Mol. Cells 2018; 41(10): 909-916
Published online August 31, 2018
https://doi.org/10.14348/molcells.2018.0147
© The Korean Society for Molecular and Cellular Biology
Correspondence to : *Correspondence: wookkim21@ajou.ac.kr
In pancreatic β cells, glucose stimulates the biosynthesis of insulin at transcriptional and post-transcriptional levels. The RNA-binding protein, polypyrimidine tract-binding protein 1 (PTBP1), also named hnRNP I, acts as a critical mediator of insulin biosynthesis through binding to the pyrimidine-rich region in the 3’-untranslated region (UTR) of insulin mRNA. However, the underlying mechanism that regulates its expression in β cells is unclear. Here, we report that glucose induces the expression of PTBP1 via the insulin receptor (IR) signaling pathway in β cells. PTBP1 is present in β cells of both mouse and monkey, where its levels are increased by glucose and insulin, but not by insulin-like growth factor 1. PTBP1 levels in immortalized β cells established from wild-type (βIRWT) mice are higher than levels in β cells established from IR-null (βIRKO) mice, and ectopic re-expression of IR-WT in βIRKO cells restored PTBP1 levels. However, PTBP1 levels were not altered in βIRKO cells transfected with IR-3YA, in which the Tyr1158/1162/1163 residues are substituted with Ala. Consistently, treatment with glucose or insulin elevated PTBP1 levels in βIRWT cells, but not in βIRKO cells. In addition, silencing Akt significantly lowered PTBP1 levels. Thus, our results identify insulin as a pivotal mediator of glucose-induced PTBP1 expression in pancreatic β cells.
Keywords glucose, insulin, insulin receptor signaling, pancreatic β cell, PTBP1
Insulin produced in and secreted from pancreatic β cells is the most crucial hormone for the control of glucose homeostasis in the blood circulatory system. Impaired biosynthesis and secretion of insulin leads to somatic damage via hyperglycemia. Therefore, the amount of insulin is tightly regulated in order to maintain a very narrow blood glucose range. The elevation of glucose levels induces calcium-mediated secretion of insulin, which, in turn, promotes the absorption of glucose from the blood into peripheral tissues, thereby reducing blood glucose levels. Intriguingly, insulin also regulates not only its own biosynthesis and secretion, but also β-cell mass, via intracellular signaling cascades, in which Akt is the prime mediator (Kulkarni et al., 1999; Otani et al., 2004; Paris et al., 2003; Withers et al., 1998). In addition to stimulating insulin secretion, glucose also stimulates the biosynthesis of insulin at the transcriptional and post-transcriptional levels (German and Wang, 1994; Giddings et al., 1982; Permutt and Kipnis, 1972). The acute production of insulin after short-term (< 2 h) glucose stimulation mostly occurs by the enhancement of pre-existing insulin mRNA stability and translation, rather than
Polypyrimidine tract binding protein 1 (PTBP1), which is also known as heterogeneous nuclear ribonucleoprotein I (hnRNP I), is a ubiquitous RNA-binding protein (RBP) that binds to the pyrimidine-rich region in the 3′ UTR of target mRNAs through four RNA recognition motifs (RRM) and contributes to their stability (Sawicka et al., 2008; Tillmar and Welsh, 2002; Tillmar et al., 2002). It is also known to function in diverse cellular processes, including splicing, polyadenylation, mRNA localization, and translation initiation (Sawicka et al., 2008). In pancreatic β cells, PTBP1 stabilizes insulin mRNA by binding to the pyrimidine-rich region in its 3’ UTR (Tillmar and Welsh, 2002; Tillmar et al., 2002), as also shown for iNOS and PGK2 mRNAs (Pautz et al., 2006; Xu and Hecht, 2007). This binding is increased by glucose stimulation (Tillmar and Welsh, 2002; Tillmar et al., 2002). Although PTBP1 mRNA levels have been reported to increase after glucose stimulation in mouse insulinoma MIN6 cells (Webb et al., 2000), the molecular mechanisms by which glucose regulates PTBP1 expression have not been clearly elucidated. Here, we provide evidence that glucose-stimulated PTBP1 expression is mediated by the insulin receptor (IR) signaling pathway via Akt.
