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  1. 1. Small-molecule inducers of insulin expression in pancreatic -cells Dina Fomina-Yadlina,b,c,1 , Stefan Kubiceka,b,1 , Deepika Walpitab , Vlado Dancikb,d , Jacob Hecksher-Srensenb,2 , Joshua A. Bittkerb , Tanaz Sharifniab,e , Alykhan Shamjib , Paul A. Clemonsb , Bridget K. Wagnerb , and Stuart L. Schreibera,b,f,3 a Howard Hughes Medical Institute, b Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA 02142; c Department of Molecular and Cellular Biology, Harvard University, Cambridge, MA 02138; d Mathematical Institute, Slovak Academy of Sciences, Koice, 040 01, Slovakia; e Department Biological and Biomedical Sciences, Harvard Medical School, Boston, MA 02115; and f Department of Chemistry and Chemical Biology, Harvard University, Cambridge, MA 02138 Contributed by Stuart L. Schreiber, July 15, 2010 (sent for review June 22, 2010) High-content screening for small-molecule inducers of insulin expression identied the compound BRD7389, which caused -cells to adopt several morphological and gene expression features of a -cell state. Assay-performance prole analysis suggests kinase inhibition as a mechanism of action, and we show that biochemical and cellular inhibition of the RSK kinase family by BRD7389 is likely related to its ability induce a -cell-like state. BRD7389 also in- creases the endocrine cell content and function of donor human pancreatic islets in culture. BRD7389 | pancreatic islets | Rsk kinase | transdifferentiation | beta cells Type 1 diabetes is an autoimmune disease characterized by the loss of insulin-producing -cells in pancreatic islets of Lang- erhans. Islet transplantation into the liver can effectively cure the disease (1), but is not an ideal treatment due to limited donor material and immunological complications. An alternative ap- proach, not yet feasible, is to create new -cells (2), either by stepwise differentiation of undifferentiated stem or stem-like cells (3), or by transdifferentiation (4), the heritable change of cell identity to an insulin-producing (-like) cell. The latter approach could result in a replacement source for the decient cell type directly from patient material (either in vivo or ex vivo). Increasing -cell mass by small-molecule drug-induced transdifferentiation is a speculative but exciting approach to treating diabetesone that is signicantly different from currently available small-molecule drugs that increase insulin secretion in existing -cells and are therefore ineffective in the later stages of type 1 diabetes, in which most -cell mass has been lost. Cell-type specication in the pancreas is regulated by a set of master regulatory transcription factors that control the transition from one progenitor cell state to the next, ultimately yielding mature endocrine cell types in islets (5). Recently, it has been shown that misexpression of these master regulatory transcription factors causes direct transdifferentiation between cell types. For example, ectopic overexpression of a single transcription factor (Arx) is sufcient for in vivo conversion of -cells to -cells in the adult mouse pancreas (6). Similarly, viral delivery of three tran- scription factors (Pdx1, Ngn3, MafA) to an adult mouse pancreas causes the transdifferentiation of acinar cells to -cells (7). Finally, in vivo conversion of -cells to -cells has recently been achieved in mature mouse -cells by ectopic overexpression of Pax4 (8). Results Because a single gene is sufcient to induce transdifferentiation of -cells to -cells, we sought to determine whether a small molecule could have the same effect. Possible readouts for induction of a - cell state include insulin production and insulin secretion. We chose to target the production of insulin protein because we imagined that this would be more feasible to achieve in the course of a 3-d small-molecule treatment than insulin secretion. To that end, we developed a high-content, cell-based assay to detect in- sulin protein expression in the mouse -cell line TC1. Normal mouse -cells are insulin negative, but have the ability to adopt a -cell phenotype after extreme -cell loss (9). Similarly, the -cell line we used spontaneously reexpressed small but detectable levels of insulin, despite being a subclone selected for low insulin protein (10). During assay development and optimization, we could show, by spiking in -cells and by antibody competition, that our assay was sensitive enough to reliably detect insulin levels in as few as 3% of cells, and at 15-fold lower levels than in -cells (Fig. S1). We screened 30,710 compounds for induction of insulin pro- duction using this assay and identied a molecule, BRD7389 (Fig. 1A), that after 3-d treatment induced insulin expression in mouse -cells. BRD7389 induced a dose-dependent up-regulation of Ins2 mRNA, peaking at 0.85 M; 5-d treatment with BRD7389 resulted in greater induction of insulin gene expression, about 50- fold at 0.85 M (Fig. 1B), which could not be further increased by longer treatments up to 21 d. This compound appears to be spe- cic to -cells, because a pancreatic ductal cell line (PANC-1) showed no induction, and a mouse -cell line (TC3) no further increase of insulin expression. In addition to insulin expression, BRD7389 signicantly up-regulated expression of Pdx1 (Fig. 1C), a master regulatory transcription factor that species pancreatic progenitors and directly activates the insulin promoter (11). We also observed a dose-dependent increase in the expression of other -cell markers, including Pax4, Iapp, and Npy, after a 5-d treatment with BRD7389 (Fig. S2). Treatment with BRD7389 caused a stable change in cell shape from a broblast-like morphology, characteristic of -cells, to a clustered state resembling -cells in culture (Fig. 1 DF, Left). Finally, we detected low levels of insulin protein in compound- treated -cells by immunouorescence (Fig. 1 DF, Right). Rela- tive to background uorescence in DMSO-treated -cells, insulin staining is induced 1.5-fold following 5-d treatment with BRD7389, compared with 4-fold higher levels in -cells. Both insulin mRNA and protein levels are signicantly increased from a basal -cell state in compound-treated cells, but do no reach levels detected in mature -cells. Therefore, although these cells have not achieved a -cell state, they have adopted several features of -cells. To identify the mechanism of action of BRD7389, we used screening data in ChemBank (12) to compare assay performance Author contributions: D.F.-Y., S.K., J.H.-S., B.K.W., and S.L.S. designed research; D.F.-Y., S.K., and T.S. performed research; D.W. and V.D. contributed new reagents/analytic tools; D.F.-Y., S.K., J.A.B., and P.A.C. analyzed data; and D.F.-Y., S.K., A.S., B.K.W., and S.L.S wrote the paper. The authors declare no conict of interest. Freely available online through the PNAS open access option. 1 D.F.-Y. and S.K. contributed equally to this work. 2 Present address: Hagedorn Research Institute, DK-2820 Gentofte, Denmark. 3 To whom correspondence should be addressed. E-mail: [email protected] This article contains supporting information online at 1073/pnas.1010018107/-/DCSupplemental. PNAS | August 24, 2010 | vol. 107 | no. 34 | 1509915104 CELLBIOLOGY
  2. 2. of BRD7389 with 9,995 other small molecules in a total of 32 assays involving both BRD7389 and other compounds. This computa- tional method looks for similarity of biological assay-performance proles among a diverse set of compounds, including many known bioactives. We uncovered multiple connections of BRD7389 to known kinase inhibitors. Accordingly, we proled this compound at 10 M against a panel of 219 kinases, selected to represent a diverse subset of the human kinome (13). We observed signi- cant inhibition of a number of kinases, including FLT3, DRAK2, and the RSK family (Fig. 2A and Table S1). To validate these proling results, we obtained doseresponse curves and deter- mined half-maximal inhibitory concentration (IC50) values for BRD7389 and the most potently inhibited kinases (Fig. S3). The compound was most active against the entire RSK family of ki- nases, with IC50 values of 1.5 M, 2.4 M, and 1.2 M for RSK1, RSK2, and RSK3, respectively (Fig. 2B). Therefore, we focused on investigating the role of RSK kinases in -cells. In addition to measuring the biochemical in vitro inhibition of RSKs, we also determined the functional consequences of BRD7389 on Rsk activity in mouse -cells. All Rsk kinases consist of two functional domains, which are activated through a series of consecutive phosphorylation events (14). Kinase activity was measured using pan- and phospho-specic antibodies to detect total and active Rsk protein in TC1 cells. Western blot analy- sis revealed a 50% decrease in kinase activity, as measured by autophosphorylation of both N-terminal and C-terminal domains, at concentrations above 3.4 M (Fig. 2 C and E). Phosphorylation of ribosomal protein S6 at serines 235 and 236, direct targets of the Rsk kinases (15), was reduced by a similar amount after compound treatment (Fig. 2 D and F). These ndings conrm that BRD7389 has activity as an Rsk