Inceptor binds to and directs insulin towards lysosomal degradation in β cells

Blunted first-phase insulin secretion and insulin deficiency are indicators of β cell dysfunction and diabetes manifestation. Therefore, insights into molecular mechanisms that regulate insulin homeostasis might provide entry sites to replenish insulin content and restore β cell function. Here, we identify the insulin inhibitory receptor (inceptor; encoded by the gene IIR/ELAPOR1) as an insulin-binding receptor that regulates insulin stores by lysosomal degradation. Using human induced pluripotent stem cell (SC)-derived islets, we show that IIR knockout (KO) results in enhanced SC β cell differentiation and survival. Strikingly, extended in vitro culture of IIR KO SC β cells leads to greatly increased insulin content and glucose-stimulated insulin secretion (GSIS). We find that inceptor localizes to clathrin-coated vesicles close to the plasma membrane and in the trans-Golgi network as well as in secretory granules, where it acts as a sorting receptor to direct proinsulin and insulin towards lysosomal degradation. Targeting inceptor using a monoclonal antibody increases proinsulin and insulin content and improves SC β cell GSIS. Altogether, our findings reveal the basic mechanisms of β cell insulin turnover and identify inceptor as an insulin degradation receptor.

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Publication Details

Journal
Nature Metabolism
Published
2024-11-25
DOI
https://doi.org/10.1038/s42255-024-01164-y
Citations
9
Primary Topic
Pancreatic function and diabetes
Type
article
Field-Weighted Citation Impact
5.15
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article

Inceptor binds to and directs insulin towards lysosomal degradation in β cells

Johanna Siehler, Jin Feng, Raphaël Scharfmann, Pascal Albanese et al.
9 citations
Nature Metabolism
Pancreatic function and diabetes
5.15
article

Inceptor binds to and directs insulin towards lysosomal degradation in β cells

Johanna Siehler, Jin Feng, Raphaël Scharfmann, Pascal Albanese, Sem Tamara, Michael Sterr, Chirag Jain, Oliver Plettenburg, Christin Ahlbrecht, Stephan Speier, Chunguang Chen, Sreya Bhattacharya, Federico Ribaudo, Sara Bilekova, Alessandro Dema, Thomas Kurth, Heiko Lickert, Adrian Villalba, Chetna Malhotra, Richard A. Scheltema, Stephen J. Enos, Ingo Burtscher, Prisca Chapouton, Leopold Schomann, Melis Akgün Canan, Md Ansarullah
article en
9 citations

Abstract

Blunted first-phase insulin secretion and insulin deficiency are indicators of β cell dysfunction and diabetes manifestation. Therefore, insights into molecular mechanisms that regulate insulin homeostasis might provide entry sites to replenish insulin content and restore β cell function. Here, we identify the insulin inhibitory receptor (inceptor; encoded by the gene IIR/ELAPOR1) as an insulin-binding receptor that regulates insulin stores by lysosomal degradation. Using human induced pluripotent stem cell (SC)-derived islets, we show that IIR knockout (KO) results in enhanced SC β cell differentiation and survival. Strikingly, extended in vitro culture of IIR KO SC β cells leads to greatly increased insulin content and glucose-stimulated insulin secretion (GSIS). We find that inceptor localizes to clathrin-coated vesicles close to the plasma membrane and in the trans-Golgi network as well as in secretory granules, where it acts as a sorting receptor to direct proinsulin and insulin towards lysosomal degradation. Targeting inceptor using a monoclonal antibody increases proinsulin and insulin content and improves SC β cell GSIS. Altogether, our findings reveal the basic mechanisms of β cell insulin turnover and identify inceptor as an insulin degradation receptor.

Nature MetabolismVol. 6(12)
Leibniz University Hannover (DE), Centre National de la Recherche Scientifique (FR), University of Liverpool (GB), Inserm (FR), Utrecht University (NL), Université Paris Cité (FR), Commissariat à l'Énergie Atomique et aux Énergies Alternatives (FR), Helmholtz Zentrum München (DE), CEA Grenoble (FR), Institut National de Recherche pour l'Agriculture, l'Alimentation et l'Environnement (FR), Institut Cochin (FR), Center for Systems Biology Dresden (DE), Target (Germany) (DE), Deutsches Diabetes-Zentrum e.V. (DE), German Center for Diabetes Research (DE), University Hospital Carl Gustav Carus (DE), Paul Langerhans Institute Dresden (DE), Heinrich Heine University Düsseldorf (DE), Technical University of Munich (DE), Université Grenoble Alpes (FR)
Good health and well-being
Openalex Percentile: Top 4%
Pancreatic function and diabetes
5.15
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