Maturity-onset diabetes of the young (MODY) 2 is a familial form of non-insulin-dependent diabetes with autosomal dominant inheritance (1). Most forms of MODY are caused by decreased expression of functional transcription factors leading to a decrease in beta cell mass and islet architecture (2). Inactivating mutations in the transcription factor hepatocyte nuclear factor (HNF) 1A cause HNF1A-MODY (3), the most common monogenic form of diabetes (4). Pancreatic beta cell dysfunction is a hallmark feature of the pathogenesis of HNF1A-MODY and type 2 diabetes (5-7). The control of pancreatic differentiation by extracellular signaling molecules and growth factors during development is an area of intensive research (8). However, our knowledge on the role of extracellular signaling molecules or growth factors in the pathogenesis of HNF1A-MODY or type 2 diabetes is currently limited.Cytokines of the transforming growth factor- (TGF-) superfamily, which includes the TGF- isoforms, activins, and the bone morphogenetic proteins (BMPs), regulate gene expression in diverse cell types and are involved in numerous processes including lineage determination, tissue differentiation, cell proliferation, and apoptosis (9 -11). TGF-/activin and BMP signaling have been shown to play a critical role in pancreatic development (12)(13)(14). Using an unbiased transcriptomics approach in INS-1 cells inducibly expressing the common human hot spot HNF1A frameshift mutation, Pro291fsinsC-HNF1A, we demonstrate here that HNF1A controls the expression of the TGF- superfamily member, BMP-3. We further demonstrate a role for BMP-3 in the control of insulin expression with potential implications for HNF1A-MODY pathophysiology.
EXPERIMENTAL PROCEDURES