family kinase inhibitor in vitro and in cell culture. We then sought to determine whether knockdown of Rsk family members would have an effect on insulin production in -cells. We observed 2- to 4-fold increases in insulin expres- sion upon RNAi of individual Rsk proteins, especially Rsk2 and Rsk3, but the effect is not as strong as compound treatment with BRD7389 (Fig. 2G). The knockdown efciency was at least 50% for all constructs (Fig. 2H), and better knockdown did not cor- relate with stronger induction of insulin expression. Similar to compound treatment, which causes maximum induction of insulin expression at concentrations around the biochemical IC50 for Rsks, only partial knockdown of the enzymes seems optimal for insulin induction. Though mouse -cells are useful for screening, species differ- ences and potential microenvironmental factors make testing compounds in human pancreatic cells essential. Using human donor-derived pancreatic islets, we tested BRD7389 in dissociated islet cells cultured on an extracellular matrix (16) designed to preserve the functional characteristics of -cells. Though we did observe donor-to-donor variability in the response to BRD7389, some observations were shared among islets from donors with a low body-mass index (BMI) (Fig. 3 and Figs. S4S8). For ex- ample, 5-d treatment with BRD7389 enhanced glucose-stimulated insulin secretion (GSIS) in both high- (16.7 mM) and low-glucose (1.67 mM) conditions (Fig. 3A), as well as glucose-stimulated glucagon secretion (GSGS) in low-glucose (1.67 mM) conditions (Fig. 3B). Moreover, we detected a dose-dependent increase in the expression of endocrine hormones and transcription factors fol- lowing 5-d compound treatment (Fig. 3C). Microscopy revealed Fig. 1. BRD7389 stimulates insulin production in a mouse -cell line. (A) Structure of BRD7389. Quantitative PCR analysis of (B) insulin (Ins2) and (C) Pdx1 expression following 3- and 5-d treatment with the indicated concentrations of BRD7389. Gene expression was normalized by actin (Actb) expression, and scored relative to the DMSO-treated controls. Data represent the mean SDs of three independent experiments. Bright eld microscopy and immunou- orescence for insulin protein in the Cy5 channel was performed on (D) DMSO-treated TC1 -cells (average Cy5 intensity per cell: 212 43), (E) TC1 cells treated for 5 d with 3.4 M BRD7389 (average Cy5 intensity per cell: 320 67), and (F) DMSO-treated TC3 -cells (average Cy5 intensity per cell: 865 177). (Scale bar: 50 m.) 15100 | Fomina-Yadlin et al.
  3. 3. Fig. 2. BRD7389 inhibits the RSK family of kinases. (A) Inhibition of the AGC family of kinases (gure modied from ref. 13). Biochemical inhibition of selected kinases by 10 M BRD7389 was tested at an ATP concentration within 15 M of the apparent KM, resulting in 75% activity remaining (gray), 5175% remaining (yellow), 2550% remaining (orange), or 25% remaining (maroon). (B) Dose-dependent inhibition of RSK kinases by BRD7389. Each protein was incubated with the indicated concentration of BRD7389, and kinase activity was determined in a radiometric lter-binding assay. Activity was scored relative to DMSO. (C) Western blot analysis for levels and activity of intracellular RSKs upon 5-d compound treatment. Each blot was simultaneously probed with the indicated primary antibody (Rsk1/2/3, Rsk pT359/pS363, or Rsk pT573) and -actin antibody, followed by incubation with IRDye-labeled secondary antibodies. Blots were scanned on an infrared imaging system. (D) Western blot analysis for levels and phosphorylation of intracellular ribosomal protein S6 upon compound treatment. Each blot was simultaneously probed with the indicated primary antibody (S6rp, S6rp pS235/pS236, S6rp pS240/pS244) and -actin antibody, followed by incubation with IRDye-labeled secondary antibodies. Blots were scanned on an infrared imaging system. (E) Fraction of active Rsk by quantication of Western blots in C. Each specic band was quantied using Odyssey software, normalized to the -actin signal, and phosphorylation was plotted as the ratio of normalized phospho-specic to normalized pan-specic antibody signal. (F) Fraction of phosphorylated ribosomal protein S6 by quantication of Western blots in D as described. (G) Insulin (Ins2) mRNA levels following treatment with BRD7389 or knockdown of the indicated Rsk kinases. For knockdowns, TC1 cells were infected with lentiviruses carrying expression cassettes that encode short hairpin RNAs directed against the indicated Rsk. The following day, infected cells were selected with puromycin, and RNA was prepared after 4 additional d. Signicant difference from the average of empty vector controls, **P0.01. (H) Knockdown efciency of Rsk hairpins. Remaining mRNA levels following knockdown of individual Rsk enzymes assayed by qPCR with corresponding primer sets. Fomina-Yadlin et al. PNAS | August 24, 2010 | vol. 107 | no. 34 | 15101 CELLBIOLOGY
