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The cancer-associated FGFR4-G388R polymorphism enhances pancreatic insulin secretion and modifies the risk of diabetes.

Abstract
The fibroblast growth factor receptor 4 (FGFR4)-R388 single-nucleotide polymorphism has been associated with cancer risk and prognosis. Here we show that the FGFR4-R388 allele yields a receptor variant that preferentially promotes STAT3/5 signaling. This STAT activation transcriptionally induces Grb14 in pancreatic endocrine cells to promote insulin secretion. Knockin mice with the FGFR4 variant allele develop pancreatic islets that secrete more insulin, a feature that is reversed through Grb14 deletion and enhanced with FGF19 administration. We also show in humans that the FGFR4-R388 allele enhances islet function and may protect against type 2 diabetes. These data support a common genetic link underlying cancer and hyperinsulinemia.
AuthorsShereen Ezzat, Lei Zheng, Jose C Florez, Norbert Stefan, Thomas Mayr, Maw Maw Hliang, Kathleen Jablonski, Maegan Harden, Alena Stančáková, Markku Laakso, Hans-Ulrich Haring, Axel Ullrich, Sylvia L Asa
JournalCell metabolism (Cell Metab) Vol. 17 Issue 6 Pg. 929-940 (Jun 04 2013) ISSN: 1932-7420 [Electronic] United States
PMID23747250 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Retracted Publication)
CopyrightCopyright © 2013 Elsevier Inc. All rights reserved.
Chemical References
  • Adaptor Proteins, Signal Transducing
  • Grb14 protein, mouse
  • Insulin
  • Proteins
  • RNA, Small Interfering
  • STAT3 Transcription Factor
  • STAT5 Transcription Factor
  • Stat3 protein, mouse
  • Fgfr4 protein, mouse
  • Receptor, Fibroblast Growth Factor, Type 4
  • Receptor, Insulin
Topics
  • Adaptor Proteins, Signal Transducing
  • Animals
  • Cells, Cultured
  • Diabetes Mellitus, Type 2 (genetics, metabolism, prevention & control)
  • Gene Expression Profiling
  • Gene Knock-In Techniques
  • Humans
  • Hyperinsulinism
  • Insulin (biosynthesis, metabolism)
  • Insulin Secretion
  • Mice
  • Mice, Knockout
  • Neoplasms (genetics, metabolism)
  • Pancreas (metabolism)
  • Polymorphism, Single Nucleotide
  • Proteins (genetics, metabolism)
  • RNA Interference
  • RNA, Small Interfering
  • Rats
  • Receptor, Fibroblast Growth Factor, Type 4 (genetics, metabolism)
  • Receptor, Insulin (metabolism)
  • STAT3 Transcription Factor (metabolism)
  • STAT5 Transcription Factor (metabolism)
  • Signal Transduction (genetics)

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