PNLIPRP1 Hypermethylation in Exocrine Pancreas Links Type 2 Diabetes and Cholesterol Metabolism.

Diabetes Pub Date : 2024-11-01 DOI:10.2337/db24-0215
Lucas Maurin, Lorella Marselli, Mathilde Boissel, Lijiao Ning, Raphael Boutry, Justine Fernandes, Mara Suleiman, Carmela De Luca, Audrey Leloire, Vincent Pascat, Bénédicte Toussaint, Souhila Amanzougarene, Mehdi Derhourhi, Anne Jörns, Sigurd Lenzen, François Pattou, Julie Kerr-Conte, Mickaël Canouil, Piero Marchetti, Amélie Bonnefond, Philippe Froguel, Amna Khamis
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Abstract

We postulated that type 2 diabetes (T2D) predisposes patients to exocrine pancreatic diseases through (epi)genetic mechanisms. We explored the methylome (using MethylationEPIC arrays) of the exocrine pancreas in 141 donors, assessing the impact of T2D. An epigenome-wide association study of T2D identified hypermethylation in an enhancer of the pancreatic lipase-related protein 1 (PNLIPRP1) gene, associated with decreased PNLIPRP1 expression. PNLIPRP1 null variants (found in 191,000 participants in the UK Biobank) were associated with elevated glycemia and LDL cholesterol. Mendelian randomization using 2.5M SNP Omni arrays in 111 donors revealed that T2D was causal of PNLIPRP1 hypermethylation, which in turn was causal of LDL cholesterol. Additional AR42J rat exocrine cell analyses demonstrated that Pnliprp1 knockdown induced acinar-to-ductal metaplasia, a known prepancreatic cancer state, and increased cholesterol levels, reversible with statin. This (epi)genetic study suggests a role for PNLIPRP1 in human metabolism and exocrine pancreatic function, with potential implications for pancreatic diseases.

Article highlights:

胰腺外分泌中 PNLIPRP1 的高甲基化与 2 型糖尿病和胆固醇代谢有关。
我们推测,T2D 通过(外)遗传机制易导致胰腺外分泌疾病。我们研究了 141 名供体的胰腺外分泌甲基组(甲基化EPIC 阵列),评估了 T2D 的影响。针对 T2D 的全表观基因组关联研究(EWAS)发现,胰腺脂肪酶相关蛋白 1(PNLIPRP1)基因的增强子存在高甲基化,这与 PNLIPRP1 的表达下降有关。PNLIPRP1 空变异(在英国生物数据库的 191K 名参与者中)与血糖和低密度脂蛋白胆固醇升高有关。使用 2.5M SNP OmniArray 对 111 名供体进行孟德尔随机分析证明,T2D 是 PNLIPRP1 高甲基化的因果关系,而 PNLIPRP1 高甲基化是低密度脂蛋白胆固醇的因果关系。对 AR42J 大鼠外分泌细胞的进一步研究表明,Pnliprp1 基因敲除会诱发胰腺尖变,这是一种已知的胰腺癌前期状态,并会增加胆固醇水平,但他汀类药物可逆转。这项(外)遗传学研究表明,PNLIPRP1 在人类新陈代谢和胰腺外分泌功能中发挥作用,对胰腺疾病具有潜在影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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