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Publication : From Hyper- to Hypoinsulinemia and Diabetes: Effect of KCNH6 on Insulin Secretion.

First Author  Yang JK Year  2018
Journal  Cell Rep Volume  25
Issue  13 Pages  3800-3810.e6
PubMed ID  30590050 Mgi Jnum  J:271003
Mgi Id  MGI:6278371 Doi  10.1016/j.celrep.2018.12.005
Citation  Yang JK, et al. (2018) From Hyper- to Hypoinsulinemia and Diabetes: Effect of KCNH6 on Insulin Secretion. Cell Rep 25(13):3800-3810.e6
abstractText  Glucose-stimulated insulin secretion from islet beta cells is mediated by KATP channels. However, the role of non-KATP K(+) channels in insulin secretion is largely unknown. Here, we show that a non-KATP K(+) channel, KCNH6, plays a key role in insulin secretion and glucose hemostasis in humans and mice. KCNH6 p.P235L heterozygous mutation co-separated with diabetes in a four-generation pedigree. Kcnh6 knockout (KO) or Kcnh6 p.P235L knockin (KI) mice had a phenotype characterized by changing from hypoglycemia with hyperinsulinemia to hyperglycemia with insulin deficiency. Islets from the young KO mice had increased intracellular calcium concentration and increased insulin secretion. However, islets from the adult KO mice not only had increased intracellular calcium levels but also had remarkable ER stress and apoptosis, associated with loss of beta cell mass and decreased insulin secretion. Therefore, dysfunction of KCNH6 causes overstimulation of insulin secretion in the short term and beta cell failure in the long term.
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