1. Amelioration of Diabetes by Protein S
- Author
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Josephine A. Hinneh, Isaac Cann, John Morser, Iwasa Motoh, Esteban C. Gabazza, Paloma Gil-Bernabe, Ziaurahman Roeen, Taro Yasuma, Corina N. D’Alessandro-Gabazza, Kota Nishihama, Yutaka Yano, Masaaki Toda, Tetsu Kobayashi, Rumi Mifuji-Moroka, and Yoshiyuki Takei
- Subjects
Blood Glucose ,Male ,0301 basic medicine ,medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,Apoptosis ,Mice, Transgenic ,Type 2 diabetes ,030204 cardiovascular system & hematology ,Protein S ,Cell Line ,Diabetes Mellitus, Experimental ,Diabetic nephropathy ,Mice ,03 medical and health sciences ,0302 clinical medicine ,Insulin resistance ,Insulin-Secreting Cells ,Internal medicine ,Diabetes mellitus ,Adipocytes ,Internal Medicine ,medicine ,Animals ,Humans ,Diabetic Nephropathies ,Muscle, Skeletal ,Protein kinase B ,Glucose tolerance test ,biology ,medicine.diagnostic_test ,Liver cell ,Glucose Tolerance Test ,Middle Aged ,medicine.disease ,Diabetes Mellitus, Type 1 ,030104 developmental biology ,Endocrinology ,Diabetes Mellitus, Type 2 ,Liver ,biology.protein ,Female ,Insulin Resistance - Abstract
Protein S is an anticoagulant factor that also regulates inflammation and cell apoptosis. The effect of protein S on diabetes and its complications is unknown. This study compared the development of diabetes between wild-type and transgenic mice overexpressing human protein S and the development of diabetic glomerulosclerosis between mice treated with and without human protein S and between wild-type and protein S transgenic mice. Mice overexpressing protein S showed significant improvements in blood glucose level, glucose tolerance, insulin sensitivity, and insulin secretion compared with wild-type counterparts. Exogenous protein S improved insulin sensitivity in adipocytes, skeletal muscle, and liver cell lines in db/db mice compared with controls. Significant inhibition of apoptosis with increased expression of BIRC3 and Bcl-2 and enhanced activation of Akt/PKB was induced by protein S in islet β-cells compared with controls. Diabetic wild-type mice treated with protein S and diabetic protein S transgenic mice developed significantly less severe diabetic glomerulosclerosis than controls. Patients with type 2 diabetes had significantly lower circulating free protein S than healthy control subjects. This study shows that protein S attenuates diabetes by inhibiting apoptosis of β-cells and the development of diabetic nephropathy.
- Published
- 2016
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