Male C57BL/6 mice were kept in an environmentally controlled room under a 12-h light-dark cycle and provided with chow and water
Myc-tagged PTBP1 plasmid was obtained from Addgene (USA). Human IR cDNA was amplified by RT-PCR from human pancreas RNA (Stratagene, USA) using an oligo-dT (18 bp) primer for reverse transcription. IR cDNA was incorporated into a 3 × Flag vector. An IR mutant (IR-3YA), in which Tyr1158/1162/1163 residues are substituted with Ala, was generated from wild-type IR (IR-WT) using a QuikChange II XL site-directed mutagenesis kit (Stratagene).
Mouse insulinoma βTC6 and human hepatocellular carcinoma Hep3B cells were cultured in high-glucose DMEM (Invitrogen, USA) supplemented with 10% FBS (HyClone, USA). βIRWT and βIRKO cells were established from wild-type (βIRWT) or β-cell-specific insulin receptor-deficient (βIRKO) mice (Assmann et al., 2009; Kim et al., 2011; 2012; Kulkarni et al., 1999; Lee et al., 2012). βIRWT and βIRKO cells were cultured in high-glucose DMEM (Invitrogen) supplemented with 10% FBS (HyClone). Transfection of siRNAs and plasmids was carried out using Lipofectamine RNAiMAX or 2000 (Invitrogen), according to the manufacturer’s instructions. Scrambled siRNA (Silencer Negative Control #1; Ambion, USA) or empty vector were transfected as negative controls. Details of the siRNAs are listed in
Whole-cell lysates prepared using RIPA buffer (10 mM Tris-HCl [pH 7.4], 150 mM NaCl, 1% NP-40, 1 mM EDTA, and 0.1% SDS) were separated by SDS-PAGE, transferred onto polyvinylidene difluoride (PVDF) membranes (Millipore, USA), and incubated with primary antibodies to detect PTBP1, proinsulin, IRβ, p-IR (Tyr1162/1163), Akt, or β-actin. Membranes were then incubated with the corresponding HRP-conjugated secondary antibodies (Santa Cruz Biotechnology, USA), which were detected using enhanced luminescence (GE Healthcare, UK). Sources and working dilutions of primary antibodies are listed in
Total RNAs were isolated from βTC6, βIRWT, and βIRKO cells using the TRIzol reagent (Thermo Fisher Scientific, USA), according to the manufacturer’s instructions. Quantitative real-time PCR (RT-qPCR) analysis was performed as previously described (Lee et al., 2012). A list of primer sequences is shown in
Cells were synchronized by double thymidine block for 24 h and then released from growth arrest by adding fresh medium. For cell cycle analysis, cells were collected by trypsinization, washed with phosphate-buffered saline (PBS), and fixed with 70% ethanol. Fixed cells were washed with PBS and stained with propidium iodide solution. DNA content was measured by flow cytometry and cell cycle profiles were analyzed using Cell Quest and MOD Fit software (BD Bioscience, USA).
All values are expressed as the mean ± SEM. Differences between mean values were compared statistically by Student’s
Although the presence of PTBP1 in insulin-producing mouse β-cell lines and isolated islets is well known (Knoch et al., 2004; 2006; Tillmar and Welsh, 2002; Tillmar et al., 2002; Webb et al., 2000), its expression pattern
As glucose-induced up-regulation of PTBP1 mRNA levels in MIN6 cells has been reported (Webb et al., 2000), we evaluated mRNA and protein levels of PTBP1 after glucose stimulation and observed that glucose dose-dependently increased mRNA and protein levels of PTBP1 in βTC6 cells (Figs. 2A and 2B). Moreover, mRNA and protein levels of PTBP1 were also increased by insulin in a dose-dependent manner (Figs. 2C and 2D), but not by insulin-like growth factor 1 (IGF-1,
To investigate the potential role of insulin in mediating glucose-induced PTBP1 expression, we employed βIRWT and βIRKO cells established from WT and β-cell-specific insulin receptor (IR)-knockout mice, respectively (Assmann et al., 2009; Kim et al., 2011; 2012; Kulkarni, et al., 1999; Lee et al., 2012). Similar to the results in βTC6 cells (Fig. 2B), PTBP1 levels were dose dependently increased by glucose in βIRWT cells (Fig. 3A). By contrast, glucose-induced PTBP1 expression was not observed in βIRKO cells, where PTBP1 levels were significantly lower than that in βIRWT cells (Fig. 3A). Likewise, treatment with insulin elevated PTBP1 levels in βIRWT cells, but not in βIRKO cells (Fig. 3B). Neither insulin nor IGF-1 induced an increase in PTBP1 levels in human hepatocellular carcinoma Hep3B cells (
