

Source data

Extended Data Fig. 7 The effect of SZ0232 on db/db mice.

a-c, db/db mice were administered with saline or SZ0232 daily for 8 weeks and then sacrificed. a, Body weight (n = 5). b, Serum biochemistry parameters (n = 5). c, Representative pictures of H&E staining in different tissues (n = 4); scale bars = 20 μm. H&E staining was repeated more than twice, independently, and similar results were obtained. Data are expressed as mean ± SEM. Statistical significance was assessed using a two-tailed unpaired Student’s t-test.

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Zhong, D., Wan, Z., Cai, J. et al. mPGES-2 blockade antagonizes β-cell senescence to ameliorate diabetes by acting on NR4A1. Nat Metab 4, 269–283 (2022). https://doi.org/10.1038/s42255-022-00536-6

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