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1 (cystines 18-61 in IGF-I and 19-85 in human proinsulin).
2 lin receptor more effectively than wild-type proinsulin.
3 oinsulin, and the clinical mutant [L-Ser(B8)]proinsulin.
4 m a human haplotype expressing low levels of proinsulin.
5 rt from cells co-expressing misfolded mutant proinsulin.
6 ed with improved oxidative folding of mutant proinsulin.
7 y of transcripts, including the one encoding proinsulin.
8 cleavage is linked to the oxidation of (pre)proinsulin.
9 ant as well as that of coexpressed wild-type proinsulin.
10 ccessible to modification in insulin but not proinsulin.
11 endoplasmic reticulum (ER) and retention of proinsulin.
12 omers with impaired secretion of the variant proinsulin.
13 in combination and the in vitro refolding of proinsulin.
14 betes because of the expression of misfolded proinsulin.
15 ombination, and blocks cellular secretion of proinsulin.
16 -I) has significant structural homology with proinsulin.
17 increase the degree of conversion of soluble proinsulin.
18 -migrates with the aberrant isomer 1 band of proinsulin.
19 but overlapping epitopes in the C-peptide of proinsulin.
20 I presentation and proteolytic processing of proinsulin.
21 plasma levels of immunoreactive insulin and proinsulin.
22 ted, it reduced the abundance of ER-targeted proinsulin.
24 d type 1 diabetes development in a subset of proinsulin 2-deficient NOD mice, the activation of iNKT
25 also blocks ER exit of coexpressed wild-type proinsulin, accounting for its dominant-negative behavio
28 ed the effect of combining a prototypic ABT, proinsulin/alum, with GABA treatment in newly diabetic N
31 We used transplastomic plants expressing proinsulin and GAD to protect the autoantigens from degr
32 sion triggered intracellular accumulation of proinsulin and Glut2, massive endoplasmic reticulum (ER)
33 ting peptide (c-peptide) aids the folding of proinsulin and has been considered to have little biolog
35 enic line had lower pancreatic [Zn(2+)]i and proinsulin and higher insulin and glucose tolerance comp
36 is efficiently cleaved, producing authentic proinsulin and insulin, preproinsulin-A(SP24)D is ineffi
39 riate for human application, secreting human proinsulin and interleukin-10, cured 66% of mice with ne
40 cific T cells from islets responded to whole proinsulin and islets, whereas previously identified B:9
41 gle major association signal between fasting proinsulin and noncoding variants (p = 7.4 x 10(-50)).
44 selectively compromises oxidative folding of proinsulin and promotes glucose intolerance in mutant mi
46 at all pH values compared with the wild-type proinsulin and the other two analogs, but showed only ve
47 scription factors, appropriate processing of proinsulin and the presence of mature endocrine secretor
50 rative studies of diabetes-associated mutant proinsulins and their aberrant modes of aggregation.
52 biochemical research and then on to insulin, proinsulin, and many relevant related areas that continu
54 e analogs: [D-Ala(B8)]proinsulin, [L-Ala(B8)]proinsulin, and the clinical mutant [L-Ser(B8)]proinsuli
57 ed degradation and presentation of cytosolic proinsulin, as expected, it reduced the abundance of ER-
59 is genetically modified to secrete the whole proinsulin autoantigen along with the immunomodulatory c
60 we have exploited "hPro-CpepSfGFP," a human proinsulin bearing "superfolder" green fluorescent C-pep
61 tant proinsulin or with "hProCpepGFP" (human proinsulin bearing emerald-GFP within the C-peptide), im
63 etaPFOA=15.93; 95% CI: 6.78, 25.08), fasting proinsulin (betaPFOS=1.37 pM; 95% CI: 0.50, 2.25; betaPF
67 directly in obese diabetic mouse models, and proinsulin biosynthesis was found to be contrastingly in
68 n between the TCF7L2 risk allele and fasting proinsulin but not insulin levels is notable, as, in thi
69 mean change in weight, fasting insulin, and proinsulin, but not IGR, differed between groups during
70 vated (nonsuppressed) insulin, C-peptide, or proinsulin, but these criteria may overlap with those in
71 However, coexpression of ER-entrapped mutant proinsulin-C(A7)Y shifts the steady-state distribution o
72 egulation of proinsulin synthesis, misfolded proinsulin can accumulate in the endoplasmic reticulum (
76 s, blocking glucagon formation and enhancing proinsulin cleavage with a single compound could represe
77 ecular basis of the aberrant properties of a proinsulin clinical mutant in which residue Gly(B8) is r
78 ency coding variants associated with fasting proinsulin concentrations at the SGSM2 and MADD GWAS loc