  4. 4. that the total number of cells in culture decreased, with 50% of cells remaining at 3.4 M BRD7389 (Fig. 3 D and E). Nonetheless, the -cell population remained essentially unchanged, decreasing only slightly at higher compound concentrations, whereas the -cell population decreased dramatically at high concentrations (Fig. 3D). Staining for cleaved caspase 3, an indicator of apoptosis, revealed an increase in the fraction of total cells undergoing ap- optosis (Fig. S9). Whereas other cell types start undergoing apo- ptosis at 1.7 M BRD7389, -cells are only marginally affected at the highest concentration tested. These differences in viability and the resulting changes in the ratios of cell types are likely too small to account for the increases in expression of -cell-specic genes, suggesting that treatment with BRD7389 either induces -cell-like characteristics in non-cells, or enhances existing -cell function in human pancreatic islet culture. Discussion In summary, we have identied a unique small molecule that up- regulates insulin expression, normally a dening property of pancreatic -cells, in terminally differentiated -cells. A mecha- nism potentially involving the inhibition of RSK kinases is sup- ported by the increase in insulin expression following knockdown of individual RSK kinases. Our ndings raise the possibility that BRD7389 functions by inhibiting multiple RSK family members simultaneously. Interestingly, previously described RSK inhib- itors (17) FMK and BI-D1870 did not induce insulin expression in -cells. These compounds inhibit not only RSK enzymes, but also members of several other kinase families (18). These data suggest that a tight specicity prole for different kinases might be nec- essary for optimal induction of insulin expression in -cells. Therefore, a systematic evaluation of the entire kinome by both small-molecule and knockdown approaches will better dene the roles of on- and off-target effects and may lead to the identica- tion of conditions for complete transdifferentiation to -cells. BRD7389 also increases -cellspecic gene expression in primary human islet cells. These experiments could in principle be confounded by differences in donor age, sex, BMI, and the purity and viability of islet batches. We found that differences in BMI appear to inuence compound effects; there was an increase in endocrine hormone secretion in islets from lower BMI donors, whereas islets from high-BMI donors had attenuated responses. Interestingly, primary human islet cells tolerate higher concen- trations of BRD7389 than the mouse -cell line used here. Al- though we observed pronounced compound effects on endocrine cell numbers and function, it is not clear whether these effects are mediated through effects on -cells or other cell types in this Fig. 3. BRD7389 affects primary human islets. (A) Glucose-stimulated insulin secretion after 5-d treatment with the indicated concentration of BRD7389. Data represent mean SD of four replicates. Single asterisk indicates signicant difference from DMSO-treated control (*P0.05 and **P0.01). (B) Glucose-stimulated glucagon secretion after 5-d treatment with the indicated concentration of BRD7389. Data represent mean SD of four replicates. Signicant difference from DMSO-treated control, **P0.01. (C) Relative gene-expression changes of endocrine specic (colored lines) and control (gray lines) genes following 5-d treatment with the indicated concentration of BRD7389. Data represent mean SD of four replicates. (D) Quantication of relative cell numbers compared with DMSO-treated controls from immunouorescence samples. Data represent mean SD of four replicates. (E) Representative images of dissociated human-islet cells treated for 5 d with the indicated concentrations of BRD7389. Immunouorescence staining was performed with insulin and glucagon antibodies; DNA was stained with Hoechst 33342. (Scale bar: 50 m.) 15102 | Fomina-Yadlin et al.
