FAM3A is a recently identified mitochondrial protein that stimulates
pancreatic-duodenal homeobox 1 (PDX1) and insulin expressions by promoting ATP
release in islet β cells. In this study, the role of intracellular ATP
in FAM3A-induced PDX1 expression in pancreatic β cells was further
examined. Acute FAM3A inhibition using siRNA transfection in mouse pancreatic
islets significantly reduced PDX1 expression, impaired insulin secretion, and
caused glucose intolerance in normal mice. In vitro, FAM3A overexpression
elevated both intracellular and extracellular ATP contents and promoted PDX1
expression and insulin secretion. FAM3A-induced increase in cellular calcium
(Ca2+) levels, PDX1 expression, and insulin secretion,
while these were significantly repressed by inhibitors of P2 receptors or the
L-type Ca2+ channels. FAM3A-induced PDX1 expression was
abolished by a calmodulin inhibitor. Likewise, FAM3A-induced β-cell
proliferation was also inhibited by a P2 receptor inhibitor and an L-type
Ca2+ channels inhibitor. Both intracellular and
extracellular ATP contributed to FAM3A-induced PDX1 expression, insulin
secretion, and proliferation of pancreatic β cells.