79 The study had a retrospective design, no proinsulin concentrations were available, and a nonspeci
81 demonstrate that in its monomeric form, (i) proinsulin contains a native-like insulin moiety and (ii
85 ells from Ab+ donors, suggesting a defect in proinsulin conversion or an accumulation of immature ves
88 for rs11603334 showed that the T2D-risk and proinsulin-decreasing allele (C) is associated with incr
89 rences between the footprints of insulin and proinsulin, defining a "shadow" of the connecting (C) do
90 roperties of [Val(A16)]insulin and [Val(A16)]proinsulin demonstrate that essential contributions of c
94 es Akita proinsulin in a novel way, reducing proinsulin disulfide bonds and priming the Akita protein
95 kly for 6 weeks) was also ineffective, while proinsulin DNA (weekly for up to 12 weeks) showed a tren
98 py with anti-CD20 and either oral insulin or proinsulin does not protect hyperglycemic NOD mice, but
104 which, in addition to expressing endogenous proinsulin, exhibit beta-cell-specific expression of hPr
107 nesis using metabolic labeling and assays of proinsulin export and insulin and C-peptide production t
108 pression is effective in promoting wild-type proinsulin export from cells co-expressing misfolded mut
110 nct migrating species are also produced upon proinsulin expression from a single wild-type human proi
111 have been reports of hyperglycemia inducing proinsulin expression in extrapancreatic tissues, we did
112 e is decreased insulin secretion when mutant proinsulin expression prevents wild-type (WT) proinsulin
115 that Grp170 participates in preparing mutant proinsulin for degradation while enabling WT proinsulin
116 roducts are of potential value, namely human proinsulin, foreign luciferase, and exogenous hydrogenas
117 roinsulin expression prevents wild-type (WT) proinsulin from exiting the endoplasmic reticulum (ER),
118 in the degradation process by shifting Akita proinsulin from high-molecular weight (MW) complexes tow
119 Sel1L membrane complex, which conducts Akita proinsulin from the ER lumen to the cytosol, and the p97
121 king regulatory disulfides can rescue mutant proinsulin-G(B23)V, in parallel with its ability to prov
123 chemokines), clinical parameters (C-peptide, proinsulin, glucose), and cortisol, as an indicator of s
124 ey features of IR, including higher insulin, proinsulin, glucose, glucagon, and triglyceride (TG) lev
125 and proinsulin hexamers, suggesting that the proinsulin hexamer retains an A/B structure similar to t
126 i region, reflecting either slow kinetics of proinsulin hexamerization, steps in formation of nascent
127 within core insulin moieties of insulin and proinsulin hexamers, suggesting that the proinsulin hexa
131 d Diabetes of Youth (MIDY), misfolded mutant proinsulin impairs ER exit of co-expressed wild-type pro
132 s blocked but oxidative folding of wild-type proinsulin improves, accelerating its ER export and incr
133 otein oxidase of the ER lumen, engages Akita proinsulin in a novel way, reducing proinsulin disulfide
134 of ongoing misfolding of a subpopulation of proinsulin in beta cells, the rate-limiting step in tran
135 d a high accumulation of vesicles containing proinsulin in beta-cells from Ab+ donors, suggesting a d
136 autoantigens in human T1D, GAD65, IA-2, and proinsulin in exosomes, which are taken up by and activa
140 hat explains the accumulation of denaturated proinsulin in the endoplasmic reticulum (ER) of beta-cel
141 ously been shown that misfolded mutant Akita proinsulin in the endoplasmic reticulum engages directly
142 that misfolded proinsulin perturbs bystander proinsulin in the endoplasmic reticulum, leading to beta
143 direct physical interaction between PDI and proinsulin in the ER of pancreatic beta-cells, in a mann
144 ulate the trafficking and quality control of proinsulin in the ER relative to the physiological deman
151 mbers of Tregs, including those specific for proinsulin, in the thymus and peripheral lymphoid tissue
153 ize that PDI exhibits unfoldase activity for proinsulin, increasing retention of proinsulin within th
155 ferences were found in fasting or stimulated proinsulin/insulin ratio, and (2) higher rates of T2DM r
156 -sectional studies comparing (1) glucose and proinsulin/insulin response to a standardized liquid mix
157 d proinsulin processing, increased the serum proinsulin:insulin ratio, blunted glucose-stimulated ins
158 ad defective insulin secretion with elevated proinsulin:insulin ratios compared with control strains.
