Silencing of forkhead box protein O-1 (FOXO-1) enhances insulin-producing cell generation from adipose mesenchymal stem cells for diabetes therapy

Life Sci. 2024 May 1:344:122579. doi: 10.1016/j.lfs.2024.122579. Epub 2024 Mar 20.

Abstract

Aims: Generation of mature β-cells from MSCs has been a challenge in the field of stem cell therapy of diabetes. Adipose tissue-derived mesenchymal stem cells (Ad-MSCs) have made their mark in regenerative medicine, and provide several advantages compared to other MSCs sources. Forkhead box protein O-1 (FOXO-1) is an important transcription factor for normal development of β-cells, yet its over expression in β-cells may cause glucose intolerance. In this study, we isolated, characterized Ad-MSCs from rat epididymal fat pads, differentiated these MSCs into insulin producing cells (IPCs) and studied the role of FOXO-1 in such differentiation.

Materials and methods: We examined the expression of FOXO-1 and its nuclear cytoplasmic localization in the generated IPCs. Afterwards we knocked down FOXO-1 using siRNA targeting FOXO-1 (siFOXO-1). The differentiated siFOXO-1 IPCs were compared to non-targeting siRNA (siNT) IPCs regarding expression of β-cell markers by qRT-PCR and western blotting, dithizone (DTZ) staining and glucose stimulated insulin secretion (GSIS).

Key findings: Isolated Ad-MSCs exhibited all characteristics of MSCs and can generate IPCs. FOXO-1 was initially elevated during differentiation followed by a decline towards end of differentiation. FOXO-1 was dephosphorylated and localized to the nucleus upon differentiation into IPCs. Knock down of FOXO-1 improved the expression of β-cell markers in final differentiated IPCs, improved DTZ uptake and showed increased insulin secretion upon challenging with increased glucose concentration.

Significance: These results portray FOXO-1 as a hindering factor of generation of IPCs whose down-regulation can generate more mature IPCs for MSCs therapy of diabetes mellitus.

Keywords: Adipose; Cell therapy; Diabetes mellitus; FOXO-1; Insulin producing cells; Mesenchymal stem cells; Regenerative medicine.

MeSH terms

  • Animals
  • Cell Differentiation
  • Diabetes Mellitus* / metabolism
  • Diabetes Mellitus* / therapy
  • Forkhead Box Protein O1* / metabolism
  • Forkhead Transcription Factors / genetics
  • Forkhead Transcription Factors / metabolism
  • Glucose / metabolism
  • Insulin / metabolism
  • Insulin-Secreting Cells* / metabolism
  • Mesenchymal Stem Cells*
  • RNA, Small Interfering / metabolism
  • Rats

Substances

  • Forkhead Transcription Factors
  • Glucose
  • Insulin
  • RNA, Small Interfering
  • Foxo1 protein, rat
  • Forkhead Box Protein O1