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Publication : <i>Atp6ap2</i> deletion causes extensive vacuolation that consumes the insulin content of pancreatic β cells.

First Author  Binger KJ Year  2019
Journal  Proc Natl Acad Sci U S A Volume  116
Issue  40 Pages  19983-19988
PubMed ID  31527264 Mgi Jnum  J:287772
Mgi Id  MGI:6363279 Doi  10.1073/pnas.1903678116
Citation  Binger KJ, et al. (2019) Atp6ap2 deletion causes extensive vacuolation that consumes the insulin content of pancreatic beta cells. Proc Natl Acad Sci U S A 116(40):19983-19988
abstractText  Pancreatic beta cells store insulin within secretory granules which undergo exocytosis upon elevation of blood glucose levels. Crinophagy and autophagy are instead responsible to deliver damaged or old granules to acidic lysosomes for intracellular degradation. However, excessive consumption of insulin granules can impair beta cell function and cause diabetes. Atp6ap2 is an essential accessory component of the vacuolar ATPase required for lysosomal degradative functions and autophagy. Here, we show that Cre recombinase-mediated conditional deletion of Atp6ap2 in mouse beta cells causes a dramatic accumulation of large, multigranular vacuoles in the cytoplasm, with reduction of insulin content and compromised glucose homeostasis. Loss of insulin stores and gigantic vacuoles were also observed in cultured insulinoma INS-1 cells upon CRISPR/Cas9-mediated removal of Atp6ap2. Remarkably, these phenotypic alterations could not be attributed to a deficiency in autophagy or acidification of lysosomes. Together, these data indicate that Atp6ap2 is critical for regulating the stored insulin pool and that a balanced regulation of granule turnover is key to maintaining beta cell function and diabetes prevention.
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