Role of Protein Disulfide Isomerases (PDIs) in the Reversible Folding of Proinsulin in Beta Cells

Additional Authors

Anoop Arunagiri

Abstract

The production of mature, bioactive insulin depends on the precise oxidative folding of its precursor, proinsulin, within the endoplasmic reticulum (ER). This process requires the formation of three conserved disulfide bonds. Only when correctly folded, proinsulin is recognized as trafficking-competent for export to the Golgi and subsequent maturation in secretory granules. Disruptions in ER-to-Golgi trafficking induce proinsulin misfolding, characterized by the accumulation of high-molecular-weight disulfide-linked complexes, a key driver of beta-cell failure in neonatal and Type 2 diabetes. While the pathways to ER stress are well-mapped, the mechanisms of proteostatic recovery remain a critical gap in cell biology. Our previous results show that the proteostasis is restored upon relief of an ER-to-Golgi trafficking block, as indicated by the reappearance of properly folded proinsulin and a decrease in misfolded proinsulin species. We hypothesize that this restoration of homeostasis is driven by the oxidative refolding of non-native proinsulin by specific ER oxidoreductases known as the Protein Disulfide Isomerases (PDIs), rather than by degradative clearance machinery in beta cells. Focusing on PDIA1, PDIA4, and PDIA6, we utilize a reversible Brefeldin A (BFA) model in INS-1 beta cells to monitor the resolution of misfolded proinsulin species in real-time. Preliminary data demonstrate that proinsulin folding recovery persists despite the pharmacological blockade of proteasomal and lysosomal degradation, suggesting a dominant role for PDI-mediated repair. By integrating biochemical assays including immunoblotting with live-cell and electron microscopy, we seek to delineate the functional necessity of individual PDI isoforms in the restoration of beta-cell homeostasis. These findings will shift the therapeutic focus toward enhancing endogenous repair mechanisms to preserve insulin production in metabolic disease.

Start Time

15-4-2026 1:30 PM

End Time

15-4-2026 4:30 PM

Room Number

Culp Ballroom 316

Poster Number

14

Presentation Type

Poster

Presentation Subtype

Posters - Competitive

Presentation Category

Science, Technology, and Engineering

Student Type

Graduate and Professional Degree Students, Residents, Fellows

Faculty Mentor

Anoop Arunagiri

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Apr 15th, 1:30 PM Apr 15th, 4:30 PM

Role of Protein Disulfide Isomerases (PDIs) in the Reversible Folding of Proinsulin in Beta Cells

Culp Ballroom 316

The production of mature, bioactive insulin depends on the precise oxidative folding of its precursor, proinsulin, within the endoplasmic reticulum (ER). This process requires the formation of three conserved disulfide bonds. Only when correctly folded, proinsulin is recognized as trafficking-competent for export to the Golgi and subsequent maturation in secretory granules. Disruptions in ER-to-Golgi trafficking induce proinsulin misfolding, characterized by the accumulation of high-molecular-weight disulfide-linked complexes, a key driver of beta-cell failure in neonatal and Type 2 diabetes. While the pathways to ER stress are well-mapped, the mechanisms of proteostatic recovery remain a critical gap in cell biology. Our previous results show that the proteostasis is restored upon relief of an ER-to-Golgi trafficking block, as indicated by the reappearance of properly folded proinsulin and a decrease in misfolded proinsulin species. We hypothesize that this restoration of homeostasis is driven by the oxidative refolding of non-native proinsulin by specific ER oxidoreductases known as the Protein Disulfide Isomerases (PDIs), rather than by degradative clearance machinery in beta cells. Focusing on PDIA1, PDIA4, and PDIA6, we utilize a reversible Brefeldin A (BFA) model in INS-1 beta cells to monitor the resolution of misfolded proinsulin species in real-time. Preliminary data demonstrate that proinsulin folding recovery persists despite the pharmacological blockade of proteasomal and lysosomal degradation, suggesting a dominant role for PDI-mediated repair. By integrating biochemical assays including immunoblotting with live-cell and electron microscopy, we seek to delineate the functional necessity of individual PDI isoforms in the restoration of beta-cell homeostasis. These findings will shift the therapeutic focus toward enhancing endogenous repair mechanisms to preserve insulin production in metabolic disease.