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The Welander TIA1 mutation dedifferentiates insulin-producing cells — reversal by a GLP-1 receptor agonist
Uppsala universitet.
Uppsala universitet.
Uppsala universitet.ORCID iD: 0000-0002-6672-017X
Uppsala universitet.
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2026 (English)In: Journal of Biological Chemistry, ISSN 0021-9258, E-ISSN 1083-351X, Vol. 302, no 4, article id 111336Article in journal (Refereed) Published
Abstract [en]

The RNA-binding proteins TIAR and TIA1 have been reported to affect beta cell insulin production and viability. The missense E384K TIA1 autosomal dominant mutation is known to cause Welander distal myopathy. The aim of this study was to study the effects of the TIA1 E384K mutation in human insulin-producing EndoC-βH1 cells. The prime editing technique was used to generate EndoC-βH1 cell clones with the homozygous E384K TIA1 mutation. The E384K TIA1 mutation did not affect high glucose + palmitate-induced stress granule formation and cell death. Instead, the mutated cells respired and proliferated faster than wild-type cells. This was paralleled by a higher MYC mRNA and protein level, a profoundly reduced GLP-1 receptor mRNA expression, increased expression of “disallowed” beta cell genes, a proinsulin-to-insulin processing defect, a decreased insulin content and release, a decreased PAX4/ARX mRNA ratio, and an increased glucagon production. The TIA1 mutation reduced MYC mRNA binding to TIA1. Downregulation of MYC mRNA levels normalized insulin/glucagon and PAX4/ARX mRNA ratios. Long-term treatment of TIA1-mutated cells with the GLP-1R agonist liraglutide restored insulin production and reversed beta cell dedifferentiation. It is concluded that the TIA1 E384K mutation, via increased MYC levels and cell proliferation rates, causes beta cell dedifferentiation. Thus, dysfunction of RNA-binding proteins may, at least in certain cases, contribute to the impaired insulin production observed in diabetes. A better understanding of RNA-binding protein-mediated control of beta cell differentiation, and the protective impact of GLP-1 receptor agonism, could facilitate the development of new treatment strategies in diabetes.

Place, publisher, year, edition, pages
Elsevier , 2026. Vol. 302, no 4, article id 111336
Keywords [en]
beta cell dedifferentiationliraglutideglucagon-like peptide-1RNA-binding proteinsT-cell intracellular antigen 1Welander distal myopathy
National Category
Clinical Medicine Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:hig:diva-49509DOI: 10.1016/j.jbc.2026.111336ISI: 001733114500001PubMedID: 41786146Scopus ID: 2-s2.0-105034737774OAI: oai:DiVA.org:hig-49509DiVA, id: diva2:2045667
Funder
European Foundation for the Study of DiabetesNovo Nordisk FoundationSwedish Research CouncilErnfors FoundationSwedish Child Diabetes FoundationDiabetesfondenAvailable from: 2026-03-13 Created: 2026-03-13 Last updated: 2026-04-17Bibliographically approved

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Sjöholm, Åke

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