Type 2 & other diabetes

The islet tissue plasminogen activator/plasmin system is upregulated with human islet amyloid polypeptide aggregation and protects beta cells from aggregation-induced toxicity

DiabetologiaPublished Mechanistic study

Authors' conclusion

The fibrinolytic system is upregulated in islets with hIAPP aggregation. Plasmin rapidly degrades hIAPP, limiting its aggregation into amyloid and thus protecting beta cells from hIAPP-induced toxicity. Thus, increasing islet plasmin activity might be a strategy to limit beta cell loss in type 2 diabetes.

Study context

Population
Isolated islets from hIAPP transgenic and non-transgenic mice; primary islet endothelial cells, bone marrow-derived macrophages (BMDM), INS-1 cells; islets from donors with and without T2D
Outcome
Measured effects

Main finding

As reported in the abstract

Islet Plat expression and plasmin activity increased with amyloid deposition in transgenic mouse islets (n=5)
p≤0.01
Not observed in non-transgenic islets; blocked by Congo Red (n=4)
p≤0.01
Plat expression increased in BMDM and INS-1 cells after hIAPP exposure vs vehicle (n=4), not in islet endothelial cells
p≤0.05
Plasmin restored hIAPP-induced loss of INS-1 cell viability (n=5)
p≤0.01
PLAT expression increased in islets from donors with T2D (n=4) vs without T2D (n=7)
2.4-fold; p≤0.05

Original publication

The islet tissue plasminogen activator/plasmin system is upregulated with human islet amyloid polypeptide aggregation and protects beta cells from aggregation-induced toxicity. Diabetologia. Published 9 September 2024. doi:10.1007/s00125-024-06161-0

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