Derived from enteroendocrine cells (EECs), glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic peptide (GIP) are pivotal incretin hormones crucial for blood glucose regulation. Medications of GLP-1 analogs and GLP-1 receptor activators are extensively used in the treatment of type 2 diabetes (T2D) and obesity. However, there are currently no agents to stimulate endogenous incretin secretion. Here, we find the pivotal role of KCNH2 potassium channels in the regulation of incretin secretion. Co-localization of KCNH2 with incretin-secreting EECs in the intestinal epithelium of rodents highlights its significance. Gut epithelial cell-specific KCNH2 knockout in mice improves glucose tolerance and increases oral glucose-triggered GLP-1 and GIP secretion, particularly GIP. Furthermore, KCNH2-deficient primary intestinal epithelial cells exhibit heightened incretin, especially GIP secretion upon nutrient stimulation. Mechanistically, KCNH2 knockdown in EECs leads to reduced K+ currents, prolonged action potential duration, and elevated intracellular calcium levels. Finally, we found that dofetilide, a KCNH2-specific inhibitor, could promote incretin secretion in enteroendocrine STC-1 cells in vitro and in hyperglycemic mice in vivo. These findings elucidate, for the first time, the mechanism and application of KCNH2 in regulating incretin secretion by EECs. Given the therapeutic promise of GLP-1 and GIP in diabetes and obesity management, this study advances our understanding of incretin regulation, paving the way for potential incretin secretagogue therapies in the treatment of diabetes and obesity.
基金:
National Natural Science Foundation of China (National Science Foundation of China) [81930019]; National Natural Science Foundation of China [7232232]; Beijing Municipal Natural Science Foundation
第一作者机构:[1]Capital Med Univ, Beijing Tongren Hosp, Beijing Diabet Inst, Dept Endocrinol & Metab,Beijing Key Lab Diabetes R, Beijing 100730, Peoples R China[2]Capital Med Univ, Lab Clin Med, Beijing 100069, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tongren Hosp, Beijing Diabet Inst, Dept Endocrinol & Metab,Beijing Key Lab Diabetes R, Beijing 100730, Peoples R China[2]Capital Med Univ, Lab Clin Med, Beijing 100069, Peoples R China[3]Capital Med Univ, Beijing Tongren Hosp, Subctr State Key Lab Kidney Dis, Beijing 100730, Peoples R China
推荐引用方式(GB/T 7714):
Yuan Ying-Chao,Wang Hao,Jiang Ze-Ju,et al.Potassium voltage-gated channel subfamily H member 2 (KCNH2) is a promising target for incretin secretagogue therapies[J].SIGNAL TRANSDUCTION AND TARGETED THERAPY.2024,9(1):doi:10.1038/s41392-024-01923-z.
APA:
Yuan, Ying-Chao,Wang, Hao,Jiang, Ze-Ju,Liu, Chang,Li, Qi...&Yang, Jin-Kui.(2024).Potassium voltage-gated channel subfamily H member 2 (KCNH2) is a promising target for incretin secretagogue therapies.SIGNAL TRANSDUCTION AND TARGETED THERAPY,9,(1)
MLA:
Yuan, Ying-Chao,et al."Potassium voltage-gated channel subfamily H member 2 (KCNH2) is a promising target for incretin secretagogue therapies".SIGNAL TRANSDUCTION AND TARGETED THERAPY 9..1(2024)