Next, we further confirmed the involvement of IR and its downstream molecules in insulin-induced PTBP1 expression. Consistent with the lower mRNA and protein levels of PTBP1 in βIRKO cells compared with βIRWT cells (Figs. 4A and 4B), silencing IR in βTC6 cells significantly lowered PTBP1 levels (Fig. 4C). Insulin binding to IR induces autophosphorylation at Tyr1158, Tyr1162, and Tyr1163 in the activation loop of the β subunits (IRβ), which increases the catalytic activity of the receptor and, in turn, transduces the signal to downstream signaling proteins (Hubbard, 1997; Tang et al., 2017; Taniguchi et al., 2006), including Akt, which is a key mediator of insulin responses such as gene expression, protein synthesis, proliferation, and glucose metabolism (Taniguchi et al., 2006). Mutation of these autophosphorylation sites reduces insulin-stimulated kinase activity and causes a parallel loss of biological function (Kim et al., 2011; 2012). Thus, we directly confirmed the effects of IR activity on PTBP1 expression by ectopic re-expression of Flag-tagged IR-WT and IR mutant (IR-3YA), in which the Tyr1158/1162/1163 residues are substituted with Ala (Fig. 4D), in βIRKO cells. Ectopic IR-WT re-expression in βIRKO cells restored PTBP1 levels, but in IR-3YA-transfected βIRKO cells, PTBP1 levels were not altered (Fig. 4E). IR autophosphorylation at Tyr1158, Tyr1162, and Tyr1163 was only detected in IR-WT-transfected cells, not in IR-3YA-transfected cells, likely due to endogenous insulin secretion (Fig. 4E). In addition, silencing Akt in βTC6 cells significantly lowered PTBP1 levels (Fig. 4F). Together, these results indicate that PTBP1 is expressed in β cells under the control of the IR → Akt → PTBP1 pathway (Fig. 4G).
Because insulin is a key regulator of β-cell proliferation, which is a major mechanism that contributes to maintaining adult β-cell mass (Assmann et al., 2009; Dor et al., 2004; Folli et al., 2011; Georgia and Bhushan, 2004; Kim et al., 2012; Kulkarni et al., 1999; Otani et al., 2004; Saltiel and Kahn, 2001; Withers et al., 1998), we investigated whether insulin and PTBP1 levels are correlated during cell cycle progression. To address this question, βIRWT and Hep3B cells were initially synchronized at G1/S phase by double thymidine block, after which they were released from growth arrest by adding fresh medium. During the cell cycle progression of βIRWT cells, PTBP1 expression decreased and was positively correlated with proinsulin levels (
Here, we provide evidence that glucose induces PTBP1 expression and this is mediated by the IR signaling pathway via Akt (Fig. 4G). In addition to stimulating insulin secretion, glucose induces the rapid biosynthesis of insulin at the transcriptional and post-transcriptional levels (German and Wang, 1994; Giddings et al., 1982; Permutt and Kipnis, 1972) and the latter includes the enhancement of pre-existing insulin mRNA stability and translation (Brunstedt and Chan, 1982; Itoh and Okamoto, 1980; Welsh et al., 1985). In response to glucose, PTBP1 binds to the pyrimidine-rich region in the 3′ UTR of insulin mRNA, leading to its stabilization. It is likely that these posttranscriptional mechanisms mediated by PTBP1 are responsible for the acute increase in insulin biosynthesis in the 2 h following glucose stimulation (Itoh and Okamoto, 1980), while the subsequent production of insulin is mediated by an increase in PTBP1 transcription due to glucose stimulation. Taken together, our findings provide an important insight into the mechanism underlying glucose-induced PTBP1 expression in β cells. It will be important in future experiments to determine downstream molecules that is activated by the IR signaling pathway via Akt and directly participates in PTBP1 transcription.
Mol. Cells 2018; 41(10): 909-916
Published online October 31, 2018 https://doi.org/10.14348/molcells.2018.0147
Copyright © The Korean Society for Molecular and Cellular Biology.
