Islet Amyloid Polypeptide: Structure, Function, and Pathophysiology

  • Rehana Akter
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA
  • Ping Cao
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA
  • Harris Noor
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA
  • Zachary Ridgway
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA
  • Ling-Hsien Tu
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA
  • Hui Wang
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA
  • Amy G. Wong
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA
  • Xiaoxue Zhang
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA
  • Andisheh Abedini
    Diabetes Research Program, NYU School of Medicine, 550 First Avenue, New York, NY 10016, USA
  • Ann Marie Schmidt
    Diabetes Research Program, NYU School of Medicine, 550 First Avenue, New York, NY 10016, USA
  • Daniel P. Raleigh
    Department of Chemistry, Stony Brook University, Stony Brook, NY 11794-3400, USA

書誌事項

公開日
2016
権利情報
  • http://creativecommons.org/licenses/by/3.0/
DOI
  • 10.1155/2016/2798269
公開者
Wiley

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説明

<jats:p>The hormone islet amyloid polypeptide (IAPP, or amylin) plays a role in glucose homeostasis but aggregates to form islet amyloid in type-2 diabetes. Islet amyloid formation contributes to<jats:italic>β</jats:italic>-cell dysfunction and death in the disease and to the failure of islet transplants. Recent work suggests a role for IAPP aggregation in cardiovascular complications of type-2 diabetes and hints at a possible role in type-1 diabetes. The mechanisms of IAPP amyloid formation<jats:italic>in vivo</jats:italic>or<jats:italic>in vitro</jats:italic>are not understood and the mechanisms of IAPP induced<jats:italic>β</jats:italic>-cell death are not fully defined. Activation of the inflammasome, defects in autophagy, ER stress, generation of reactive oxygen species, membrane disruption, and receptor mediated mechanisms have all been proposed to play a role. Open questions in the field include the relative importance of the various mechanisms of<jats:italic>β</jats:italic>-cell death, the relevance of reductionist biophysical studies to the situation<jats:italic>in vivo</jats:italic>, the molecular mechanism of amyloid formation<jats:italic>in vitro</jats:italic>and<jats:italic>in vivo</jats:italic>, the factors which trigger amyloid formation in type-2 diabetes, the potential role of IAPP in type-1 diabetes, the development of clinically relevant inhibitors of islet amyloidosis toxicity, and the design of soluble, bioactive variants of IAPP for use as adjuncts to insulin therapy.</jats:p>

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