# Metallothionein 1E as a Central Regulator of Human Pancreatic Beta Cell Function and Survival

> **NIH NIH R01** · WEILL MEDICAL COLL OF CORNELL UNIV · 2020 · $397,733

## Abstract

Abstract.
COVID-19 was declared a pandemic by the World Health Organization. COVID19 is caused by severe acute
respiratory syndrome coronavirus 2 (SARS-CoV-2), which belongs to the coronaviridae, a diverse family of
viruses that cause a range of diseases in humans and animals. Recent clinical studies show a strong association
with COVID-19 and diabetes. Additional studies suggest that diabetes is not only a risk factor for severe COVID-
19 disease but also that SARS-CoV-2 infection can induce a new onset diabetes. However, it is not clear what
diabetes-associated cells are infected by the virus and how these cells respond to SARS-CoV-2 infection.
A number of studies support the hypothesis that viral infections play a causative role in Type 1 diabetes (T1D).
Enterovirus isolates obtained from newly diagnosed T1D patients can infect and destroy human islet cells in vitro.
In T1D patients, beta cell mass decreases due to auto-immune destruction. Here, we assemble a multi-
disciplinary investigator team, including expert beta cell biologist (Dr. Chen), stem cell biologists (Drs. Evans and
Schwartz), and a virologist (Dr. tenOever) to systematically study the impact of SARS-CoV-2 on pancreatic
endocrine cells and test the hypothesis that SARS-CoV-2 infection causes human pancreatic endocrine cell
destruction. In preliminary studies, we found that human pluripotent stem cell (hPSC)-derived pancreatic
endocrine cells are permissive to SARS-CoV-2 infection, which was further validated using adult primary human
islets. Transcript profiling following SARS-CoV-2 infection of hPSC-derived pancreatic endocrine cells revealed
striking upregulation of chemokines, similar to profiles of tissues obtained after autopsy of COVID-19 patients.
In addition, we performed two high content chemical screens and identified several FDA-approved drugs that
show anti-SARS-CoV-2 activities on both hPSC-derived colonic and lung organoids. Here, we propose to
validate the SARS-CoV-2 infection using pancreatic samples from COVID-19 patients, examine the impact of
SARS-CoV-2 infection on human endocrine cells, and re-purpose FDA-approved drugs to protect human
pancreatic endocrine cells from SRAS-CoV-2 infection. Three aims are proposed:
Aim 1. Validate SARS-CoV-2 infection in pancreatic samples from post-mortem COVID-19 patients.
Aim 2. Examine the impact of SARS-CoV-2 infection on human pancreatic endocrine cell function and survival.
Aim 3. Repurpose FDA-approved drugs to protect human pancreatic endocrine cells from SARS-CoV-2 infection.
Through this study, we expect to provide direct pathogenic evidence of SARS-CoV-2 infection of human
pancreatic endocrine cells, understand the pathogenesis of SARS-CoV-2 infected pancreatic endocrine cells,
and develop novel approaches to protect human endocrine cells from SARS-CoV-2 infection.

## Key facts

- **NIH application ID:** 10220173
- **Project number:** 3R01DK119667-02S1
- **Recipient organization:** WEILL MEDICAL COLL OF CORNELL UNIV
- **Principal Investigator:** Shuibing Chen
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $397,733
- **Award type:** 3
- **Project period:** 2019-07-01 → 2023-05-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10220173

## Citation

> US National Institutes of Health, RePORTER application 10220173, Metallothionein 1E as a Central Regulator of Human Pancreatic Beta Cell Function and Survival (3R01DK119667-02S1). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10220173. Licensed CC0.

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