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The MODY-associated TALK-1 L114P mutation causes islet α-cell overactivity and β-cell inactivity resulting in transient neonatal diabetes and glucose dyshomeostasis in adults


Nakhe AYArya Y , Dadi PKPrasanna K , Kim JJinsun , Shrestha SShristi , Cartailler JPJean-Philippe , Sampson LLeesa , Magnuson MAMark A , Jacobson DADavid A . bioRxiv : the preprint server for biology. 2023 07 26; ().


A gain-of-function mutation in the TALK-1 K channel (p.L114P) associated with maturity-onset diabetes of the young (MODY) was recently reported in two distinct families. TALK-1 is a key regulator of β-cell electrical activity and glucose-stimulated insulin secretion (GSIS). , the gene that encodes TALK-1, is the most abundant and β-cell- restricted K channel transcript; polymorphisms in the locus are also associated with an increased risk of type-2 diabetes. To investigate the impact of TALK-1-L114P on glucose homeostasis and confirm its association with MODY, a mouse model containing the L114P mutation was generated. Heterozygous and homozygous L114P mice exhibit increased neonatal lethality in the C57BL/6J and the mixed C57BL/6J:CD-1(ICR) genetic background, respectively. Lethality is likely a result of severe hyperglycemia observed in the homozygous L114P neonates due to lack of GSIS and can be reduced with insulin treatment. TALK-1-L114P drastically increased whole-cell β-cell K currents resulting in blunted glucose-stimulated Ca entry and loss of glucose-induced Ca oscillations. Thus, adult L114P mice have reduced GSIS and plasma insulin levels, which significantly impaired glucose homeostasis. Taken together, this study determined that the MODY-associated TALK-1-L114P mutation disrupts glucose homeostasis in adult mice resembling a MODY phenotype and causes neonatal lethality by altering islet hormone secretion during development. These data strongly suggest that TALK-1 is an islet-restricted target for the treatment of diabetes.