  5. 5. culture system. Future experiments involving in vivo -cell abla- tion, lineage tracing in animal models, and puried human -cells will help illuminate the effects of BRD7389 in greater detail. These ndings show the feasibility of identifying compounds that induce insulin expression in -cells and suggest small-molecule approaches to increase -cell mass by transdifferentiation in vivo. Materials and Methods Reagents. Compound BRD7389 (kbsa-0113758) was obtained from Aurora Fine Chemicals Ltd. All other reagents were obtained from Sigma Aldrich unless otherwise stated. Primers were bought from Eurons MWG Operon, except for Rsk2 and Rsk3 primers, which were ordered from Applied Bio- systems. Antibodies used in this study were insulin (Sigma I8510), glucagon (Sigma G2654), RSK1/RSK2/RSK3 (32D7; Cell Signaling Technology, CST 9355), phospho-p90RSK (Thr359/Ser363; CST 9344), phospho-p90RSK (Thr573; CST 9346), S6 ribosomal protein (CST 2217), phospho-S6 ribosomal protein (Ser235/ 236; CST 2211), phospho-S6 ribosomal protein (Ser240/244; CST 2215), -actin (Sigma A1978), and cleaved-caspase 3 (Abcam, ab13847). Fluorescently la- beled secondary antibodies were purchased from Jackson ImmunoResearch. IRDye antibodies for Western blots were purchased from Odyssey. Cell and Human Islet Culture. Mouse pancreatic cell lines TC1 and TC3 were grown in low-glucose DMEM supplemented with 10% FBS, 50 U/mL peni- cillin, and 50 g/mL streptomycin. Human islets were obtained through the Islet Cell Resource Consortium ( and through the National Disease Research Interchange ( The purity and viability of human islets are reported to be 7093% and 7098%, respectively, and the average age of cadaveric donors was 40.7 9.0 y (range 3257 y; n = 6). Specic data on individual donors is reported in Table S2. Islets were washed with PBS and incubated in CMRL medium supplemented with 10% FBS, 2 mM glutamine, 100 U/mL penicillin, and 100 g/mL streptomycin. Islets were gently dissoci- ated into a cell suspension by incubating in Accutase (37 C, 10 min), and seeded in 96-well plates containing extracellular matrix secreted by the HTB9 human bladder carcinoma cell line [adapted from Beattie et al. (16)]. Compound treatments for both cell lines and primary human islet cultures were performed as follows: cells were plated and allowed to adhere over- night, after which compound solutions in DMSO were added to achieve the indicated concentrations in 0.1% DMSO. For 5-d treatment, media was changed and new compound added on day 3. High-Content Screening. A total of 10,000 TC1 cells per well were plated in 50 L media in black, optical bottom, tissue-culture-treated 384-well plates (Corning) and allowed to attach overnight. Compounds (100 nL per well) were pin-transferred from concentrated DMSO stocks. Three days after the beginning of compound treatment, cells were xed with 1% formaldehyde in PBS for 30 min at room temperature. Following one wash with PBS, cells were permeabilized by addition of 50 L PBS-T (PBS supplemented with 0.1% Triton X-100) for 60 min at room temperature and blocked with 2% BSA/PBS-T for 60 min. Twenty microliters of primary antiinsulin antibody, diluted 1:4,000 in 2% BSA/PBS-T, was added per well and incubated over- night at 4 C. Following two PBS-T washes, 20 L Cy-2labeled donkey- -guinea pig antibody diluted 1:500 in 2% BSA, 10 g/mL Hoechst 33342/ PBS-T was added per well and incubated for 1 h at room temperature in the dark. After two washes with 50 L PBS-T, plates were stored in PBS in the dark at 4 C until analysis. Images were acquired on an ImageXpress Micro automated microscope (Molecular Devices) using a 4 objective (binning 2, gain 2), with laser- and image-based focusing (offset 130 m, range 50 m, step 25 m). Images were exposed for 10 ms in the DAPI channel (Hoechst) and 500 ms in the GFP channel (insulin). Image analysis was performed using the cell-scoring mod- ule of MetaXpress software (Molecular Devices). All nuclei were detected with a minimum width of 1 pixel, maximum width of 3 pixels, and an intensity of 200 gray levels above background. Cytoplasmic regions around these nuclei were evaluated for Cy2 staining in the green GFP channel (minimum width of 5 pixels, maximum width of 30 pixels, intensity 200 gray levels above background, 10 m minimum stained area). In total, 75,264 wells were screened, corresponding to 30,710 unique compounds in duplicate plus control wells. The compounds screened were selected from a number of su- blibraries in the Broad Institute compound collection. The screening set was comprised of 1,920 molecules with previously annotated biological activity, purchased from commercial vendors Biomol International Inc., Calbiochem, EMD Biosciences, Microsource Discovery Systems Inc., Prestwick Chemical Inc., and Sigma-Aldrich; 1,280 puried natural products