The Journal of Clinical Investigation最新文献

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Microglia matters: visualizing the immune battle in Parkinson's disease. 小胶质细胞很重要:观察帕金森病的免疫战。
The Journal of Clinical Investigation Pub Date : 2025-06-16 DOI: 10.1172/jci192919
So Jeong Lee,Changning Wang,Jacob Hooker
{"title":"Microglia matters: visualizing the immune battle in Parkinson's disease.","authors":"So Jeong Lee,Changning Wang,Jacob Hooker","doi":"10.1172/jci192919","DOIUrl":"https://doi.org/10.1172/jci192919","url":null,"abstract":"Microglia play critical roles in immune defense within the central nervous system (CNS), and microglia-mediated immune changes in the brain are observed in various neurodegenerative diseases, including Parkinson's disease (PD). While PET imaging with a range of radiolabeled ligands has been invaluable for visualizing and quantifying neuroimmune changes in the brains of patients with PD, no PET ligands currently exist that are specific to microglia. In this issue of the JCI, Mills et al. used the PET radioligand [¹¹C]CPPC to image colony stimulating factor 1 receptor (CSF1R), revealing a connection between increased CSF1R expression and microglia-mediated brain immune changes in patients with PD. The study demonstrated that elevated CSF1R expression colocalized with a microglial-specific marker in brain regions vulnerable to PD. Moreover, quantifying CSF1R density with [¹¹C]CPPC-PET imaging in living brains may provide an indicator of motor and cognitive impairments in the early stages of PD. These findings underscore the potential of CSF1R-PET imaging as a microglial-sensitive biomarker of brain immune function in PD.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should GLP-1 receptor agonist therapy be used to treat obesity in Bardet-Biedl syndrome? 是否应该使用GLP-1受体激动剂治疗Bardet-Biedl综合征的肥胖?
The Journal of Clinical Investigation Pub Date : 2025-06-16 DOI: 10.1172/jci191822
Jeremy W Tomlinson
{"title":"Should GLP-1 receptor agonist therapy be used to treat obesity in Bardet-Biedl syndrome?","authors":"Jeremy W Tomlinson","doi":"10.1172/jci191822","DOIUrl":"https://doi.org/10.1172/jci191822","url":null,"abstract":"Bardet-Biedl syndrome (BBS) is a complex genetic condition that can affect multiple organ systems, frequently causing pigmentary retinopathy, renal abnormalities, polydactyly, and obesity. Metabolic disturbances including obesity, unsuppressed appetite, and an increased risk of type 2 diabetes (T2D) present clinical management challenges. In this issue of the JCI, Singh et al. present a mouse model of a specific BBS subtype with genetic deletion of the Bbs5 gene. The model recapitulates many of the clinical features observed in patients living with BBS5 and sheds light on adipocyte biology, as well as the hypothalamic mechanisms driving hunger- and food-seeking behaviors that fuel the adverse metabolic phenotype. Importantly, exogenous GLP-1 receptor agonist treatment suppressed both appetite and weight, opening opportunities for direct translation into the clinical setting.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"598 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Uromodulin modulates mitochondria and kidney tubule resilience. 尿调素调节线粒体和肾小管弹性。
The Journal of Clinical Investigation Pub Date : 2025-06-16 DOI: 10.1172/jci193829
Ronak Lakhia,Chunzi Song,Vishal Patel