159 cteristically, are associated with decreased proinsulin:insulin ratios, indicating improved proinsuli
160 T-cell responses to beta-cell autoantigens (proinsulin, insulinoma-associated protein, and GAD65 pep
162 the ER has profound effects not only on how proinsulin is degraded, but also on regulation of its ce
164 ccumulation of hPro-CpepSfGFP and endogenous proinsulin is in the Golgi region, as if final stages of
167 sults demonstrate that not only synthesis of proinsulin is regulated by TCF7L2 but also processing an
168 the function of the 35 residue C-peptide of proinsulin is replaced by a single covalent bond--as a k
169 previous results revealed that mutant Akita proinsulin is triaged by ER-associated degradation (ERAD
171 sulin molecule and three analogs: [D-Ala(B8)]proinsulin, [L-Ala(B8)]proinsulin, and the clinical muta
174 transplantation because serum C-peptide and proinsulin levels are difficult to interpret due to the
175 hese data suggest that pancreatic Zn(2+) and proinsulin levels covary but are inversely variant with
176 l assessment of beta-cell function (HOMA-B), proinsulin levels, and the proinsulin-to-insulin ratio.
178 in impairs ER exit of co-expressed wild-type proinsulin, limiting insulin production and leading to e
179 rowding resulted in temporary improvement in proinsulin maturation, insulin secretion and glucose tol
180 ting that enhancing the oxidative folding of proinsulin may be a viable therapeutic strategy in the t
181 Improving oxidative folding of wild-type proinsulin may provide a feasible way to rescue insulin
182 might nevertheless be beneficial in limiting proinsulin misfolding and its adverse downstream consequ
183 es common physiopathological mechanisms with proinsulin misfolding in hereditary diabetes mellitus of
185 before the development of diabetes caused by proinsulin misfolding with ER stress, i.e., the existenc
186 s was used to prepare the wild-type [Gly(B8)]proinsulin molecule and three analogs: [D-Ala(B8)]proins
190 Although an NMR structure of an engineered proinsulin monomer has been reported, structures of the
191 xidation between the respective C-domains of proinsulin monomers and hexamers suggest that this loop
192 ce of chain topology is demonstrated by mini-proinsulin (MP), a single-chain analogue in which the C-
193 s of both the C-peptide blood levels and the proinsulin mRNA levels in the islets support our conclus
195 1alpha deletion was primarily due to reduced proinsulin mRNA translation primarily because of defecti
196 in-diabetic LEW rats and insulin and porcine proinsulin mRNA-expressing cell engraftment in the kidne
197 achinery components used to triage the Akita proinsulin mutant, including the Hrd1-Sel1L membrane com
198 ), characterized by insulin deficiency, MIDY proinsulin mutants misfold and fail to exit the endoplas
200 n principle, selective destruction of mutant proinsulin offers a rational approach to rectify the ins
201 rglycemic NOD mice, but the combination with proinsulin offers limited efficacy in T1D prevention, po
203 administration of T1D-related autoantigens [proinsulin or glutamic acid decarboxylase 65 (GAD)] dela
204 w-frequency variants associated with fasting proinsulin or insulinogenic index: TBC1D30, KANK1 and PA
205 y in protein complexes either with nonmutant proinsulin or with "hProCpepGFP" (human proinsulin beari
206 ter PDI-KD, enhanced export is selective for proinsulin over other secretory proteins, but the same e
208 oinsulin (P = 4.55 x 10(-9)) and 32,33 split proinsulin (P = 1.72 x 10(-4)) relative to total insulin
209 ongly and positively associated with fasting proinsulin (P = 4.55 x 10(-9)) and 32,33 split proinsuli
211 h anti-CD3epsilon-specific antibody and i.n. proinsulin peptide can reverse recent-onset diabetes in
213 could only be generated against a deamidated proinsulin peptide, but cross-reacted with native proins
215 epitopes formed by covalent cross-linking of proinsulin peptides to other peptides present in beta ce
217 ot develop frank diabetes, yet the misfolded proinsulin perturbs insulin production from endogenous p
218 enicity to BMDCs, which are characterized by proinsulin (PI) and TNF-alpha coexpression; coincubation
222 that hyperglycemia induces the appearance of proinsulin (PI)-producing proinflammatory bone marrow (B
223 the anthrax protective antigen (PA) or human proinsulin (Pins) fused with the cholera toxin B-subunit
224 sing only approximately 0.04% of total islet proinsulin plus insulin, exerting no metabolic impact.
