Type 2 diabetes mellitus (T2DM) occurs when pancreatic beta-cells are unable to release enough insulin to combat resistance to the hormone. The resulting increase in blood glucose levels drives a range of severe complications including cardiovascular disease, renal and liver failure, retinal degeneration and cancer. As such, T2DM is considered an immediate healthcare crisis, affecting 1 in 10 adults in the EU and consuming healthcare budgets. To have any hope of halting this trend, we urgently need to open up new research avenues to identify mechanisms and therapeutic targets. Here, by combining novel optogenetic, photopharmacological and innovative imaging approaches, we seek to unravel the complexity underlying the multicellular regulation of insulin secretion from islets of Langerhans during health and disease. The specific aims of OptoBETA are to:
1) Understand how immature beta cell subpopulations such as hubs influence islet function and insulin release under normal and stressed conditions.
2) Address whether beta cell subpopulations contribute to the regulation of insulin secretion in vivo, focusing on interactions with neurons and the vasculature.
3) Elucidate how islets may communicate with each other to ensure robust insulin release from the intact pancreas in living mice.
The major objective of OptoBETA is to unveil a new route for restoration of insulin secretion in humans, as well as provide the foundation for the de novo construction of islets for transplantation.