{"title":"Uromodulin modulates mitochondria and kidney tubule resilience.","authors":"Ronak Lakhia,Chunzi Song,Vishal Patel","doi":"10.1172/jci193829","DOIUrl":"https://doi.org/10.1172/jci193829","url":null,"abstract":"Uromodulin is the most abundant protein in human urine, playing diverse roles, from providing frontline defense against uropathogens to regulating electrolyte balance via modulation of ion channels and cotransporters. In this issue of the JCI, Nanamatsu et al. unveil an alternatively spliced isoform of uromodulin that was dynamically induced in response to oxidative stress and tubular injury. Unlike the canonical secreted form, this isoform was retained in the cell, where it interacted with solute carrier proteins primarily localized to the mitochondrial membrane. Through these interactions, it modulated mitochondrial energetics and enhanced tubular cell resilience to injury. These findings broaden our understanding of uromodulin's multifaceted functions, uncover an adaptive mechanism by which the kidney responds to cellular stress, and open avenues for therapeutic strategies targeting kidney injury and repair.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
RSK1-driven TRIM28/E2F1 feedback loop promotes castration-resistant prostate cancer progression. rsk1驱动的TRIM28/E2F1反馈回路促进去势抵抗性前列腺癌的进展。
The Journal of Clinical Investigation Pub Date : 2025-06-16 DOI: 10.1172/jci185119
Miyeong Kim,Jinpeng Liu,Yanquan Zhang,Ruixin Wang,Ryan Goettl,Jennifer Grasso,Derek B Allison,Chi Wang,Tianyan Gao,Xiaoqi Liu,Ka-Wing Fong
{"title":"RSK1-driven TRIM28/E2F1 feedback loop promotes castration-resistant prostate cancer progression.","authors":"Miyeong Kim,Jinpeng Liu,Yanquan Zhang,Ruixin Wang,Ryan Goettl,Jennifer Grasso,Derek B Allison,Chi Wang,Tianyan Gao,Xiaoqi Liu,Ka-Wing Fong","doi":"10.1172/jci185119","DOIUrl":"https://doi.org/10.1172/jci185119","url":null,"abstract":"Castration-resistant prostate cancer (CRPC) marks the advanced and lethal stage of prostate cancer (PCa). TRIM28, also known as KAP1, is a transcriptional regulator recently shown to promote CRPC cell proliferation and xenograft tumor growth. Nonetheless, knowledge gaps persist regarding the mechanisms underlying TRIM28 upregulation in CRPC as well as the genomic targets regulated by TRIM28. Here, we report that TRIM28 is a E2F1 target in CRPC. Using an integrated genomic approach, we have demonstrated that TRIM28 forms a positive feedback loop to promote the transcriptional activation and genomic function of E2F1 independent of retinoblastoma (Rb) status. Furthermore, we identified RSK1 as a kinase that directly phosphorylates TRIM28 at S473, and, as such, RSK1 drives the TRIM28/E2F1 feedback loop. Accordingly, pS473-TRIM28 promotes CRPC progression, which is mitigated by RSK inhibition. In summary, our study reveals a critical role of the RSK1-TRIM28-E2F1 axis in CRPC progression, which may be exploited as a vulnerability in treating Rb-deficient CRPC.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Regular meals matter: bone growth and beyond. 规律饮食很重要:骨骼生长和其他方面。
The Journal of Clinical Investigation Pub Date : 2025-06-16 DOI: 10.1172/jci194079
Rhonda D Kineman,Shoshana Yakar
{"title":"Regular meals matter: bone growth and beyond.","authors":"Rhonda D Kineman,Shoshana Yakar","doi":"10.1172/jci194079","DOIUrl":"https://doi.org/10.1172/jci194079","url":null,"abstract":"The effect of food intake patterns on growth remain largely unknown. In this issue of the JCI, Hornsby et al. provide compelling evidence that, in young males, confining food intake to three meals a day entrains preprandial ghrelin release, leading to postprandial growth hormone pulse release that is associated with an increase in epiphysial plate expansion - a measure indicative of increased bone growth. The positive effects of discrete meal intake, on bone, was dependent on an intact ghrelin signaling system. This Commentary posits that meal-entrained ghrelin release may enhance skeletal accrual, whether through direct action on bone cells, via stimulation of growth hormone secretion, or in concert with other nutrient-responsive hormones. Coordinating these hormonal cues with food intake could maximize bone acquisition and improve bone health throughout the lifespan.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gestational hypertension increases risk of seizures in children and mice. 妊娠期高血压增加儿童和小鼠癫痫发作的风险。
The Journal of Clinical Investigation Pub Date : 2025-06-16 DOI: 10.1172/jci183393
