PT - JOURNAL ARTICLE AU - Yu-Te Yeh AU - Chandan Sona AU - Xin Yan AU - Adrija Pathak AU - Mark I. McDermott AU - Zhigang Xie AU - Liangwen Liu AU - Anoop Arunagiri AU - Yuting Wang AU - Amaury Cazenave-Gassiot AU - Adhideb Ghosh AU - Ferdinand von Meyenn AU - Sivarajan Kumarasamy AU - Sonia M. Najjar AU - Shiqi Jia AU - Markus R. Wenk AU - Alexis Traynor-Kaplan AU - Peter Arvan AU - Sebastian Barg AU - Vytas A. Bankaitis AU - Matthew N. Poy TI - Restoration of PITPNA in Type 2 diabetic human islets reverses pancreatic beta-cell dysfunction AID - 10.1101/2022.07.06.498991 DP - 2022 Jan 01 TA - bioRxiv PG - 2022.07.06.498991 4099 - http://biorxiv.org/content/early/2022/07/06/2022.07.06.498991.short 4100 - http://biorxiv.org/content/early/2022/07/06/2022.07.06.498991.full AB - Defects in insulin processing and granule maturation are linked to pancreatic beta-cell failure during type 2 diabetes (T2D). Phosphatidylinositol transfer protein alpha (PITPNA) stimulates activity of phosphatidylinositol (PtdIns) 4-OH kinase to produce sufficient PtdIns-4-phosphate (PtdIns-4-P) in the trans-Golgi network to promote insulin granule maturation. PITPNA in beta-cells of T2D human subjects is markedly reduced suggesting its depletion accompanies beta-cell dysfunction. Conditional deletion of Pitpna in the beta-cells of Ins-Cre;Pitpnaflox/flox mice leads to hyperglycemia resulting from decreased glucose-stimulated insulin secretion (GSIS) and reduced pancreatic beta-cell mass. Furthermore, PITPNA silencing in human islets confirmed its role in PtdIns-4-P synthesis and led to impaired insulin granule maturation and docking, GSIS, and proinsulin processing with evidence of ER stress. Restoration of PITPNA in islets of T2D human subjects reversed these beta-cell defects and identify PITPNA as a critical target linked to beta-cell failure in T2D.Competing Interest StatementThe authors have declared no competing interest.