from Analyticon Discov- ery; 15,356 commercial drug-like compounds from ChemDiv Inc., Maybridge, and TimTec LLC; and 12,154 diversity-oriented synthetic (DOS) compounds generated at the Broad Institute. The commercial drug-like compounds were preltered by the suppliers to avoid undesired reactive functional groups and meet physical property lters based on Lipinskis rule of ve. The DOS com- pounds consisted of a series of stereochemically diverse eight- and nine- membered macrocycles ranging in molecular mass from 307 to 727 Da, with an average molecular mass of 572 Da. Compound purity and identity were determined by UPLC-MS (Waters). Purity was measured by UV absorbance at 210 nm. Identity was determined on a SQ mass spectrometer by positive electrospray ionization. Mobile phase A consisted of 0.1% ammonium hydroxide; mobile phase B consisted of 0.1% ammonium hydroxide in acetonitrile. The gradient ran from 5% to 95% mobile phase B over 0.8 min at 0.45 mL/min. An Acquity BEH C18, 1.7 m, 1.0 50-mm column was used with column temperature maintained at 65 C. Compounds were dissolved in DMSO at a nominal concentration of 1 mg/mL, and 0.25 L of this solution was injected. Hits were selected based on the intensity of staining in the Cy2 channel and the number of Cy2 positive cells, and counterscreened in the same assay without the use of primary antibody and with Cy3-labeled secondary anti- body to remove inactive autouorescent compounds. In all subsequent immunouorescence experiments, Cy3 and Cy5 sec- ondary antibodies were used to avoid effects of compound autouorescence in the Cy2 channel. Gene Expression Analysis. Following compound treatment, cells were lysed and RNA isolated using the RNeasy Mini Kit (Qiagen) according to the manufacturers protocol. RNA was reverse transcribed with random primers using the High Capacity cDNA Reverse Transcription Kit with RNase inhibitor (Applied Biosystems). Quantitative PCR was performed with Power SYBR Green PCR Master Mix (Applied Biosystems) on an Applied Biosystems 7900HT real-time PCR ma- chine using primers in Table S3. Kinase Proling. Kinase proling and doseresponse curves were performed at Millipores KinaseProler according to the manufacturers protocols. ATP concentrations were within 15 M of the apparent KM for each enzyme. Western Blot Analysis. Cell extracts were generated by lysing cells in modied RIPA buffer containing 1% Nonidet P-40, 0.1% Na deoxycholate, 150 mM NaCl, 1 mM EDTA, and 50 mM Tris (pH 7.5), and supplemented with protease and phosphatase inhibitors. A total of 20 g of each sample were run on E- Page 48 gels (Invitrogen) and transferred to PVDF membranes using Invi- trogen iBlot technology. Each blot was simultaneously probed with indicated primary antibody (all at 1:1,000) and 1:10,000 -actin antibody, following by incubation with 1:5,000 IRDye-labeled secondary antibody. Blots were scan- ned on LI-COR Odyssey Infrared Imaging System and analyzed using Odyssey software. Each specic band was normalized to the -actin signal, and phosphorylation was plotted as a ratio of normalized phospho-specic to normalized pan-antibody signal. RNAi Experiments. Lentiviruses resulting in the expression of shRNAs against RSK family members were obtained from the RNAi Consortion (TRC) (19). The following hairpins were used: Rsk1 shRNA1: NM_009097.1-559s1c1, Rsk1 shRNA2: NM_009097.1-685s1c1, Rsk2 shRNA1: NM_148945.1-269s1c1, Rsk2 shRNA2: NM_148945.1-1345s1c1, Rsk2 shRNA3: NM_148945.1-1833s1c1, Rsk3 shRNA1: NM_011299.3-384s1c1, Rsk3 shRNA2: NM_011299.3-627s1c1, Rsk3 shRNA3: NM_011299.3-2351s1c1. Mouse TC1 cells were plated in 96- well plates at 15,000 cells per well in 200 L of DMEM. The next day, poly- brene was added to each well (8 g/mL), and cells were spin-infected with 8 L virus at 2,250 rpm for 30 min at 30 C. Media was changed the following day to fresh, low-glucose DMEM containing 1 g/mL puromycin and cultured for 4 additional d. Cells were lysed in RLT buffer and mRNA extracted using Qiagen RNeasy 96 Kit. Hormone Secretion in Human Islets. Dissociated human isletscultured in 96-well plates were washed once with 100 L per well of PBS and incubated for 1 h in 100 L low-glucose (1.67 mM) KRB buffer (138 mM NaCl, 5.4 mM KCl, 2.6 mM MgCl2, 2.6 mM CaCl2, 5 mM NaHCO3, 0.1% BSA), and for an additional hour in either high-glucose (16.7 mM) or low-glucose KRB buffer. Supernatant from the rst hour was used for glucose-stimulated glucagon secretion using ALPCO Glucagon (human, mouse, rat) ELISA (following manufacturers protocol for 50 L of sample). Supernatant from the second hour was used to measure glucose-stimulated insulin secretion using ALPCO Insulin ELISA (human). Fomina-Yadlin et al. PNAS | August 24, 2010 | vol. 107 | no. 34 | 15103 CELLBIOLOGY
