Cell Reports (May 2023)

Vitamin K-dependent carboxylation regulates Ca2+ flux and adaptation to metabolic stress in β cells

  • Julie Lacombe,
  • Kevin Guo,
  • Jessica Bonneau,
  • Denis Faubert,
  • Florian Gioanni,
  • Alexis Vivoli,
  • Sarah M. Muir,
  • Soraya Hezzaz,
  • Vincent Poitout,
  • Mathieu Ferron

Journal volume & issue
Vol. 42, no. 5
p. 112500

Abstract

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Summary: Vitamin K is a micronutrient necessary for γ-carboxylation of glutamic acids. This post-translational modification occurs in the endoplasmic reticulum (ER) and affects secreted proteins. Recent clinical studies implicate vitamin K in the pathophysiology of diabetes, but the underlying molecular mechanism remains unknown. Here, we show that mouse β cells lacking γ-carboxylation fail to adapt their insulin secretion in the context of age-related insulin resistance or diet-induced β cell stress. In human islets, γ-carboxylase expression positively correlates with improved insulin secretion in response to glucose. We identify endoplasmic reticulum Gla protein (ERGP) as a γ-carboxylated ER-resident Ca2+-binding protein expressed in β cells. Mechanistically, γ-carboxylation of ERGP protects cells against Ca2+ overfilling by diminishing STIM1 and Orai1 interaction and restraining store-operated Ca2+ entry. These results reveal a critical role of vitamin K-dependent carboxylation in regulation of Ca2+ flux in β cells and in their capacity to adapt to metabolic stress.

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