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1 but overlapping epitopes in the C-peptide of proinsulin.
2 I presentation and proteolytic processing of proinsulin.
3 eatic beta-cells as the precursor prohormone proinsulin.
4 plasma levels of immunoreactive insulin and proinsulin.
5 ted, it reduced the abundance of ER-targeted proinsulin.
6 lin receptor more effectively than wild-type proinsulin.
7 oinsulin, and the clinical mutant [L-Ser(B8)]proinsulin.
8 m a human haplotype expressing low levels of proinsulin.
9 rt from cells co-expressing misfolded mutant proinsulin.
10 ed with improved oxidative folding of mutant proinsulin.
11 y of transcripts, including the one encoding proinsulin.
12 cleavage is linked to the oxidation of (pre)proinsulin.
13 ant as well as that of coexpressed wild-type proinsulin.
14 ccessible to modification in insulin but not proinsulin.
15 s at the initiation of diabetes derived from proinsulin.
16 n to be naturally processed from whole human proinsulin.
17 the C-peptide (C25-35) or A-chain (A1-15) of proinsulin.
18 esulted in the accumulation of intracellular proinsulin.
19 hain transgenic NOD mouse on a TCRCalpha and proinsulin 2 (PI2)-deficient background, designated as A
20 d type 1 diabetes development in a subset of proinsulin 2-deficient NOD mice, the activation of iNKT
21 ree component coating formulation containing proinsulin, a diluent and a surfactant, facilitated unif
22 an intradermal MN delivery system to target proinsulin, a large multi-epitope protein capable of ind
23 also blocks ER exit of coexpressed wild-type proinsulin, accounting for its dominant-negative behavio
24 ellular pathways needed to prevent misfolded proinsulin accumulation remain incompletely understood.
25 brane damage during ER escape of a misfolded proinsulin aggregate destined for lysosomal degradation
26 ed Diabetes of Youth (MIDY) syndrome, mutant proinsulin aggregates interfere with the folding of wild
27 lt: the ER luminal chaperone Grp170 prevents proinsulin aggregation, while the ER membrane morphogeni
30 ed the effect of combining a prototypic ABT, proinsulin/alum, with GABA treatment in newly diabetic N
33 We used transplastomic plants expressing proinsulin and GAD to protect the autoantigens from degr
34 sion triggered intracellular accumulation of proinsulin and Glut2, massive endoplasmic reticulum (ER)
36 enic line had lower pancreatic [Zn(2+)]i and proinsulin and higher insulin and glucose tolerance comp
37 speptin potently decreases the intracellular proinsulin and insulin ((pro)insulin) content and insuli
39 educed cord blood CD4(+) T-cell responses to proinsulin and insulin, a reduction in the inflammatory
40 is efficiently cleaved, producing authentic proinsulin and insulin, preproinsulin-A(SP24)D is ineffi
43 riate for human application, secreting human proinsulin and interleukin-10, cured 66% of mice with ne
44 cific T cells from islets responded to whole proinsulin and islets, whereas previously identified B:9
45 gle major association signal between fasting proinsulin and noncoding variants (p = 7.4 x 10(-50)).
47 selectively compromises oxidative folding of proinsulin and promotes glucose intolerance in mutant mi
50 e found that GRP94 coimmunoprecipitated with proinsulin and that inhibition of GRP94 function and/or
51 at all pH values compared with the wild-type proinsulin and the other two analogs, but showed only ve
53 rative studies of diabetes-associated mutant proinsulins and their aberrant modes of aggregation.
