The MODY-associated KCNK16 L114P mutation increases islet glucagon secretion and limits insulin secretion resulting in transient neonatal diabetes and glucose dyshomeostasis in adults

  1. Arya Y Nakhe
  2. Prasanna K Dadi
  3. Jinsun Kim
  4. Matthew T Dickerson
  5. Soma Behera
  6. Jordyn R Dobson
  7. Shristi Shrestha
  8. Jean-Philippe Cartailler
  9. Leesa Sampson
  10. Mark A Magnuson
  11. David A Jacobson  Is a corresponding author
  1. Department of Molecular Physiology and Biophysics, Vanderbilt University, United States
  2. Department of Chemistry, Vanderbilt University, United States
  3. Center for Stem Cell Biology, Vanderbilt University, United States
  4. Department of Cell and Developmental Biology, Vanderbilt University, United States
6 figures and 2 additional files

Figures

Figure 1 with 2 supplements
Kcnk16L114P neonates exhibit loss of glucose-stimulated Ca2+ entry and insulin secretion leading to transient neonatal hyperglycemia and death.

(A) Schematic of the Kcnk16 L114P mouse line generation in the C57BL/6J background and the C57BL/6J:CD-1 (ICR) mixed background. (B) χ2 analysis of the F1 progeny from C57BL/6J and heterozygous Kcnk1…

Figure 1—figure supplement 1
Generation of Kcnk16 L114P model and assessment of neonatal glucose homeostasis and lethality.

(A) Targeted region of Kcnk16 exon 3 using CRISPR/Cas9 leading to the introduction of HinfI restriction enzyme site (red arrows) and CTG to CCA mutation in codon 337 corresponding to p.TALK-1 L114P …

Figure 1—figure supplement 1—source data 1

Original file for the DNA gel analysis in Figure 1—figure supplement 1B (PCR confirmation of the male founder Kcnk16 L114P (L/P) mouse using HinfI restriction digestion).

https://cdn.elifesciences.org/articles/89967/elife-89967-fig1-figsupp1-data1-v1.tif
Figure 1—figure supplement 1—source data 2

Original file for the DNA gel analysis in Figure 1—figure supplement 1B (PCR confirmation of the male founder Kcnk16 L114P (L/P) mouse using HinfI restriction digestion) with bands and DNA ladder labeled.

https://cdn.elifesciences.org/articles/89967/elife-89967-fig1-figsupp1-data2-v1.tif
Figure 1—figure supplement 2
Kcnk16 L114P male and female mice show transient neonatal hyperglycemia.

(A) Average blood glucose measurements of B6;CD-1 male mice at P1, P4, P10, P15, and P21 including: WT (black; P1 N=9, P4 N=27, P10 N=9, P15 N=9, P21 N=8), Kcnk16 L114P (L/P; green; P1 n=15, P4 …

Figure 2 with 3 supplements
Adult Kcnk16 L114P mice exhibit fasting hyperglycemia and glucose intolerance.

(A, B) Intraperitoneal glucose tolerance test (i.p. GTT) performed in 15-week-old and 18-week-old male mice following a 4 hr fast in response to 2 mg/g glucose injection (WT; black; N=8–10 and Kcnk16

Figure 2—figure supplement 1
Oral glucose tolerance is impaired in Kcnk16 L114P (L/P) mice in the B6;CD-1 background.

Oral glucose tolerance test (OGTT) performed in 4- (A) and 14-week-old (B) male mice following a 4 hr fast in response to oral gavage of 2 g/kg glucose. (C) Average area under the curve (AUC) of the …

Figure 2—figure supplement 2
Glucose homeostasis is impaired in Kcnk16 L114P (L/P) mice in the B6 background.

(A) Body weight measurements of male WT (black; N=8) and Kcnk16 L114P (L/P; green; N=4) mice in the C57Bl/6J background. (B) Intraperitoneal glucose tolerance test (i.p. GTT) performed in …

Figure 2—figure supplement 3
Body composition measurements and assessment of plasma and liver triglycerides and total cholesterol.