Da Eun Jeong1,3, Sungeun Heo1,3, Ji Hye Han1, Eun-young Lee1, Rohit N. Kulkarni2, and Wook Kim1,*
1Department of Molecular Science and Technology, Ajou University, Suwon 16499, Korea, 2Department of Islet Cell and Regenerative Biology, Joslin Diabetes Center and Department of Medicine, Harvard Medical School, and Harvard Stem Cell Institute, Boston, MA 02215, USA
Correspondence to:*Correspondence: wookkim21@ajou.ac.kr
In pancreatic β cells, glucose stimulates the biosynthesis of insulin at transcriptional and post-transcriptional levels. The RNA-binding protein, polypyrimidine tract-binding protein 1 (PTBP1), also named hnRNP I, acts as a critical mediator of insulin biosynthesis through binding to the pyrimidine-rich region in the 3’-untranslated region (UTR) of insulin mRNA. However, the underlying mechanism that regulates its expression in β cells is unclear. Here, we report that glucose induces the expression of PTBP1 via the insulin receptor (IR) signaling pathway in β cells. PTBP1 is present in β cells of both mouse and monkey, where its levels are increased by glucose and insulin, but not by insulin-like growth factor 1. PTBP1 levels in immortalized β cells established from wild-type (βIRWT) mice are higher than levels in β cells established from IR-null (βIRKO) mice, and ectopic re-expression of IR-WT in βIRKO cells restored PTBP1 levels. However, PTBP1 levels were not altered in βIRKO cells transfected with IR-3YA, in which the Tyr1158/1162/1163 residues are substituted with Ala. Consistently, treatment with glucose or insulin elevated PTBP1 levels in βIRWT cells, but not in βIRKO cells. In addition, silencing Akt significantly lowered PTBP1 levels. Thus, our results identify insulin as a pivotal mediator of glucose-induced PTBP1 expression in pancreatic β cells.
Keywords: glucose, insulin, insulin receptor signaling, pancreatic β cell, PTBP1
Insulin produced in and secreted from pancreatic β cells is the most crucial hormone for the control of glucose homeostasis in the blood circulatory system. Impaired biosynthesis and secretion of insulin leads to somatic damage via hyperglycemia. Therefore, the amount of insulin is tightly regulated in order to maintain a very narrow blood glucose range. The elevation of glucose levels induces calcium-mediated secretion of insulin, which, in turn, promotes the absorption of glucose from the blood into peripheral tissues, thereby reducing blood glucose levels. Intriguingly, insulin also regulates not only its own biosynthesis and secretion, but also β-cell mass, via intracellular signaling cascades, in which Akt is the prime mediator (Kulkarni et al., 1999; Otani et al., 2004; Paris et al., 2003; Withers et al., 1998). In addition to stimulating insulin secretion, glucose also stimulates the biosynthesis of insulin at the transcriptional and post-transcriptional levels (German and Wang, 1994; Giddings et al., 1982; Permutt and Kipnis, 1972). The acute production of insulin after short-term (< 2 h) glucose stimulation mostly occurs by the enhancement of pre-existing insulin mRNA stability and translation, rather than
Polypyrimidine tract binding protein 1 (PTBP1), which is also known as heterogeneous nuclear ribonucleoprotein I (hnRNP I), is a ubiquitous RNA-binding protein (RBP) that binds to the pyrimidine-rich region in the 3′ UTR of target mRNAs through four RNA recognition motifs (RRM) and contributes to their stability (Sawicka et al., 2008; Tillmar and Welsh, 2002; Tillmar et al., 2002). It is also known to function in diverse cellular processes, including splicing, polyadenylation, mRNA localization, and translation initiation (Sawicka et al., 2008). In pancreatic β cells, PTBP1 stabilizes insulin mRNA by binding to the pyrimidine-rich region in its 3’ UTR (Tillmar and Welsh, 2002; Tillmar et al., 2002), as also shown for iNOS and PGK2 mRNAs (Pautz et al., 2006; Xu and Hecht, 2007). This binding is increased by glucose stimulation (Tillmar and Welsh, 2002; Tillmar et al., 2002). Although PTBP1 mRNA levels have been reported to increase after glucose stimulation in mouse insulinoma MIN6 cells (Webb et al., 2000), the molecular mechanisms by which glucose regulates PTBP1 expression have not been clearly elucidated. Here, we provide evidence that glucose-stimulated PTBP1 expression is mediated by the insulin receptor (IR) signaling pathway via Akt.
