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Human Molecular Genetics, 2000, Vol. 9, No. 14 2149-2158
© 2000 Oxford University Press

Insulin-degrading enzyme identified as a candidate diabetes susceptibility gene in GK rats

Hossein Fakhrai-Rad+, Andrej Nikoshkov+, Ashraf Kamel2, Maria Fernström1, Juleen R. Zierath1, Svante Norgren2, Holger Luthman and Joakim Galli§

Karolinska Institutet, Center for Molecular Medicine, Department of Molecular Medicine, Karolinska Hospital, L602, S-171 76 Stockholm, Sweden, 1Karolinska Institutet, Department of Clinical Physiology, Karolinska Hospital, S-171 76 Stockholm, Sweden and 2Karolinska Institutet, Department of Pediatrics, Pediatric Endocrine Research Unit, Huddinge University Hospital, B62, S-141 86 Stockholm, Sweden

Genetic analysis of the diabetic GK rat has revealed several diabetes susceptibility loci. Congenic strains have been established for the major diabetes locus, Niddm1, by transfer of GK alleles onto the genome of the normoglycemic F344 rat. Niddm1 was dissected into two subloci, physically separated in the congenic strains Niddm1b and Niddm1i, each with at least one disease susceptibility gene. Here we have mapped Niddm1b to 1 cM by genetic and pathophysiological characterization of new congenic substrains for the locus. The gene encoding insulin-degrading enzyme (Ide) was located to this 1 cM region, and the two amino acid substitutions (H18R and A890V) identified in the GK allele reduced insulin-degrading activity by 31% in transfected cells. However, when the H18R and A890V variants were studied separately, no effects were observed, demonstrating a synergistic effect of the two variants on insulin degradation. No effect on insulin degradation was observed in cell lysates, indicating that the effect is coupled to receptor-mediated internalization of insulin. Congenic rats with the Ide GK allele displayed post-prandial hyperglycemia, reduced lipogenesis in fat cells, blunted insulin-stimulated glucose transmembrane uptake and reduced insulin degradation in isolated muscle. Analysis of additional rat strains demonstrated that the dysfunctional Ide allele was unique to GK. These data point to an important role for Ide in the diabetic phenotype in GK.

+ These authors contributed equally to this work

§ To whom correspondence should be addressed. Tel: +46 70 484 87 90; Fax: +46 8 517 757 15; Email: jga@gen.ks.se


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