55 biochemical research and then on to insulin, proinsulin, and many relevant related areas that continu
56 e analogs: [D-Ala(B8)]proinsulin, [L-Ala(B8)]proinsulin, and the clinical mutant [L-Ser(B8)]proinsuli
58 ce of targeted delivery of the multi-epitope proinsulin antigen to skin-resident APCs, in vivo, in a
61 ed degradation and presentation of cytosolic proinsulin, as expected, it reduced the abundance of ER-
63 ved regulation of CD4(+) T cell responses to proinsulin at 9 months of age, as compared with offsprin
64 is genetically modified to secrete the whole proinsulin autoantigen along with the immunomodulatory c
65 we have exploited "hPro-CpepSfGFP," a human proinsulin bearing "superfolder" green fluorescent C-pep
67 etaPFOA=15.93; 95% CI: 6.78, 25.08), fasting proinsulin (betaPFOS=1.37 pM; 95% CI: 0.50, 2.25; betaPF
71 directly in obese diabetic mouse models, and proinsulin biosynthesis was found to be contrastingly in
74 vated (nonsuppressed) insulin, C-peptide, or proinsulin, but these criteria may overlap with those in
75 rating that healthy human beta-cells process proinsulin by PC1/3 but not PC2, we suggest that there i
76 However, coexpression of ER-entrapped mutant proinsulin-C(A7)Y shifts the steady-state distribution o
77 egulation of proinsulin synthesis, misfolded proinsulin can accumulate in the endoplasmic reticulum (
79 s, blocking glucagon formation and enhancing proinsulin cleavage with a single compound could represe
80 ecular basis of the aberrant properties of a proinsulin clinical mutant in which residue Gly(B8) is r
82 on of disulfide-linked high molecular weight proinsulin complexes and islet vulnerability to oxidativ
83 ency coding variants associated with fasting proinsulin concentrations at the SGSM2 and MADD GWAS loc
84 The study had a retrospective design, no proinsulin concentrations were available, and a nonspeci
85 demonstrate that in its monomeric form, (i) proinsulin contains a native-like insulin moiety and (ii
89 ells from Ab+ donors, suggesting a defect in proinsulin conversion or an accumulation of immature ves
90 n due to enhanced glucose responsiveness and proinsulin conversion, particularly when compared with i
93 for rs11603334 showed that the T2D-risk and proinsulin-decreasing allele (C) is associated with incr
94 rences between the footprints of insulin and proinsulin, defining a "shadow" of the connecting (C) do
99 es Akita proinsulin in a novel way, reducing proinsulin disulfide bonds and priming the Akita protein
100 kly for 6 weeks) was also ineffective, while proinsulin DNA (weekly for up to 12 weeks) showed a tren
102 py with anti-CD20 and either oral insulin or proinsulin does not protect hyperglycemic NOD mice, but
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 have been reports of hyperglycemia inducing proinsulin expression in extrapancreatic tissues, we did
111 e is decreased insulin secretion when mutant proinsulin expression prevents wild-type (WT) proinsulin
113 that Grp170 participates in preparing mutant proinsulin for degradation while enabling WT proinsulin
114 roducts are of potential value, namely human proinsulin, foreign luciferase, and exogenous hydrogenas
116 roinsulin expression prevents wild-type (WT) proinsulin from exiting the endoplasmic reticulum (ER),
117 in the degradation process by shifting Akita proinsulin from high-molecular weight (MW) complexes tow
118 Sel1L membrane complex, which conducts Akita proinsulin from the ER lumen to the cytosol, and the p97
119 te a reference using INS-1E cells expressing proinsulin fused to a fluorescent protein (FP) under bas
121 king regulatory disulfides can rescue mutant proinsulin-G(B23)V, in parallel with its ability to prov
122 chemokines), clinical parameters (C-peptide, proinsulin, glucose), and cortisol, as an indicator of s
123 ey features of IR, including higher insulin, proinsulin, glucose, glucagon, and triglyceride (TG) lev
124 ucose-dependent insulin secretion, shortened proinsulin half-life, and lowered intracellular proinsul
127 c reticulum (ER) chaperone binding to mutant proinsulin has been reported, the role of protein chaper
128 RTN-dependent clearance of aggregated Akita proinsulin helps to restore ER export of WT proinsulin,
129 and proinsulin hexamers, suggesting that the proinsulin hexamer retains an A/B structure similar to t
130 i region, reflecting either slow kinetics of proinsulin hexamerization, steps in formation of nascent
131 within core insulin moieties of insulin and proinsulin hexamers, suggesting that the proinsulin hexa
134 d Diabetes of Youth (MIDY), misfolded mutant proinsulin impairs ER exit of co-expressed wild-type pro
135 s blocked but oxidative folding of wild-type proinsulin improves, accelerating its ER export and incr
136 otein oxidase of the ER lumen, engages Akita proinsulin in a novel way, reducing proinsulin disulfide
137 of ongoing misfolding of a subpopulation of proinsulin in beta cells, the rate-limiting step in tran
138 d a high accumulation of vesicles containing proinsulin in beta-cells from Ab+ donors, suggesting a d
139 autoantigens in human T1D, GAD65, IA-2, and proinsulin in exosomes, which are taken up by and activa
144 oluble aggregates that entrap wild-type (WT) proinsulin in the endoplasmic reticulum (ER), thereby bl
145 ates interfere with the folding of wild-type proinsulin in the endoplasmic reticulum, ultimately decr
146 direct physical interaction between PDI and proinsulin in the ER of pancreatic beta-cells, in a mann
147 PDIA1 contributes to oxidative maturation of proinsulin in the ER to support insulin production and B
152 mbers of Tregs, including those specific for proinsulin, in the thymus and peripheral lymphoid tissue
154 ize that PDI exhibits unfoldase activity for proinsulin, increasing retention of proinsulin within th
156 ith inadequate insulinemia and increased the proinsulin/insulin ratio in both serum and islets compar
157 ferences were found in fasting or stimulated proinsulin/insulin ratio, and (2) higher rates of T2DM r
158 -sectional studies comparing (1) glucose and proinsulin/insulin response to a standardized liquid mix
159 d proinsulin processing, increased the serum proinsulin:insulin ratio, blunted glucose-stimulated ins
160 ad defective insulin secretion with elevated proinsulin:insulin ratios compared with control strains.
