Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function

Diabetes is a major chronic disease with an excessive healthcare burden on society. A missense variant within the coding region of the PAX4 gene (rs2233580, R192H) is associated with T2D in East Asians. In mice, Pax4 is essential for beta cell formation but neither the role of diabetes associate...

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Main Author: Lau, Hwee Hui
Other Authors: Tan Nguan Soon
Format: Thesis-Doctor of Philosophy
Language:English
Published: Nanyang Technological University 2023
Subjects:
Online Access:https://hdl.handle.net/10356/164374
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author Lau, Hwee Hui
author2 Tan Nguan Soon
author_facet Tan Nguan Soon
Lau, Hwee Hui
author_sort Lau, Hwee Hui
collection NTU
description Diabetes is a major chronic disease with an excessive healthcare burden on society. A missense variant within the coding region of the PAX4 gene (rs2233580, R192H) is associated with T2D in East Asians. In mice, Pax4 is essential for beta cell formation but neither the role of diabetes associated variants in PAX4 nor PAX4 itself on human beta cell development and/or function are known. Our study demonstrates carriers of the PAX4 R192H or a novel Y186X allele(s) to have reduced beta cell function. Deletion of PAX4 in isogenic human induced pluripotent stem cell (hiPSC)-derived beta-like cells resulted in de-repression of alpha cell gene expression whilst in vitro differentiation of hiPSCs from carriers of R192H or Y186X allele(s) exhibited increased polyhormonal endocrine cell formation and reduced insulin content. Correction of the PAX4 variant allele(s) reversed these phenotypic changes. In the human beta cell model, EndoC-βH1, PAX4-knockdown led to impaired insulin secretion and reduced total insulin content. Together, we demonstrate the role of PAX4 in human endocrine cell development, beta cell function and its contribution to T2D risk.
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spelling ntu-10356/1643742023-02-28T18:39:59Z Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function Lau, Hwee Hui Tan Nguan Soon School of Biological Sciences Institute of Molecular and Cell Biology, A*STAR Teo Kee Keong Adrian NSTan@ntu.edu.sg; ateo@imcb.a-star.edu.sg Science::Biological sciences Diabetes is a major chronic disease with an excessive healthcare burden on society. A missense variant within the coding region of the PAX4 gene (rs2233580, R192H) is associated with T2D in East Asians. In mice, Pax4 is essential for beta cell formation but neither the role of diabetes associated variants in PAX4 nor PAX4 itself on human beta cell development and/or function are known. Our study demonstrates carriers of the PAX4 R192H or a novel Y186X allele(s) to have reduced beta cell function. Deletion of PAX4 in isogenic human induced pluripotent stem cell (hiPSC)-derived beta-like cells resulted in de-repression of alpha cell gene expression whilst in vitro differentiation of hiPSCs from carriers of R192H or Y186X allele(s) exhibited increased polyhormonal endocrine cell formation and reduced insulin content. Correction of the PAX4 variant allele(s) reversed these phenotypic changes. In the human beta cell model, EndoC-βH1, PAX4-knockdown led to impaired insulin secretion and reduced total insulin content. Together, we demonstrate the role of PAX4 in human endocrine cell development, beta cell function and its contribution to T2D risk. Doctor of Philosophy 2023-01-18T06:34:48Z 2023-01-18T06:34:48Z 2022 Thesis-Doctor of Philosophy Lau, H. H. (2022). Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function. Doctoral thesis, Nanyang Technological University, Singapore. https://hdl.handle.net/10356/164374 https://hdl.handle.net/10356/164374 10.32657/10356/164374 en This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). application/pdf Nanyang Technological University
spellingShingle Science::Biological sciences
Lau, Hwee Hui
Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function
title Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function
title_full Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function
title_fullStr Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function
title_full_unstemmed Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function
title_short Dissecting the role of diabetes-associated PAX4 polymorphisms in modulating pancreatic beta cell development and function
title_sort dissecting the role of diabetes associated pax4 polymorphisms in modulating pancreatic beta cell development and function
topic Science::Biological sciences
url https://hdl.handle.net/10356/164374
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