In this study we show that the human
SLC30A8 gene, like the mouse
Slc30a8 gene, is expressed in both pancreatic islet alpha and beta cells () and we identify a conserved
SLC30A8 promoter region that drives fusion gene expression in stable, though not transient, transfections ( & ). Though it is uncommon for promoters/enhancers to require a precise chromatin context to function, several examples do exist (
Smith and Hager 1997). In addition, we have identified a conserved islet beta cell-specific enhancer in
SLC30A8 intron 2 ( & ). A SNP, rs62510556, within this enhancer affects the binding of an unknown transcription factor and modulates enhancer activity (
Supplemental Fig. 4), however, genetic analyses suggest that, in Europeans, rs62510556 is not a causal variant that contributes to the association between
SLC30A8 and type 2 diabetes (See
Electronic Supplement). Future studies will examine whether an association exists in other populations. Thus the rs13266634
SLC30A8 variant, that changes amino acid 325 of human ZnT-8, is associated with type 2 diabetes risk in Asians and Europeans, but not in Africans (
Xu, et al. 2011). Similarly, a variant, rs560887, in the
G6PC2 gene has been associated with increased susceptibility to the development of type 2 diabetes in some populations (
Hu, et al. 2009;
Hu, et al. 2010;
Reiling, et al. 2009) but not others (
Dupuis, et al. 2010). These observations emphasize the importance of assessing the potential causative involvement of SNPs and genes in multiple populations.
While genetic data have strongly linked the
SLC30A8 gene to increased susceptibility to the development of type 2 diabetes in several, though not all, human populations (
Xu et al. 2011) the manner in which defects in ZnT-8 expression or function lead to islet dysfunction and hence diabetes are unclear. While the
SLC30A8 rs13266634 variant has been reported to affect zinc transport by ZnT-8 in cultured cells (
Nicolson et al. 2009), it does not affect glucose-stimulated insulin secretion from isolated human islets (
Cauchi, et al. 2010). However, this may simply relate to the small number of human islets examined (
Cauchi et al. 2010) and the relatively small contribution of the
SLC30A8 rs13266634 variant to diabetes risk (
Saxena et al. 2007;
Scott et al. 2007;
Sladek et al. 2007;
Zeggini et al. 2007). Surprisingly though, studies in genetically modified mice, in which more significant changes in
Slc30a8 expression can be achieved, have also failed to demonstrate a critical role for ZnT-8 in the control of glucose metabolism. Thus mice in which the
Slc30a8 gene was globally deleted have normal glucose tolerance (
Lemaire, et al. 2009;
Nicolson et al. 2009;
Pound et al. 2009) and mice with a beta cell-specific
Slc30a8 gene deletion have only mildly impaired glucose tolerance (
Wijesekara, et al. 2010). These observations suggest that either ZnT-8 is more important for the control of glucose metabolism in humans than mice or that defects in glucose metabolism will only become apparent in older mice or mice harboring disease-associated variants in additional susceptibility genes. The latter possibilities appear more likely since the absence of ZnT-8 clearly affects beta cell function, as apparent from the observed reduction in fasting plasma insulin in mice lacking ZnT-8 as well as glucose-stimulated insulin secretion and zinc content in islets isolated from those mice (
Pound et al. 2009). Among these changes the reduction in islet zinc content is quantitatively the most dramatic and also surprising, in relation to the mild metabolic phenotype observed, given the abundant literature supporting a key role of zinc in the proper maturation, storage and secretion of insulin (
Wijesekara et al. 2009). If future studies reveal that no association exists between rs62510556 and type 2 diabetes, regardless of the population studied, this may indicate that rs62510556 SNP does not change
SLC30A8 expression sufficiently
in vivo to have a biological effect or that the presence of a variant form of ZnT-8, as manifest by the rs13266634 SNP, increases type 2 diabetes risk in some populations whereas changes in
SLC30A8 expression do not. This last possibility is particularly intriguing given the very mild phenotype of
Slc30a8 knockout mice since it would raise the interesting concept that that perhaps it is the presence of a mutant form of ZnT-8 that causes problems with beta cell function whereas the absence of ZnT-8, as manifest in
Slc30a8 knockout mice, is less deleterious.
The mild phenotype observed in
Slc30a8 knockout mice may also be partly explained by the existence of unknown compensatory changes that have occurred during development to offset the absence of ZnT-8. Indeed, using an shRNA-mediated approach to downregulate
Slc30a8 mRNA expression by >90% in the INS-1 pancreatic beta cell line, Fu et al. (
Fu, et al. 2009) demonstrated diminished uptake of exogenous zinc, reduced insulin content and decreased GSIS. They also predicted that SNPs that affect
SLC30A8 expression, such as the one reported here, would have the potential to affect insulin secretion and the glycemic response
in vivo (
Fu et al. 2009).
In summary these experiments have shown that the human SLC30A8 genomic region located between −6154 and −1, relative to the translation start site, contains a promoter that is only active in stable and not transient transfections. In addition, the human SLC30A8 genomic region located between +16579 and +16954 in intron 2 contains a conserved islet beta cell-specific enhancer. Given the critical role of ZnT-8 in islet zinc metabolism and the association between SLC30A8 and T2D risk, it is possible that SNPs that affect SLC30A8 expression, rather than ZnT-8 function, may also influence T2D risk. While we find that a SNP, rs62510556, in the conserved intron 2 enhancer, which modulates enhancer activity, is not associated with T2D risk, at least in Europeans, it is possible that future studies may uncover rare SNPs with a more pronounced effect on SLC30A8 expression that do influence T2D risk.