(A–F) Body composition analysis of male and female B6;CD-1 WT and Kcnk16 L114P (L/P) mice assessing weight (g), body fat (g), and lean mass (g) (N=5–9 mice/genotype). (G–J) Average liver and plasma …

Adult Kcnk16 L114P mice show disrupted islet hormone secretion and islet composition.

(A, B) Plasma insulin levels in male (A) and female (B) WT and Kcnk16 L114P (L/P) mice following a 4 hr fast at the indicated time points before and after a 2 mg/g glucose injection. (C) Glucose (%) …

Figure 4 with 2 supplements
Kcnk16 L114P blunts β-cell glucose-stimulated electrical excitability and increases whole-cell two-pore domain K+ channel currents.

(A) Representative perforated patch-clamp Vm recordings in response to 2 mM G and 11 mM G in islets from WT and Kcnk16 L114P (L/P) mice (N=6–10 islets from 5 mice/genotype). (B) Average resting …

Figure 4—figure supplement 1
Kcnk16 L114P attenuates β-cell glucose-stimulated electrical excitability in a heterogenous manner.

(A) Representative perforated patch-clamp Vm recording in response to 11 mM G and 11 mM G+30 mM K+ from a WT β-cell expressing GCaMP6s driven by an optimized RIP within an islet cluster …

Figure 4—figure supplement 2
Two-pore domain K+ channel currents in β-cells from homozygous Kcnk16 L114P (P/P) mice also exhibit a modest increase.

(A) Representative whole-cell two-pore domain K+ channel current density (pA/pF) recorded using a voltage ramp (–120 mV to +60 mV) in 11 mM G in islets from B6; CD-1 WT and Kcnk16 L114P (P/P) P4 …

Figure 5 with 2 supplements
Kcnk16 L114P reduces glucose- and tolbutamide-stimulated islet Ca2+ entry and augments IP3-induced islet [Ca2+]ER release.

(A, B) Representative [Ca2+]c traces in islets from male (A) and female (B) WT and Kcnk16 L114P (L/P) mice in response to 2 mM G, 10 mM G, and 20 mM G. (C–F) Average normalized Ca2+ peak (C and E) …

Figure 5—figure supplement 1
Islets from Kcnk16 L114P (L/P) mice on the B6 background also exhibit blunted glucose-stimulated Ca2+ entry.

(A) Representative glucose-stimulated [Ca2+]c influx traces in islets from male WT and Kcnk16 L114P (L/P) mice in the C57BL/6J background in response to 2 mM G, 10 mM G, and 20 mM G (N=3 …

Figure 5—figure supplement 2
Kcnk16 L114P (L/P) islets exhibit prolonged glucose-stimulated phase 0 [Ca2+]ER uptake and show a complete absence of Ca2+ oscillations.

(A) Average relative [Ca2+]c at 2 mM G in islets from B6; CD-1 WT and Kcnk16 L114P (L/P) mice (N=4 mice/genotype). (B) Percent islets that exhibit the corresponding phase 0 response (drop in [Ca2+]c)…

Figure 6 with 2 supplements
Kcnk16 L114P islets exhibit altered expression of genes involved in β-cell identity and function, ion channel activity, hormone activity, inflammatory signaling, and extracellular matrix interaction pathways.

(A) Heatmap of a selected gene subsets showing differential gene expression in WT and Kcnk16 L114P islets. Normalized expression levels were scaled and centered by rows. (B) Volcano plot displays …

Figure 6—figure supplement 1
Liraglutide increased Ca2+ oscillation frequency in WT islets but does not impact Kcnk16 L114P (L/P) mouse islet Ca2+ handling.

(A) Representative islet Ca2+ recording from a WT islet in 11 mM glucose treated with 200 nM liraglutide. (B) Average Ca2+ oscillation frequency of WT islets in 11 mM glucose and in 11 mM glucose …

Figure 6—figure supplement 2
RNA sequencing showed equivalent expression of a subset of genes encoding proteins known to control [Ca2+]ER in WT and Kcnk16 L114P (L/P) male islets.

(A) Average normalized RNA levels (baseMean) of Kcnk3, Itpr1, Itpr2, and Itpr3 from WT islets (gray bars, N=4) and Kcnk16 L114P (L/P) (green bars, N=4). Data are presented as mean ± SEM. Data were …

Additional files

Download links