  6. 6. ACKNOWLEDGMENTS. We thank Andrew Stern, Michelle Palmer, Lynn Verplank, and the entire Chemical Biology Platform at the Broad Institute for helpful suggestions in assay development and with high-content screening; Thomas Nieland, Serena Silver, and David Root from the Broad RNAi platform for lentiviral knockdown constructs and advice for optimization of the infection protocol; Jack Taunton (University of California, San Francisco) for a sample of the RSK inhibitor FMK and advice on RSK biology; Yuan Yuan (Chemistry and Chemical Biology Department, Harvard University) for expression primers; Robert Gould and the entire CB/NT Diabetes Team for helpful discussion and advice; and Alejandro Wolf Yadlin (Chemistry and Chemical Biology Depart- ment, Harvard University) for performing Western blot quantication. Funding for this project was provided by the Juvenile Diabetes Research Foundation and National Institute for General Medical Sciences Grant GM38627 (to S.L.S.); Na- tional Institutes of Health Grant RL1-HG004671 for computational work toward target-hypothesis generation (to V.D. and P.A.C.); Ernst Schering Research Foun- dation and European Union FP7 Marie Curie Program Grant PIOF-GA-2008- 221135 (to S.K.); an MCO training grant from Harvard University (to D.F.); and Type 1 Diabetes Pathnder Award DP2-DK083048 from the National Institutes of HealthNational Institute of Diabetes and Digestive and Kidney Diseases (to B.K.W.). S.L.S. is an Investigator at the Howard Hughes Medical Institute. 1. Shapiro AM, et al. (2000) Islet transplantation in seven patients with type 1 diabetes mellitus using a glucocorticoid-free immunosuppressive regimen. N Engl J Med 343: 230238. 2. Borowiak M, Melton DA (2009) How to make beta cells? Curr Opin Cell Biol 21: 727732. 3. Kroon E, et al. (2008) Pancreatic endoderm derived from human embryonic stem cells generates glucose-responsive insulin-secreting cells in vivo. Nat Biotechnol 26: 443452. 4. Zhou Q, Melton DA (2008) Extreme makeover: Converting one cell into another. Cell Stem Cell 3:382388. 5. Pearl EJ, Horb ME (2008) Promoting ectopic pancreatic fates: Pancreas development and future diabetes therapies. Clin Genet 74:316324. 6. Collombat P, et al. (2007) Embryonic endocrine pancreas and mature beta cells acquire alpha and PP cell phenotypes upon Arx misexpression. J Clin Invest 117: 961970. 7. Zhou Q, Brown J, Kanarek A, Rajagopal J, Melton DA (2008) In vivo reprogramming of adult pancreatic exocrine cells to beta-cells. Nature 455:627632. 8. Collombat P, et al. (2009) The ectopic expression of Pax4 in the mouse pancreas converts progenitor cells into alpha and subsequently beta cells. Cell 138:449462. 9. Thorel F, et al. (2010) Conversion of adult pancreatic alpha-cells to beta-cells after extreme beta-cell loss. Nature 464:11491154. 10. Hamaguchi K, Leiter EH (1990) Comparison of cytokine effects on mouse pancreatic alpha-cell and beta-cell lines. Viability, secretory function, and MHC antigen expression. Diabetes 39:415425. 11. Iype T, et al. (2005) Mechanism of insulin gene regulation by the pancreatic transcription factor Pdx-1: Application of pre-mRNA analysis and chromatin immunoprecipitation to assess formation of functional transcriptional complexes. J Biol Chem 280:1679816807. 12. Seiler KP, et al. (2008) ChemBank: A small-molecule screening and cheminformatics resource database. Nucleic Acids Res 36 (Database issue):D351D359. 13. Manning G, Whyte DB, Martinez R, Hunter T, Sudarsanam S (2002) The protein kinase complement of the human genome. Science 298:19121934. 14. Carriere A, Ray H, Blenis J, Roux PP (2008) The RSK factors of activating the Ras/MAPK signaling cascade. Front Biosci 13:42584275. 15. Anjum R, Blenis J (2008) The RSK family of kinases: Emerging roles in cellular signalling. Nat Rev Mol Cell Biol 9:747758. 16. Beattie GM, Cirulli V, Lopez AD, Hayek A (1997) Ex vivo expansion of human pancreatic endocrine cells. J Clin Endocrinol Metab 82:18521856. 17. Nguyen TL (2008) Targeting RSK: An overview of small molecule inhibitors. Anticancer Agents Med Chem 8:710716. 18. Bain J, et al. (2007) The selectivity of protein kinase inhibitors: A further update. Biochem J 408:297315. 19. Moffat J, et al. (2006) A lentiviral RNAi library for human and mouse genes applied to an arrayed viral high-content screen. Cell 124:12831298. 15104 | Fomina-Yadlin et al.