Baojian Xue,Serena B Gumusoglu,Grant Tiarks,Brittany P Todd,Angela Wong,Donna A Santillan,Chin-Chi Kuo,Hsiu-Yin Chiang,Rohith Ravindranath,Sophia Y Wang,Vinit B Mahajan,Alan Kim Johnson,Heath A Davis,Polly Ferguson,Elizabeth A Newell,Mark K Santillan,Jason M Misurac,Alexander G Bassuk
{"title":"Gestational hypertension increases risk of seizures in children and mice.","authors":"Baojian Xue,Serena B Gumusoglu,Grant Tiarks,Brittany P Todd,Angela Wong,Donna A Santillan,Chin-Chi Kuo,Hsiu-Yin Chiang,Rohith Ravindranath,Sophia Y Wang,Vinit B Mahajan,Alan Kim Johnson,Heath A Davis,Polly Ferguson,Elizabeth A Newell,Mark K Santillan,Jason M Misurac,Alexander G Bassuk","doi":"10.1172/jci183393","DOIUrl":"https://doi.org/10.1172/jci183393","url":null,"abstract":"Gestational hypertension (GH) is prevalent, with life-long health burdens for mothers and their children exposed in utero. We analyzed the nation-wide Epic Cosmos dataset and found significantly higher rates of seizures in children of mothers with GH than in children of normotensive mothers. Complementary studies of nested Iowa and Stanford cohorts and a large Taiwanese cohort also revealed significantly increased seizure risk after covariate adjustments. We modeled this association in an angiotensin (ANG) II mouse model of GH. Maternal ANG II significantly increased seizure grade and deaths elicited by pilocarpine among male but not female offspring. Electrical stimulation increased seizure grade and death across sexes in offspring from ANG II-treated dams. Proinflammatory and microglial gene expression in the brain were upregulated only in male offspring from ANG II-treated dams. Chronic phenylephrine, a GH model lacking the maternal proinflammatory aspects of ANG II, induced similar offspring seizure phenotypes. PLX5622-induced depletion of microglia or antiinflammatory pentoxifylline abolished this sensitized seizure response and lowered mortality in the ANG II model. These results suggest that GH programs offspring risk for seizures in a sex-dependent manner in humans and mice. Neuroinflammatory mechanisms may contribute to the elevated sensitivity and mortality from seizures elicited by GH exposure in utero.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Friend or foe: assessing the value of animal models for facilitating clinical breakthroughs in complement research. 朋友还是敌人:评估动物模型对促进补体研究临床突破的价值。
The Journal of Clinical Investigation Pub Date : 2025-06-16 DOI: 10.1172/jci188347
Felix Poppelaars,V Michael Holers,Joshua M Thurman
{"title":"Friend or foe: assessing the value of animal models for facilitating clinical breakthroughs in complement research.","authors":"Felix Poppelaars,V Michael Holers,Joshua M Thurman","doi":"10.1172/jci188347","DOIUrl":"https://doi.org/10.1172/jci188347","url":null,"abstract":"Animal experiments have long been a cornerstone of advancements in biomedical research, particularly in developing novel therapeutic strategies for inflammatory and autoimmune diseases. However, these historically important approaches are now facing growing scrutiny for ethical reasons, concerns about translational limitations to human biology, and the rising availability of animal-free research methods. This shift raises a critical question: How relevant and effective are animal models for driving future advancements in today's research landscape? This Review aims to explore this question within the field of biomedical research on the complement system, critically evaluating the contribution of animal models to the recent advancements and clinical successes of complement-targeted therapies. Specifically, we assess areas where animal studies have been indispensable for elucidating disease mechanisms and conducting preclinical evaluations, alongside instances where findings from animal models failed to translate successfully to human trials. Furthermore, we discuss similarities and differences in the complement system between animals and humans and explore innovations in animal research designed to improve translatability to human biology. By assessing the contributions of animal studies to complement therapeutics, this Review aims to provide insights into animal models' strengths, limitations, and evolving role in complement research.