161 cteristically, are associated with decreased proinsulin:insulin ratios, indicating improved proinsuli
162 T-cell responses to beta-cell autoantigens (proinsulin, insulinoma-associated protein, and GAD65 pep
165 the ER has profound effects not only on how proinsulin is degraded, but also on regulation of its ce
167 ccumulation of hPro-CpepSfGFP and endogenous proinsulin is in the Golgi region, as if final stages of
169 sults demonstrate that not only synthesis of proinsulin is regulated by TCF7L2 but also processing an
170 the function of the 35 residue C-peptide of proinsulin is replaced by a single covalent bond--as a k
171 previous results revealed that mutant Akita proinsulin is triaged by ER-associated degradation (ERAD
174 sulin molecule and three analogs: [D-Ala(B8)]proinsulin, [L-Ala(B8)]proinsulin, and the clinical muta
176 transplantation because serum C-peptide and proinsulin levels are difficult to interpret due to the
177 hese data suggest that pancreatic Zn(2+) and proinsulin levels covary but are inversely variant with
179 in impairs ER exit of co-expressed wild-type proinsulin, limiting insulin production and leading to e
181 rowding resulted in temporary improvement in proinsulin maturation, insulin secretion and glucose tol
182 ting that enhancing the oxidative folding of proinsulin may be a viable therapeutic strategy in the t
183 Improving oxidative folding of wild-type proinsulin may provide a feasible way to rescue insulin
184 might nevertheless be beneficial in limiting proinsulin misfolding and its adverse downstream consequ
185 es common physiopathological mechanisms with proinsulin misfolding in hereditary diabetes mellitus of
187 before the development of diabetes caused by proinsulin misfolding with ER stress, i.e., the existenc
188 This phenotype was accompanied by post-ER proinsulin misprocessing and higher numbers of enlarged
189 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
193 1alpha deletion was primarily due to reduced proinsulin mRNA translation primarily because of defecti
194 achinery components used to triage the Akita proinsulin mutant, including the Hrd1-Sel1L membrane com
195 ), characterized by insulin deficiency, MIDY proinsulin mutants misfold and fail to exit the endoplas
196 expressions of proinflammatory cytokines and proinsulin of the graft-bearing liver were assessed by q
197 n principle, selective destruction of mutant proinsulin offers a rational approach to rectify the ins
198 rglycemic NOD mice, but the combination with proinsulin offers limited efficacy in T1D prevention, po
200 administration of T1D-related autoantigens [proinsulin or glutamic acid decarboxylase 65 (GAD)] dela
201 w-frequency variants associated with fasting proinsulin or insulinogenic index: TBC1D30, KANK1 and PA
202 ter PDI-KD, enhanced export is selective for proinsulin over other secretory proteins, but the same e
207 could only be generated against a deamidated proinsulin peptide, but cross-reacted with native proins
209 epitopes formed by covalent cross-linking of proinsulin peptides to other peptides present in beta ce
210 ot develop frank diabetes, yet the misfolded proinsulin perturbs insulin production from endogenous p
211 enicity to BMDCs, which are characterized by proinsulin (PI) and TNF-alpha coexpression; coincubation
214 that hyperglycemia induces the appearance of proinsulin (PI)-producing proinflammatory bone marrow (B
215 sing only approximately 0.04% of total islet proinsulin plus insulin, exerting no metabolic impact.
217 nctional defects in prohormone processing of proinsulin, pro-GH-releasing hormone, and proghrelin in
218 ed expression of the major genes involved in proinsulin processing and the pancreatic beta cell stimu
220 nt PC2 expression may contribute to impaired proinsulin processing in beta-cells of patients with dia
222 lysine codons in proinsulin are misread and proinsulin processing is impaired, reducing insulin cont
224 on and recapitulated the pattern of improved proinsulin processing observed at the human GWAS signal.
