Disrupting the DREAM complex enables proliferation of adult human pancreatic β cells

P Wang, E Karakose, C Argmann… - The Journal of …, 2022 - Am Soc Clin Investig
P Wang, E Karakose, C Argmann, H Wang, M Balev, RI Brody, HG Rivas, X Liu, O Wood…
The Journal of clinical investigation, 2022Am Soc Clin Investig
Resistance to regeneration of insulin-producing pancreatic β cells is a fundamental
challenge for type 1 and type 2 diabetes. Recently, small molecule inhibitors of the kinase
DYRK1A have proven effective in inducing adult human β cells to proliferate, but their
detailed mechanism of action is incompletely understood. We interrogated our human
insulinoma and β cell transcriptomic databases seeking to understand why β cells in
insulinomas proliferate, while normal β cells do not. This search reveals the DREAM …
Resistance to regeneration of insulin-producing pancreatic β cells is a fundamental challenge for type 1 and type 2 diabetes. Recently, small molecule inhibitors of the kinase DYRK1A have proven effective in inducing adult human β cells to proliferate, but their detailed mechanism of action is incompletely understood. We interrogated our human insulinoma and β cell transcriptomic databases seeking to understand why β cells in insulinomas proliferate, while normal β cells do not. This search reveals the DREAM complex as a central regulator of quiescence in human β cells. The DREAM complex consists of a module of transcriptionally repressive proteins that assemble in response to DYRK1A kinase activity, thereby inducing and maintaining cellular quiescence. In the absence of DYRK1A, DREAM subunits reassemble into the pro-proliferative MMB complex. Here, we demonstrate that small molecule DYRK1A inhibitors induce human β cells to replicate by converting the repressive DREAM complex to its pro-proliferative MMB conformation.
The Journal of Clinical Investigation