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Dysfunctional pancreatic cells differentiated from induced pluripotent stem cells with mitochondrial DNA mutations

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초록

Diabetes mellitus (DM) is a serious disease in which blood sugarlevels rise abnormally because of failed insulin production ordecreased insulin sensitivity. Although many studies are beingconducted for the treatment or early diagnosis of DM, it is notfully understood how mitochondrial genome (mtDNA) abnormalitiesappear in patients with DM. Here, we induced iPSCs fromfibroblasts, PBMCs, or pancreatic cells of three patients with type2 DM (T2D) and three patients with non-diabetes counterpart. The mtDNA mutations were detected randomly without anytendency among tissues or patients. In T2D patients, 62% (21/34)of iPSC clones harbored multiple mtDNA mutations, of which37% were homoplasmy at the 100% mutation level comparedto only 8% in non-diabetes. We next selected iPSC clones thatwere a wild type or carried mutations and differentiated into pancreaticcells. Oxygen consumption rates were significantly lowerin cells carrying mutant mtDNA. Additionally, the mutant cellsexhibited decreased production of insulin and reduced secretionof insulin in response to glucose. Overall, the results suggest thatscreening mtDNA mutations in iPSCs from patients with T2Dis an essential step before pancreatic cell differentiation for diseasemodeling or autologous cell therapy.

Abstract

Diabetes mellitus (DM) is a serious disease in which blood sugarlevels rise abnormally because of failed insulin production ordecreased insulin sensitivity. Although many studies are beingconducted for the treatment or early diagnosis of DM, it is notfully understood how mitochondrial genome (mtDNA) abnormalitiesappear in patients with DM. Here, we induced iPSCs fromfibroblasts, PBMCs, or pancreatic cells of three patients with type2 DM (T2D) and three patients with non-diabetes counterpart. The mtDNA mutations were detected randomly without anytendency among tissues or patients. In T2D patients, 62% (21/34)of iPSC clones harbored multiple mtDNA mutations, of which37% were homoplasmy at the 100% mutation level comparedto only 8% in non-diabetes. We next selected iPSC clones thatwere a wild type or carried mutations and differentiated into pancreaticcells. Oxygen consumption rates were significantly lowerin cells carrying mutant mtDNA. Additionally, the mutant cellsexhibited decreased production of insulin and reduced secretionof insulin in response to glucose. Overall, the results suggest thatscreening mtDNA mutations in iPSCs from patients with T2Dis an essential step before pancreatic cell differentiation for diseasemodeling or autologous cell therapy.

참고문헌 (29)

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