Endocytosis of secreted carboxyl ester lipase in a syndrome of diabetes and pancreatic exocrine dysfunction

Abstract

Background: Mutations in the carboxyl ester lipase (CEL) gene cause a syndrome of pancreatic exocrine and endocrine dysfunction (MODY8). Results: Secreted mutant CEL forms aggregates that line the plasma membrane and are cleared by endocytosis. Conclusion: The mutant and normal CEL protein exhibit different cellular properties both in pancreatic and non-pancreatic cell models. Significance: MODY8 pathogenesis may involve endocytosis of a mutant CEL protein with toxic effect.