226 nctional defects in prohormone processing of proinsulin, pro-GH-releasing hormone, and proghrelin in
228 Pc1 (N222D) that leads to obesity, abnormal proinsulin processing and multiple endocrinological defe
229 ed expression of the major genes involved in proinsulin processing and the pancreatic beta cell stimu
231 on and recapitulated the pattern of improved proinsulin processing observed at the human GWAS signal.
232 d plasma levels of C-peptide, the product of proinsulin processing to insulin, suggesting a role for
233 roliferation, altered insulin production and proinsulin processing, and increased islet ER stress and
234 sulin signaling, translation initiation, and proinsulin processing, and provide previously unidentifi
235 of insulin granules in beta-cells, impaired proinsulin processing, increased the serum proinsulin:in
236 ucose-stimulated insulin secretion, impaired proinsulin processing, inflammation, formation of islet
237 ablished susceptibility loci, and indices of proinsulin processing, insulin secretion, and insulin se
244 is a primary target of TCF7L2 and regulates proinsulin production and processing via MAFA, PDX1, NKX
245 relatively limited accumulation of misfolded proinsulin protein and maintenance of endogenous insulin
246 ons investigated, once folded the [L-Ser(B8)]proinsulin protein molecule bound to the insulin recepto
249 n of DQ8 and DQ2-DQ8 heterodimer-restricted, proinsulin-reactive CD4(+) T cells grown from islets of
251 ndings demonstrate that efficient folding of proinsulin requires N-terminal sequences that are dispen
252 e pathogenesis, as recent studies identified proinsulin-responding T cells from inflamed pancreatic i
253 In the prevention studies, anti-CD20 plus proinsulin resulted in modest increases in Tregs in panc
260 ancreatic lymph nodes and elevated levels of proinsulin-specific CD4+ T-cells that produced IL-4.
262 lood did not, highlighting the importance of proinsulin-specific T cells in the islet microenvironmen
267 omplexes produced from cytosolic and luminal proinsulin suggests that different proteolytic activitie
268 tory capacity of the beta cell for increased proinsulin synthesis and to limit oxidative stress that
269 fluctuations and insulin resistance increase proinsulin synthesis in beta cells beyond the capacity f
274 stress induced by accumulation of misfolded proinsulin, thereby improving diabetes and preventing be
275 s and used for the measurement of C-peptide, proinsulin, thrombin-antithrombin (TAT) complex, and a p
276 ata establish that upon PDI-KD, oxidation of proinsulin to form native disulfide bonds is unimpaired
278 vel that can inhibit the transport of native proinsulin to the GA influences to a lesser extent the t
281 man correlation analyses, proinsulin and the proinsulin-to-insulin ratio were only modestly inversely
283 pecific staining for insulin, C-peptide, and proinsulin together with insulin secretory granules by e
284 the same effect is observed for recombinant proinsulin trafficking upon PDI-KD in heterologous cells
286 t of both native insulin genes and a mutated proinsulin transgene, alanine at position B16 in preproi
288 insulin to 68% adding responses to modified proinsulin, versus 20% and 37% respectively, in healthy
289 Importantly, ER stress induced by misfolded proinsulin was limited by increased expression of Ero1al
293 ulinogenic index (IGR), fasting insulin, and proinsulin were predictive of diabetes, though to differ
294 ulating large quantities of misfolded mutant proinsulin, whereas another subset of beta-cells has muc
295 favorable changes in insulin sensitivity and proinsulin, which contribute to a reduction in the risk
296 gly, overexpressing Grp170 also liberates WT proinsulin, which is no longer trapped in these high-MW
297 Studying processing and presentation of proinsulin, which plays a pivotal role in autoimmune dia
301 s has much less accumulated misfolded mutant proinsulin, with some of these cells containing abundant
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