225 d plasma levels of C-peptide, the product of proinsulin processing to insulin, suggesting a role for
226 roliferation, altered insulin production and proinsulin processing, and increased islet ER stress and
227 sulin signaling, translation initiation, and proinsulin processing, and provide previously unidentifi
228 of insulin granules in beta-cells, impaired proinsulin processing, increased the serum proinsulin:in
229 ucose-stimulated insulin secretion, impaired proinsulin processing, inflammation, formation of islet
230 ablished susceptibility loci, and indices of proinsulin processing, insulin secretion, and insulin se
236 is a primary target of TCF7L2 and regulates proinsulin production and processing via MAFA, PDX1, NKX
237 relatively limited accumulation of misfolded proinsulin protein and maintenance of endogenous insulin
238 ons investigated, once folded the [L-Ser(B8)]proinsulin protein molecule bound to the insulin recepto
239 mature alpha cells and although they produce proinsulin protein, they do not secrete significant amou
241 n of DQ8 and DQ2-DQ8 heterodimer-restricted, proinsulin-reactive CD4(+) T cells grown from islets of
242 e pathogenesis, as recent studies identified proinsulin-responding T cells from inflamed pancreatic i
243 T C-peptide demonstrated acute C-peptide and proinsulin responses to arginine that were positively co
244 duction in the inflammatory profile of their proinsulin-responsive CD4(+) T cells, and improved regul
245 In the prevention studies, anti-CD20 plus proinsulin resulted in modest increases in Tregs in panc
247 in stem cell-derived islet cells resulted in proinsulin retention in the ER, marked ER stress, and be
251 od, we generated and characterized 24 unique proinsulin-specific CD4(+) T cell clones from the periph
252 ancreatic lymph nodes and elevated levels of proinsulin-specific CD4+ T-cells that produced IL-4.
255 sequences matching the TCR sequences of the proinsulin-specific T cell clones in pancreatic lymph no
256 lood did not, highlighting the importance of proinsulin-specific T cells in the islet microenvironmen
261 omplexes produced from cytosolic and luminal proinsulin suggests that different proteolytic activitie
262 tory capacity of the beta cell for increased proinsulin synthesis and to limit oxidative stress that
267 stress induced by accumulation of misfolded proinsulin, thereby improving diabetes and preventing be
268 s and used for the measurement of C-peptide, proinsulin, thrombin-antithrombin (TAT) complex, and a p
269 of hypoglycemic events, the ratio of fasting proinsulin to C-peptide over time, and response profile.
270 ata establish that upon PDI-KD, oxidation of proinsulin to form native disulfide bonds is unimpaired
272 highly targeted and reproducible delivery of proinsulin to local immune cells warrants further evalua
276 hallmark of type 2 diabetes is a failure of proinsulin-to-insulin processing in pancreatic beta-cell
278 pecific staining for insulin, C-peptide, and proinsulin together with insulin secretory granules by e
279 the same effect is observed for recombinant proinsulin trafficking upon PDI-KD in heterologous cells
280 n protein design through the introduction of proinsulin-transferrin (ProINS-Tf) fusion protein as a l
282 ntial evidence that mouse beta-cells process proinsulin using prohormone convertase 1/3 (PC1/3) and t
284 insulin to 68% adding responses to modified proinsulin, versus 20% and 37% respectively, in healthy
285 detectable in any T1DM individuals, whereas proinsulin was detectable in 3 of 5 T1DM individuals.
286 Importantly, ER stress induced by misfolded proinsulin was limited by increased expression of Ero1al
289 ing G9Calpha(-/-)CD8(+) T cells specific for proinsulin, we studied the mechanisms by which LNSC regu
291 ulating large quantities of misfolded mutant proinsulin, whereas another subset of beta-cells has muc
292 shows larger beta-cell vesicles enriched for proinsulin, whereas smaller vesicles predominantly conta
293 ied novel (to our knowledge) epitopes within proinsulin, which are presented by HLA class II molecule
294 proinsulin helps to restore ER export of WT proinsulin, which can promote WT insulin production, pot
295 gly, overexpressing Grp170 also liberates WT proinsulin, which is no longer trapped in these high-MW
296 Studying processing and presentation of proinsulin, which plays a pivotal role in autoimmune dia
299 s has much less accumulated misfolded mutant proinsulin, with some of these cells containing abundant