  7. 7. Supporting Information Fomina-Yadlin et al. 10.1073/pnas.1010018107 Fig. S1. High-content screen for small-molecule inducers of insulin production in mouse -cells. (A) Assay setup. (B) Detection of spiked-in -cells (cell line TC3) in a population of -cells (cell line TC1) by automated image analysis following immunouorescence detection of insulin. (C) Competition experiment sim- ulating lower insulin levels compared with -cells.In a population of -cells, 5% spiked-in -cells were stained with insulin primary antibody and Cy2-labeled -guinea pig secondary antibody and increasing amounts of competing Cy3-labeled -guinea pig antibody. Staining intensity of insulin positive and negative cells was measured in the green (Cy2) channel. (D) Representative images from spiked-in and antibody competition experiments. (Scale bar: 50 m.) Fomina-Yadlin et al. 1 of 6
  8. 8. Fig. S2. Induction of -cell markers in -cells and comparison with -cell levels. Five-day treatment with BRD7389 causes dose-dependent up-regulation of Ins2 (A), Pdx1 (B), Pax4 (C), Npy (D), and Iapp (E) mRNA in mouse -cells. Levels of expression in mature mouse -cells are plotted for comparison. Data represent the mean SDs of three independent experiments. Fomina-Yadlin et al. 2 of 6
  9. 9. Fig. S3. Dose-responsive kinase inhibition by BRD7389. Human kinases CDK5/p35 (A), DRAK1 (B), FLT3 (C), PIM1 (D), PKG1 (E), RSK1 (F), RSK2 (G), RSK3 (H), and SGK (I) were incubated with the indicated concentrations of BRD7389, and kinase activity was determined in a radiometric lter-binding assay. Activity was scored relative to DMSO. Two replicate experiments were used to t curves and calculate IC50 values using logistic regression implemented in Spotre. Fig. S4. Effects of BRD7389 treatment in primary human islets from donor 1. (A) Glucose-stimulated insulin secretion after 5-d treatment with BRD7389. (B) Relative gene-expression changes of endocrine-specic (colored) and housekeeping (gray) genes following 5-d treatment with BRD7389. (C) Quantication of relative cell numbers compared with DMSO-treated controls from immunouorescence samples. (D) Representative images of compound-treated dissoci- ated islets. (Scale bar: 50 m.) Fomina-Yadlin et al. 3 of 6
  10. 10. Fig. S5. Effects of BRD7389 treatment in primary human islets from donor 3. (A) Glucose-stimulated insulin secretion after 5-d treatment with BRD7389. (B) Quantication of relative cell numbers compared with DMSO-treated controls from immunouorescence samples. (C) Representative images of compound- treated dissociated islets. (Scale bar: 50 m.) Fig. S6. Effects of BRD7389 treatment in primary human islets from donor 4. (A) Glucose-stimulated insulin secretion after 5-d treatment with BRD7389. (B) Glucose-stimulated glucagon secretion after 5-d treatment with BRD7389. (C) Quantication of relative cell numbers compared with DMSO-treated controls from immunouorescence samples. (D) Representative images of compound-treated dissociated islets. (Scale bar: 50 m.) Fomina-Yadlin et al. 4 of 6
  11. 11. Fig. S7. Effects of BRD7389 treatment in primary human islets from donor 5. (A) Glucose-stimulated insulin secretion after 5-d treatment with BRD7389. (B) Relative gene-expression changes of endocrine-specic (colored) and housekeeping (gray) genes following 5-d treatment with BRD7389. (C) Quantication of relative cell numbers compared with DMSO-treated controls from immunouorescence samples. (D) Representative images of compound-treated dissoci- ated islets. (Scale bar: 50 m.) Fig. S8. Effects of BRD7389 treatment in primary human islets from donor 6. (A) Glucose-stimulated insulin secretion after 5-d treatment with BRD7389. (B) Glucose-stimulated glucagon secretion after 5-d treatment with BRD7389. (C) Relative gene-expression changes of endocrine specic (colored) and housekeeping (gray) genes following 5-d treatment with BRD7389. (D) Quantication of relative cell numbers compared with DMSO-treated controls from immunouorescence samples. (E) Representative images of compound-treated dissociated islets. (Scale bar: 50 m.) Fomina-Yadlin et al. 5 of 6
  12. 12. Fig. S9. Activation of caspase 3 in dissociated human islets after 5-d treatment with BRD7389. (A) Quantication of insulin-positive cells and cleaved caspase 3-positive cells. (B) Quantication of costaining for insulin and cleaved caspase 3, indicating insulin-positive -cells undergoing apoptosis and insulin- negative non-cells undergoing apoptosis. Signicant difference from DMSO-treated control, *P0.05 and **P0.01. (C) Representative images of cleaved caspase 3 staining in compound-treated dissociated islets. (Scale bar: 50 m.) Table S1. Inhibition proling across a panel of 253 kinases with compounds BRD7389 and BRD6447 Table S1 (DOC) Values indicate the percent remaining activity for the indicated human (h), mouse (m), rat (r), and yeast (y) kinases. Assays were performed using 10 M BRD7389 and BRD6447, and at an ATP concentration within 15 M of the apparent Km of each kinase. Table S2. Donor information for human islet samples analyzed in Fig. 3 and Figs. S3S7 Table S2 (DOC) Table S3. Primers used for quantitative RT-PCR gene expression measurements Table S3 (DOC) Table lists mouse (mm) and human (hs) primers used, their target transcript, orientation, and sequence. Fomina-Yadlin et al. 6 of 6