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Osteoprotegerin and Denosumab Stimulate Human Beta Cell Proliferation through Inhibition of the Receptor Activator of NF-?B Ligand Pathway.


ABSTRACT: Diabetes results from a reduction of pancreatic ?-cells. Stimulating replication could normalize ?-cell mass. However, adult human ?-cells are recalcitrant to proliferation. We identified osteoprotegerin, a bone-related decoy receptor, as a ?-cell mitogen. Osteoprotegerin was induced by and required for lactogen-mediated rodent ?-cell replication. Osteoprotegerin enhanced ?-cell proliferation in young, aged, and diabetic mice. This resulted in increased ?-cell mass in young mice and significantly delayed hyperglycemia in diabetic mice. Osteoprotegerin stimulated replication of adult human ?-cells, without causing dedifferentiation. Mechanistically, osteoprotegerin induced human and rodent ?-cell replication by modulating CREB and GSK3 pathways, through binding Receptor Activator of NF-?B (RANK) Ligand (RANKL), a brake in ?-cell proliferation. Denosumab, an FDA-approved osteoporosis drug, and RANKL-specific antibody induced human ?-cell proliferation in vitro, and in vivo, in humanized mice. Thus, osteoprotegerin and Denosumab prevent RANKL/RANK interaction to stimulate ?-cell replication, highlighting the potential for repurposing an osteoporosis drug to treat diabetes.

SUBMITTER: Kondegowda NG 

PROVIDER: S-EPMC4597781 | biostudies-literature | 2015 Jul

REPOSITORIES: biostudies-literature

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Osteoprotegerin and Denosumab Stimulate Human Beta Cell Proliferation through Inhibition of the Receptor Activator of NF-κB Ligand Pathway.

Kondegowda Nagesha Guthalu NG   Fenutria Rafael R   Pollack Ilana R IR   Orthofer Michael M   Garcia-Ocaña Adolfo A   Penninger Josef M JM   Vasavada Rupangi C RC  

Cell metabolism 20150618 1


Diabetes results from a reduction of pancreatic β-cells. Stimulating replication could normalize β-cell mass. However, adult human β-cells are recalcitrant to proliferation. We identified osteoprotegerin, a bone-related decoy receptor, as a β-cell mitogen. Osteoprotegerin was induced by and required for lactogen-mediated rodent β-cell replication. Osteoprotegerin enhanced β-cell proliferation in young, aged, and diabetic mice. This resulted in increased β-cell mass in young mice and significantl  ...[more]

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