Male C57BL/6 mice were kept in an environmentally controlled room under a 12-h light-dark cycle and provided with chow and water
Myc-tagged PTBP1 plasmid was obtained from Addgene (USA). Human IR cDNA was amplified by RT-PCR from human pancreas RNA (Stratagene, USA) using an oligo-dT (18 bp) primer for reverse transcription. IR cDNA was incorporated into a 3 × Flag vector. An IR mutant (IR-3YA), in which Tyr1158/1162/1163 residues are substituted with Ala, was generated from wild-type IR (IR-WT) using a QuikChange II XL site-directed mutagenesis kit (Stratagene).
Mouse insulinoma βTC6 and human hepatocellular carcinoma Hep3B cells were cultured in high-glucose DMEM (Invitrogen, USA) supplemented with 10% FBS (HyClone, USA). βIRWT and βIRKO cells were established from wild-type (βIRWT) or β-cell-specific insulin receptor-deficient (βIRKO) mice (Assmann et al., 2009; Kim et al., 2011; 2012; Kulkarni et al., 1999; Lee et al., 2012). βIRWT and βIRKO cells were cultured in high-glucose DMEM (Invitrogen) supplemented with 10% FBS (HyClone). Transfection of siRNAs and plasmids was carried out using Lipofectamine RNAiMAX or 2000 (Invitrogen), according to the manufacturer’s instructions. Scrambled siRNA (Silencer Negative Control #1; Ambion, USA) or empty vector were transfected as negative controls. Details of the siRNAs are listed in
Whole-cell lysates prepared using RIPA buffer (10 mM Tris-HCl [pH 7.4], 150 mM NaCl, 1% NP-40, 1 mM EDTA, and 0.1% SDS) were separated by SDS-PAGE, transferred onto polyvinylidene difluoride (PVDF) membranes (Millipore, USA), and incubated with primary antibodies to detect PTBP1, proinsulin, IRβ, p-IR (Tyr1162/1163), Akt, or β-actin. Membranes were then incubated with the corresponding HRP-conjugated secondary antibodies (Santa Cruz Biotechnology, USA), which were detected using enhanced luminescence (GE Healthcare, UK). Sources and working dilutions of primary antibodies are listed in
Total RNAs were isolated from βTC6, βIRWT, and βIRKO cells using the TRIzol reagent (Thermo Fisher Scientific, USA), according to the manufacturer’s instructions. Quantitative real-time PCR (RT-qPCR) analysis was performed as previously described (Lee et al., 2012). A list of primer sequences is shown in
Cells were synchronized by double thymidine block for 24 h and then released from growth arrest by adding fresh medium. For cell cycle analysis, cells were collected by trypsinization, washed with phosphate-buffered saline (PBS), and fixed with 70% ethanol. Fixed cells were washed with PBS and stained with propidium iodide solution. DNA content was measured by flow cytometry and cell cycle profiles were analyzed using Cell Quest and MOD Fit software (BD Bioscience, USA).