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Myeloid cell genome-wide screen identifies variants associated with Mycobacterium tuberculosis-induced cytokine transcriptional responses. 髓系细胞全基因组筛选鉴定与结核分枝杆菌诱导的细胞因子转录反应相关的变异。
The Journal of Clinical Investigation Pub Date : 2025-05-22 DOI: 10.1172/jci179822
Joshua J Ivie,Kimberly A Dill-McFarland,Jason D Simmons,Glenna J Peterson,Penelope H Benchek,Harriet Mayanja-Kizza,Lily E Veith,Moeko Agata,Dang Tm Ha,Ho Dt Nghia,W Henry Boom,Catherine M Stein,Chiea C Khor,Guy E Thwaites,Hoang T Hai,Nguyen Tt Thuong,Xuling Chang,Sarah J Dunstan,Thomas R Hawn
{"title":"Myeloid cell genome-wide screen identifies variants associated with Mycobacterium tuberculosis-induced cytokine transcriptional responses.","authors":"Joshua J Ivie,Kimberly A Dill-McFarland,Jason D Simmons,Glenna J Peterson,Penelope H Benchek,Harriet Mayanja-Kizza,Lily E Veith,Moeko Agata,Dang Tm Ha,Ho Dt Nghia,W Henry Boom,Catherine M Stein,Chiea C Khor,Guy E Thwaites,Hoang T Hai,Nguyen Tt Thuong,Xuling Chang,Sarah J Dunstan,Thomas R Hawn","doi":"10.1172/jci179822","DOIUrl":"https://doi.org/10.1172/jci179822","url":null,"abstract":"Immune and clinical outcomes to Mycobacterium tuberculosis (Mtb) infection vary greatly between individuals yet the underlying genetic and cellular mechanisms driving this heterogeneity remain poorly understood. We performed a cellular genome-wide association study (GWAS) to identify genetic variants associated with Mtb-induced monocyte transcriptional expression of IL1B, IL6, TNF, and IFNB1 via RNA-seq in a Ugandan cohort. Significantly associated variants were assessed for transferability in an independent Seattle cohort, further validated in vitro, and assessed for clinical phenotype associations. We identified 77 loci suggestively associated with Mtb-induced cytokine expression in monocytes in Uganda. SNPs associated with Mtb-induced TNF were enriched within alpha-linolenic acid metabolism pathway genes which was validated in vitro using PLA2 inhibitors. Four loci maintained significant associations in Seattle. We validated cytokine effect with siRNA knockdown for two of these loci which mapped to the genes SLIT3 and SLC1A1. Furthermore, exogenous treatment of macrophages with SLIT3 enhanced Mtb intracellular replication. Finally, SLC1A1 and SLIT3 variants were associated with susceptibility to tuberculous meningitis (TBM) and subsequent survival in a Vietnamese cohort, respectively. In sum, we identified multiple variants and pathways associated with Mtb-induced cytokine transcriptional responses that validated in vitro and were associated with clinical TB susceptibility.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144114264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrin-mediated mTOR signaling drives TGF-β overactivity and myxomatous mitral valve degeneration in hypomorphic fibrillin-1 mice. 整合素介导的mTOR信号驱动TGF-β过度活性和二尖瓣黏液变性。
The Journal of Clinical Investigation Pub Date : 2025-05-20 DOI: 10.1172/jci183558
Fu Gao,Qixin Chen,Makoto Mori,Sufang Li,Giovanni Ferrari,Markus Krane,Rong Fan,George Tellides,Yang Liu,Arnar Geirsson
