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New study identifies possible targets for diabetes treatment

Amelia Linnemann

Normal levels of reactive oxygen species (ROS) are crucial in cellular activity, but in excess can lead to the damage, dysfunction and death of a cell. For pancreatic beta cells, which rarely divide, cellular death could lead to the development of diabetes. Like all cells, beta cells have a built-in protection process, but only some survive. Amelia Linnemann, PhD, wants to know why.

In a study recently published in “Diabetes,” Linnemann, along with a team of investigators from Indiana University School of Medicine, characterized important pathways for pancreatic beta cell homeostasis, or cellular stability, particularly as they relate to the antioxidant response system that mitigates the damaging effects of ROS.

In an earlier study, Linnemann and her team found that a protein called Interleukin-6 stimulates autophagy, the cellular recycling system that removes damaged organelles from the cell in order to make room for their healthy replacements. This process promotes the survival of pancreatic beta cells under conditions of oxidative stress.

Linnemann, whose research focuses on beta cell death and survival, was led to a new question: what are the molecular mechanisms that contribute to this protective function?

The group found that when autophagy is prompted by Interleukin-6, an inhibitor of the cellular antioxidant response system is degraded. With the inhibitor reduced, the antioxidant response is activated and damaged mitochondria are removed in a process known as mitophagy.

Important observations that characterized a novel branch of the NRF2 antioxidant pathway were made in the study. According to Linnemann, NRF2 acts as a master regulator for the expression of other antioxidant factors. The team discovered that Interleukin-6 promotes an alternative function of NRF2, in which NRF2 translocates to the mitochondria, instead of following its typical path to the nucleus, and stimulates mitophagy.

Linnemann said that that this discovery could lead to the identification of therapeutic targets that promote the survival of the vital insulin-producing beta cells. Next, the group will begin to confirm and expand on these findings in vivo. Using a novel platform developed earlier this year, she and her team will investigate the mechanisms by which NRF2 translocation is regulated and what conditions determine which mode of action it takes, either nuclear or mitochondrial.

Amelia Linnemann, PhD, is an assistant professor of pediatrics in the IU School of Medicine Department of Pediatrics. She conducts her research within the Herman B Wells Center for Pediatric Research and the Center for Diabetes and Metabolic Diseases.

Additional IU School of Medicine faculty researchers who contributed to this study include Michelle R. Marasco, PhD; Christopher A. Reissaus, PhD; and Raghu Mirmira, MD, PhD.

Significant contributions to this study were made by Abass Conteh, a student in the Medical Scientist Training Program, who developed key techniques that are enabling studies to expand upon these findings.

The views expressed in this content represent the perspective and opinions of the author and may or may not represent the position of Indiana University School of Medicine.
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Sara Buckallew

Communications Coordinator

Sara Buckallew works in the Dean's Office of Strategic Communications. As a communications coordinator, Sara supports internal and external communication needs for the Herman B Wells Center for Pediatric Research and the Center for Diabetes and Metabolic...