All values are expressed as the mean ± SEM. Differences between mean values were compared statistically by Student’s
Although the presence of PTBP1 in insulin-producing mouse β-cell lines and isolated islets is well known (Knoch et al., 2004; 2006; Tillmar and Welsh, 2002; Tillmar et al., 2002; Webb et al., 2000), its expression pattern
As glucose-induced up-regulation of PTBP1 mRNA levels in MIN6 cells has been reported (Webb et al., 2000), we evaluated mRNA and protein levels of PTBP1 after glucose stimulation and observed that glucose dose-dependently increased mRNA and protein levels of PTBP1 in βTC6 cells (Figs. 2A and 2B). Moreover, mRNA and protein levels of PTBP1 were also increased by insulin in a dose-dependent manner (Figs. 2C and 2D), but not by insulin-like growth factor 1 (IGF-1,
To investigate the potential role of insulin in mediating glucose-induced PTBP1 expression, we employed βIRWT and βIRKO cells established from WT and β-cell-specific insulin receptor (IR)-knockout mice, respectively (Assmann et al., 2009; Kim et al., 2011; 2012; Kulkarni, et al., 1999; Lee et al., 2012). Similar to the results in βTC6 cells (Fig. 2B), PTBP1 levels were dose dependently increased by glucose in βIRWT cells (Fig. 3A). By contrast, glucose-induced PTBP1 expression was not observed in βIRKO cells, where PTBP1 levels were significantly lower than that in βIRWT cells (Fig. 3A). Likewise, treatment with insulin elevated PTBP1 levels in βIRWT cells, but not in βIRKO cells (Fig. 3B). Neither insulin nor IGF-1 induced an increase in PTBP1 levels in human hepatocellular carcinoma Hep3B cells (
Next, we further confirmed the involvement of IR and its downstream molecules in insulin-induced PTBP1 expression. Consistent with the lower mRNA and protein levels of PTBP1 in βIRKO cells compared with βIRWT cells (Figs. 4A and 4B), silencing IR in βTC6 cells significantly lowered PTBP1 levels (Fig. 4C). Insulin binding to IR induces autophosphorylation at Tyr1158, Tyr1162, and Tyr1163 in the activation loop of the β subunits (IRβ), which increases the catalytic activity of the receptor and, in turn, transduces the signal to downstream signaling proteins (Hubbard, 1997; Tang et al., 2017; Taniguchi et al., 2006), including Akt, which is a key mediator of insulin responses such as gene expression, protein synthesis, proliferation, and glucose metabolism (Taniguchi et al., 2006). Mutation of these autophosphorylation sites reduces insulin-stimulated kinase activity and causes a parallel loss of biological function (Kim et al., 2011; 2012). Thus, we directly confirmed the effects of IR activity on PTBP1 expression by ectopic re-expression of Flag-tagged IR-WT and IR mutant (IR-3YA), in which the Tyr1158/1162/1163 residues are substituted with Ala (Fig. 4D), in βIRKO cells. Ectopic IR-WT re-expression in βIRKO cells restored PTBP1 levels, but in IR-3YA-transfected βIRKO cells, PTBP1 levels were not altered (Fig. 4E). IR autophosphorylation at Tyr1158, Tyr1162, and Tyr1163 was only detected in IR-WT-transfected cells, not in IR-3YA-transfected cells, likely due to endogenous insulin secretion (Fig. 4E). In addition, silencing Akt in βTC6 cells significantly lowered PTBP1 levels (Fig. 4F). Together, these results indicate that PTBP1 is expressed in β cells under the control of the IR → Akt → PTBP1 pathway (Fig. 4G).
Because insulin is a key regulator of β-cell proliferation, which is a major mechanism that contributes to maintaining adult β-cell mass (Assmann et al., 2009; Dor et al., 2004; Folli et al., 2011; Georgia and Bhushan, 2004; Kim et al., 2012; Kulkarni et al., 1999; Otani et al., 2004; Saltiel and Kahn, 2001; Withers et al., 1998), we investigated whether insulin and PTBP1 levels are correlated during cell cycle progression. To address this question, βIRWT and Hep3B cells were initially synchronized at G1/S phase by double thymidine block, after which they were released from growth arrest by adding fresh medium. During the cell cycle progression of βIRWT cells, PTBP1 expression decreased and was positively correlated with proinsulin levels (
Here, we provide evidence that glucose induces PTBP1 expression and this is mediated by the IR signaling pathway via Akt (Fig. 4G). In addition to stimulating insulin secretion, glucose induces the rapid biosynthesis of insulin at the transcriptional and post-transcriptional levels (German and Wang, 1994; Giddings et al., 1982; Permutt and Kipnis, 1972) and the latter includes the enhancement of pre-existing insulin mRNA stability and translation (Brunstedt and Chan, 1982; Itoh and Okamoto, 1980; Welsh et al., 1985). In response to glucose, PTBP1 binds to the pyrimidine-rich region in the 3′ UTR of insulin mRNA, leading to its stabilization. It is likely that these posttranscriptional mechanisms mediated by PTBP1 are responsible for the acute increase in insulin biosynthesis in the 2 h following glucose stimulation (Itoh and Okamoto, 1980), while the subsequent production of insulin is mediated by an increase in PTBP1 transcription due to glucose stimulation. Taken together, our findings provide an important insight into the mechanism underlying glucose-induced PTBP1 expression in β cells. It will be important in future experiments to determine downstream molecules that is activated by the IR signaling pathway via Akt and directly participates in PTBP1 transcription.
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