Insulin-degrading enzyme identified as a candidate diabetes susceptibilitygene in GK rats

Genetic analysis of the diabetic GK rat has revealed several diabetes susce ptibility loci, Congenic strains have been established for the major diabet es locus, Niddm1, by transfer of GK alleles onto the genome of the normogly cemic F344 rat, Niddm1 was dissected into two subloci, physically separated in the congenic strains Niddm1b and Niddm1i, each with at least one diseas e susceptibility gene. Here we have mapped Niddm1b to 1 cM by genetic and p athophysiological characterization of new congenic substrains for the locus , The gene encoding insulin-degrading enzyme (Ide) was located to this 1 cM region, and the two amino acid substitutions (H18R and A890V) identified i n the GK allele reduced insulin-degrading activity by 31% in transfected ce lls. However, when the H18R and A890V variants were studied separately, no effects were observed, demonstrating a synergistic effect of the two varian ts on insulin degradation. No effect on insulin degradation was observed in cell lysates, indicating that the effect is coupled to receptor-mediated i nternalization of insulin, Congenic rats with the Ide GK allele displayed p ost-prandial hyperglycemia, reduced lipogenesis in fat cells, blunted insul in-stimulated glucose transmembrane uptake and reduced insulin degradation in isolated muscle. Analysis of additional rat strains demonstrated that th e dysfunctional Ide allele was unique to GK. These data point to an importa nt role for Ide in the diabetic phenotype in GK.