2015
DOI: 10.1038/ncomms9372
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Inhibition of DYRK1A and GSK3B induces human β-cell proliferation

Abstract: Insufficient pancreatic β-cell mass or function results in diabetes mellitus. While significant progress has been made in regulating insulin secretion from β-cells in diabetic patients, no pharmacological agents have been described that increase β-cell replication in humans. Here we report aminopyrazine compounds that stimulate robust β-cell proliferation in adult primary islets, most likely as a result of combined inhibition of DYRK1A and GSK3B. Aminopyrazine-treated human islets retain functionality in vitro… Show more

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Cited by 168 publications
(219 citation statements)
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“…In turn, genetic overexpression is beneficial in the context of diabetes (16). However, these findings are opposed to the effects observed when DYRK1A is pharmacologically inhibited (8)(9)(10). It is noteworthy that in genetic loss-and gain-of-function experiments (15,16), DYRK1A expression is apparently altered in all tissues from early embryonic development to adulthood.…”
contrasting
confidence: 45%
“…In turn, genetic overexpression is beneficial in the context of diabetes (16). However, these findings are opposed to the effects observed when DYRK1A is pharmacologically inhibited (8)(9)(10). It is noteworthy that in genetic loss-and gain-of-function experiments (15,16), DYRK1A expression is apparently altered in all tissues from early embryonic development to adulthood.…”
contrasting
confidence: 45%
“…Recently, two groups reported identification of small molecules that stimulate human ␤-cell replication via inhibition of dual-specificity tyrosine kinase-1a (DYRK1A) (27,28). Because the utility of these molecules for clinical intervention remains unknown, development of alternative strategies should continue.…”
Section: Discussionmentioning
confidence: 99%
“…140, 141, and Figure 3). Aminopyrazine compounds have a larger effect on β cell proliferation than harmine, which is explained by the additional inhibition of glycogen synthase kinase-3β (GSK3β) by aminopyrazine compounds (137). Like DYRK1A, GSK3β prevents nuclear localization of NFAT (142) and inhibits β cell proliferation (143)(144)(145)(146).…”
Section: Introductionmentioning
confidence: 99%
“…Some of these screens have led to the discovery of novel compounds with therapeutic potential. For example, a high-throughput chemical screen recently identified aminopyrazine compounds, harmine, INDY, and 5-iodotubercidin as pro-proliferative in rodent β cell lines, and these compounds were subsequently shown to also augment human β cell proliferation (129,134,137,139). Interestingly, all 4 molecules inhibit the kinase DYRK1A, which blocks nuclear localization of NFAT, a transcription factor that activates expression of cell cycle genes in β cells (refs.…”
Section: Introductionmentioning
confidence: 99%
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