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The MODY-associated TALK-1 L114P mutation causes islet α-cell overactivity and β-cell inactivity resulting in transient neonatal diabetes and glucose dyshomeostasis in adults.


ABSTRACT: A gain-of-function mutation in the TALK-1 K+ channel (p.L114P) associated with maturity-onset diabetes of the young (MODY) was recently reported in two distinct families. TALK-1 is a key regulator of β-cell electrical activity and glucose-stimulated insulin secretion (GSIS). KCNK16, the gene that encodes TALK-1, is the most abundant and β-cell-restricted K+ channel transcript; polymorphisms in the KCNK16 locus are also associated with an increased risk of type-2 diabetes. To investigate the impact of TALK-1-L114P on glucose homeostasis and confirm its association with MODY, a mouse model containing the Kcnk16 L114P mutation was generated. Heterozygous and homozygous Kcnk16 L114P mice exhibit increased neonatal lethality in the C57BL/6J and the mixed C57BL/6J:CD-1(ICR) genetic background, respectively. Lethality is likely a result of severe hyperglycemia observed in the homozygous Kcnk16 L114P neonates due to lack of GSIS and can be reduced with insulin treatment. TALK-1-L114P drastically increased whole-cell β-cell K+ currents resulting in blunted glucose-stimulated Ca2+ entry and loss of glucose-induced Ca2+ oscillations. Thus, adult Kcnk16 L114P mice have reduced GSIS and plasma insulin levels, which significantly impaired glucose homeostasis. Taken together, this study determined that the MODY-associated TALK-1-L114P mutation disrupts glucose homeostasis in adult mice resembling a MODY phenotype and causes neonatal lethality by altering islet hormone secretion during development. These data strongly suggest that TALK-1 is an islet-restricted target for the treatment of diabetes.

SUBMITTER: Nakhe AY 

PROVIDER: S-EPMC10401960 | biostudies-literature | 2023 Jul

REPOSITORIES: biostudies-literature

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The MODY-associated <i>KCNK16</i> L114P mutation increases islet glucagon secretion and limits insulin secretion resulting in transient neonatal diabetes and glucose dyshomeostasis in adults.

Nakhe Arya Y AY   Dadi Prasanna K PK   Kim Jinsun J   Dickerson Matthew T MT   Behera Soma S   Dobson Jordyn R JR   Shrestha Shristi S   Cartailler Jean-Philippe JP   Sampson Leesa L   Magnuson Mark A MA   Jacobson David A DA  

bioRxiv : the preprint server for biology 20240227


The gain-of-function mutation in the TALK-1 K <sup>+</sup> channel (p.L114P) is associated with maturity-onset diabetes of the young (MODY). TALK-1 is a key regulator of β-cell electrical activity and glucose-stimulated insulin secretion (GSIS). The <i>KCNK16</i> gene encoding TALK-1, is the most abundant and β-cell-restricted K <sup>+</sup> channel transcript. To investigate the impact of <i>KCNK16</i> L114P on glucose homeostasis and confirm its association with MODY, a mouse model containing  ...[more]

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