Loss of Furin in β cells Induces an mTORC1-ATF4 Anabolic Pathway that Leads to β cell Dysfunction

Research output: Contribution to journalArticlepeer-review


  • Bas Brouwers
  • Ilaria Coppola
  • Katlijn Vints
  • Bastian Dislich
  • Leentje Van Lommel
  • Charlotte Segers
  • Natalia V. Gounko
  • Lieven Thorrez
  • Frans Schuit
  • Stefan F. Lichtenthaler
  • Jennifer L. Estall
  • Jeroen Declercq
  • Bruno Ramos-Molina
  • John W.M. Creemers

Institutes & Expert groups

  • KUL - Katholieke Universiteit Leuven
  • German Center for Neurodegenerative Diseases
  • TUM - Technical University of Munich
  • IRCM - Institut de recherches cliniques de Montréal
  • Biomedical Research Institute of Murcia

Documents & links



FURIN is a proprotein convertase (PC) responsible for proteolytic activation of a wide array of precursor proteins within the secretory pathway. It maps to the PRC1 locus, a type 2 diabetes susceptibility locus, yet its specific role in pancreatic β cells is largely unknown. The aim of this study was to determine the role of FURIN in glucose homeostasis. We show that FURIN is highly expressed in human islets, while PCs that potentially could provide redundancy are expressed at considerably lower levels. β cell-specific Furin knockout (βFurKO) mice are glucose intolerant, due to smaller islets with lower insulin content and abnormal dense core secretory granule morphology. mRNA expression analysis and differential proteomics on βFurKO islets revealed activation of Activating Transcription Factor 4 (ATF4), which was mediated by mammalian target of rapamycin C1 (mTORC1). βFurKO cells show impaired cleavage or shedding of the V-ATPase subunits Ac45 and prorenin receptor (PRR), respectively, and impaired lysosomal acidification. Blocking the V-ATPase pharmacologically in β cells increases mTORC1 activity, suggesting the involvement of the V-ATPase proton pump in the phenotype. Taken together, these results suggest a model of mTORC1-ATF4 hyperactivation and impaired lysosomal acidification in β cells lacking Furin, which causes β cell dysfunction.


Original languageEnglish
Article numberdb200474
Pages (from-to)492-503
Number of pages12
Issue number2
Publication statusPublished - 4 Dec 2020


  • Furin

ID: 6977954