[HTML][HTML] Targeted demethylation at the CDKN1C/p57 locus induces human β cell replication

K Ou, M Yu, NG Moss, YJ Wang… - The Journal of …, 2019 - Am Soc Clin Investig
K Ou, M Yu, NG Moss, YJ Wang, AW Wang, SC Nguyen, C Jiang, E Feleke, V Kameswaran
The Journal of Clinical Investigation, 2019Am Soc Clin Investig
The loss of insulin-secreting β cells is characteristic among type I and type II diabetes.
Stimulating proliferation to expand sources of β cells for transplantation remains a challenge
because adult β cells do not proliferate readily. The cell cycle inhibitor p57 has been shown
to control cell division in human β cells. Expression of p57 is regulated by the DNA
methylation status of the imprinting control region 2 (ICR2), which is commonly
hypomethylated in Beckwith-Wiedemann syndrome patients who exhibit massive β cell …
The loss of insulin-secreting β cells is characteristic among type I and type II diabetes. Stimulating proliferation to expand sources of β cells for transplantation remains a challenge because adult β cells do not proliferate readily. The cell cycle inhibitor p57 has been shown to control cell division in human β cells. Expression of p57 is regulated by the DNA methylation status of the imprinting control region 2 (ICR2), which is commonly hypomethylated in Beckwith-Wiedemann syndrome patients who exhibit massive β cell proliferation. We hypothesized that targeted demethylation of the ICR2 using a transcription activator–like effector protein fused to the catalytic domain of TET1 (ICR2-TET1) would repress p57 expression and promote cell proliferation. We report here that overexpression of ICR2-TET1 in human fibroblasts reduces p57 expression levels and increases proliferation. Furthermore, human islets overexpressing ICR2-TET1 exhibit repression of p57 with concomitant upregulation of Ki-67 while maintaining glucose-sensing functionality. When transplanted into diabetic, immunodeficient mice, the epigenetically edited islets show increased β cell replication compared with control islets. These findings demonstrate that epigenetic editing is a promising tool for inducing β cell proliferation, which may one day alleviate the scarcity of transplantable β cells for the treatment of diabetes.
The Journal of Clinical Investigation