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Molecular Endocrinology, doi:10.1210/me.2004-0407
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Molecular Endocrinology 19 (8): 2154-2163
Copyright © 2005 by The Endocrine Society

Processing of Pro-Islet Amyloid Polypeptide in the Constitutive and Regulated Secretory Pathways of ß Cells

Lucy Marzban, Genny Trigo-Gonzalez and C. Bruce Verchere

Department of Pathology and Laboratory Medicine & British Columbia Research Institute for Children’s and Women’s Health, University of British Columbia, Vancouver, British Columbia, Canada V5Z 4H4

Address all correspondence and requests for reprints to: Dr. C. Bruce Verchere, British Columbia Research Institute for Children’s and Women’s Health, 3084-950 West 28th Avenue, Vancouver, British Columbia, Canada V5Z 4H4. E-mail: verchere{at}interchange.ubc.ca.

Islet amyloid is a pathologic characteristic of the pancreas in type 2 diabetes comprised mainly of the ß-cell peptide islet amyloid polypeptide (IAPP; amylin). We used a pulse-chase approach to investigate the kinetics of processing and secretion of the IAPP precursor, proIAPP, in ß cells. By only 20 min after synthesis, a COOH-terminally processed proIAPP intermediate (~6 kDa) was already present in ß cells. Formation of this NH2-terminally extended intermediate was not prevented by arresting secretory pathway transport at the trans-Golgi network (TGN) by either brefeldin A or temperature blockade, suggesting that this initial cleavage step occurs in the TGN before entry of (pro)IAPP into granules. Mature IAPP (~4 kDa) was not detected until 60 min of chase, suggesting that NH2-terminal cleavage occurs in granules. Cells chased in low glucose without Ca2+ or with diazoxide, to block regulated release, secreted both proIAPP (~8 kDa) and a partially processed form (~6 kDa) via the constitutive secretory pathway. Stimulation of regulated secretion resulted in secretion primarily of mature IAPP as well as low levels of both unprocessed (~8 kDa) and partially processed (~6 kDa) proIAPP. We conclude that normal processing of proIAPP is a two-step process initiated by cleavage at its COOH terminus (likely by prohormone convertase 1/3 in the TGN) followed by cleavage at its NH2 terminus (by prohormone convertase 2 in granules) to form IAPP. Both proIAPP and its NH2-terminally extended intermediate appear to be normal secretory products of the ß cell that can be released via either the regulated or constitutive secretory pathways.




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