Formation of amyloid-like fibrils in a solution of human islet amyloid polypeptide (hIAPP) with and without the presence of other IS-cell granule components was studied in vitro. Insulin at less than equimolar concentration strongly inhibited hIAPP fibrillogenesis. Proinsulin had a weaker inhibitory effect while C-peptide, Ca 2+ and Zn 2÷ each individually enhanced fibril formation. C-peptide combined with Ca 2+ had an inhibitory effect. Since IAPP was found almost exclusively in the halo fractions of isolated islet secretory granules, primarily the concentrations of C-peptide, Ca 2+ and possibly proinsulin may be crucial for the native state of IAPP. It is concluded that an imbalance between fibril formation enhancers and inhibitors may be of importance in the pathogenesis of amyloid in the islets of Langerhans.Key words: Fibril; Islet amyloid polypeptide; Non-insulindependent diabetes mellitus; In vitro; Granule loid properties in vitro while corresponding rat IAPP peptides do not [10]. This fibril formation of hIAPP occurs rapidly and spontaneously in aqueous solutions.With this knowledge, we hypothesized that there normally may exist a mechanism which hinders the formation of amyloid fibrils from IAPP in fl-cells and in the islets of Langerhans, the only sites where it is expressed at high concentrations. Since IAPP is stored together with insulin, proinsulin and C-peptide in the secretory granules, the influence of these three latter polypeptides on fibril formation was studied in vitro. Both calcium and zinc are present at high concentration in the fl-cell secretory granules and therefore the effect of these ions on fibril formation was included in the investigation. Finally, we determined the concentration of IAPP in the two fl-cell granule compartments.
Materials and methods