Repurposing Lesogaberan to Promote Human Islet Cell Survival and β-Cell Replication

The activation of β-cell’s A- and B-type gamma-aminobutyric acid receptors (GABAA-Rs and GABAB-Rs) can promote their survival and replication, and the activation of α-cell GABAA-Rs promotes their conversion into β-cells. However, GABA and the most clinically applicable GABA-R ligands may be suboptim...

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Main Authors: Jide Tian, Hoa Dang, Angela Hu, Willem Xu, Daniel L. Kaufman
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2017/6403539
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author Jide Tian
Hoa Dang
Angela Hu
Willem Xu
Daniel L. Kaufman
author_facet Jide Tian
Hoa Dang
Angela Hu
Willem Xu
Daniel L. Kaufman
author_sort Jide Tian
collection DOAJ
description The activation of β-cell’s A- and B-type gamma-aminobutyric acid receptors (GABAA-Rs and GABAB-Rs) can promote their survival and replication, and the activation of α-cell GABAA-Rs promotes their conversion into β-cells. However, GABA and the most clinically applicable GABA-R ligands may be suboptimal for the long-term treatment of diabetes due to their pharmacological properties or potential side-effects on the central nervous system (CNS). Lesogaberan (AZD3355) is a peripherally restricted high-affinity GABAB-R-specific agonist, originally developed for the treatment of gastroesophageal reflux disease (GERD) that appears to be safe for human use. This study tested the hypothesis that lesogaberan could be repurposed to promote human islet cell survival and β-cell replication. Treatment with lesogaberan significantly enhanced replication of human islet cells in vitro, which was abrogated by a GABAB-R antagonist. Immunohistochemical analysis of human islets that were grafted into immune-deficient mice revealed that oral treatment with lesogaberan promoted human β-cell replication and islet cell survival in vivo as effectively as GABA (which activates both GABAA-Rs and GABAB-Rs), perhaps because of its more favorable pharmacokinetics. Lesogaberan may be a promising drug candidate for clinical studies of diabetes intervention and islet transplantation.
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issn 2314-6745
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publishDate 2017-01-01
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series Journal of Diabetes Research
spelling doaj-art-0380ce1814274475932802055fa499232025-02-03T05:58:57ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/64035396403539Repurposing Lesogaberan to Promote Human Islet Cell Survival and β-Cell ReplicationJide Tian0Hoa Dang1Angela Hu2Willem Xu3Daniel L. Kaufman4Department of Molecular and Medical Pharmacology, University of California, Los Angeles, CA, USADepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, CA, USADepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, CA, USADepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, CA, USADepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, CA, USAThe activation of β-cell’s A- and B-type gamma-aminobutyric acid receptors (GABAA-Rs and GABAB-Rs) can promote their survival and replication, and the activation of α-cell GABAA-Rs promotes their conversion into β-cells. However, GABA and the most clinically applicable GABA-R ligands may be suboptimal for the long-term treatment of diabetes due to their pharmacological properties or potential side-effects on the central nervous system (CNS). Lesogaberan (AZD3355) is a peripherally restricted high-affinity GABAB-R-specific agonist, originally developed for the treatment of gastroesophageal reflux disease (GERD) that appears to be safe for human use. This study tested the hypothesis that lesogaberan could be repurposed to promote human islet cell survival and β-cell replication. Treatment with lesogaberan significantly enhanced replication of human islet cells in vitro, which was abrogated by a GABAB-R antagonist. Immunohistochemical analysis of human islets that were grafted into immune-deficient mice revealed that oral treatment with lesogaberan promoted human β-cell replication and islet cell survival in vivo as effectively as GABA (which activates both GABAA-Rs and GABAB-Rs), perhaps because of its more favorable pharmacokinetics. Lesogaberan may be a promising drug candidate for clinical studies of diabetes intervention and islet transplantation.http://dx.doi.org/10.1155/2017/6403539
spellingShingle Jide Tian
Hoa Dang
Angela Hu
Willem Xu
Daniel L. Kaufman
Repurposing Lesogaberan to Promote Human Islet Cell Survival and β-Cell Replication
Journal of Diabetes Research
title Repurposing Lesogaberan to Promote Human Islet Cell Survival and β-Cell Replication
title_full Repurposing Lesogaberan to Promote Human Islet Cell Survival and β-Cell Replication
title_fullStr Repurposing Lesogaberan to Promote Human Islet Cell Survival and β-Cell Replication
title_full_unstemmed Repurposing Lesogaberan to Promote Human Islet Cell Survival and β-Cell Replication
title_short Repurposing Lesogaberan to Promote Human Islet Cell Survival and β-Cell Replication
title_sort repurposing lesogaberan to promote human islet cell survival and β cell replication
url http://dx.doi.org/10.1155/2017/6403539
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