| INTRODUC TI ONMitogen-activated protein kinases (MAPKs) are activated in response to extracellular stimuli such as growth factors, cytokines, and environmental stressors. The major subgroups of the MAPK family include the extracellular signal-regulated kinases (ERKs), c-Jun N-terminal kinases (JNKs), and p38 MAPK (p38). ERKs, which are mainly activated by growth factors and phorbol esters, are associated with cellular proliferation. JNKs and p38 are activated by inflammatory cytokines and extracellular stressors such as ultraviolet irradiation, osmotic stress, and mechanical stress. Activation of these MAPKs contributes to cell-type-specific gene expression, cell proliferation, differentiation, cell cycle arrest, apoptosis, and early development. 1,2Stress, which is generated throughout the procedure for isolating islets, activates proinflammatory signaling pathways and the destruction of β cells. 3-6 JNK and p38 are preferentially activated in response to the processing of islets for transplantation and by the inflammation associated with islet transplantation. [7][8][9][10][11][12][13][14] We reported that treatment with peptide inhibitors of JNK during preservation of the pancreas before islet isolation, islet culture, or islet transplantation prevents islet apoptosis and enhances engraftment of islets During islet transplantation, mitogen-activated protein kinase (MAPK) p38 is preferentially activated in response to the isolation of islets and the associated inflammation.Although therapeutic effects of p38 inhibitors are expected, the clinical application of small-molecule inhibitors of p38 is not recommended because of their serious adverse effects on the liver and central nervous system. Here we designed peptides to inhibit p38, which were derived from the sites on p38 that mediate binding to proteins such as MAPK kinases. Peptide 11R-p38I 110 significantly inhibited the activation of p38. To evaluate the effects of 11R-p38I 110 , porcine islets were incubated with 10 µmol/L 11R-p38I 110 or a mutant form designated 11R-mp38I 110 . After islet transplantation, blood glucose levels reached the normoglycemic range in 58.3% and 0% of diabetic mice treated with 11R-p38I 110 or 11R-mp38I 110 , respectively. These data suggest that 11R-p38I 110 inhibited islet apoptosis and improved islet function.Peptide p38I 110 is a noncompetitive inhibitor of ATP and targets a unique docking site. Therefore, 11R-p38I 110 specifically inhibits p38 activation, which may avoid the adverse effects that have discouraged the clinical use of small-molecule inhibitors of p38. Moreover, our methodology to design "peptide inhibitors" could be used to design other inhibitors derived from the binding sites of proteins.
K E Y W O R D Sbasic (laboratory) research/science, cell death: apoptosis, islet isolation, islet transplantation