{"title":"Integrin-mediated mTOR signaling drives TGF-β overactivity and myxomatous mitral valve degeneration in hypomorphic fibrillin-1 mice.","authors":"Fu Gao,Qixin Chen,Makoto Mori,Sufang Li,Giovanni Ferrari,Markus Krane,Rong Fan,George Tellides,Yang Liu,Arnar Geirsson","doi":"10.1172/jci183558","DOIUrl":"https://doi.org/10.1172/jci183558","url":null,"abstract":"Mitral valve prolapse is often benign but progression to mitral regurgitation may require invasive intervention and there is no specific medical therapy. An association of mitral valve prolapse with Marfan syndrome resulting from pathogenic FBN1 variants supports the use of hypomorphic fibrillin-1 mgR mice to investigate mechanisms and therapy for mitral valve disease. mgR mice developed severe myxomatous mitral valve degeneration with mitral regurgitation by 12 weeks of age. Persistent activation of TGF-β and mTOR signaling along with macrophage recruitment preceded histological changes at 4 weeks of age. Short-term mTOR inhibition with rapamycin from 4 to 5 weeks of age prevented TGF-β overactivity and leukocytic infiltrates, while long-term inhibition of mTOR or TGF-β signaling from 4 to 12 weeks of age rescued mitral valve leaflet degeneration. Transcriptomic analysis identified integrins as key receptors in signaling interactions and serologic neutralization of integrin signaling or a chimeric integrin receptor altering signaling prevented mTOR activation. We confirmed increased mTOR signaling and a conserved transcriptome signature in human specimens of sporadic mitral valve prolapse. Thus, mTOR activation from abnormal integrin-dependent cell-matrix interactions drives TGF-β overactivity and myxomatous mitral valve degeneration, and mTOR inhibition may prevent disease progression of mitral valve prolapse.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"138 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Trapα deficiency impairs the early events of insulin biosynthesis and glucose homeostasis. Trapα缺乏会损害胰岛素生物合成和葡萄糖稳态的早期事件。
The Journal of Clinical Investigation Pub Date : 2025-05-20 DOI: 10.1172/jci179845
Xin Li,Jingxin Hu,Yumeng Huang,Hai Zhang,Ning Xu,Yang Liu,Xuan Liu,Yuanyuan Ye,Xinxin Zhang,Xiaoxi Xu,Yuxin Fan,Ziyue Zhang,Weiping J Zhang,Shusen Wang,Wenli Feng,Peter Arvan,Ming Liu
{"title":"Trapα deficiency impairs the early events of insulin biosynthesis and glucose homeostasis.","authors":"Xin Li,Jingxin Hu,Yumeng Huang,Hai Zhang,Ning Xu,Yang Liu,Xuan Liu,Yuanyuan Ye,Xinxin Zhang,Xiaoxi Xu,Yuxin Fan,Ziyue Zhang,Weiping J Zhang,Shusen Wang,Wenli Feng,Peter Arvan,Ming Liu","doi":"10.1172/jci179845","DOIUrl":"https://doi.org/10.1172/jci179845","url":null,"abstract":"Defects in the early events of insulin biosynthesis, including inefficient preproinsulin (PPI) translocation across the membrane of the endoplasmic reticulum (ER) and proinsulin (PI) misfolding in the ER, can cause diabetes. Cellular machineries involved in these events remain poorly defined. Gene encoding TRanslocon-Associated Protein alpha (TRAPα) shows linkage to glycemic control in humans, although their pathophysiological role remains unknown. Here we found that β-cell specific TRAPα knockout (TRAPα-βKO) mice fed with chow diet or high fat diet (HFD) exhibit decreased circulating insulin, with age- and diet-related glucose intolerance. Multiple independent approaches revealed that TRAPα-βKO not only causes inefficient PPI translocation, but also leads to PI misfolding and ER stress, selectively limiting PI ER export and β-cell compensatory potential. Importantly, decreased TRAPα expression was evident in islets of wild-type mice fed with high fat diet and in patients with type 2 diabetes (T2D). Furthermore, TRAPα expression was positively correlated with insulin content in human islet β cells, and decreased TRAPα was associated with PI maturation defects in T2D islets. Together, these data demonstrate that TRAPα deficiency in pancreatic β-cells impairs PPI translocation, PI folding, insulin production, and glucose homeostasis, contributing to its genetic linkage to T2D.","PeriodicalId":520097,"journal":{"name":"The Journal of Clinical Investigation","volume":"56 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144103545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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