Evidence map›Paper›PMID 41842964›Full record

ArticleJCI insight2026

Epithelial TMPRSS2 impairs glucose homeostasis in obese mice by regulating ghrelin-GLP-1 receptor signaling pathway.

Dilraj Kaur, Sagarika Chakrabarty, Claudius Witzler, Hongjie Wang, Mengwen Wang, Romina Wolz, Petra Wilgenbus, Jens Jn Posma, Sivaramakrishna Rachakonda, Federico Marini and 10 more

Abstract read
In one paragraph

Article in JCI insight, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

20 authors.

Dilraj KaurCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Sagarika ChakrabartyDepartment of Immunology and Microbiology, The Scripps Research Institute, La Jolla, California, USA.
Claudius WitzlerCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Hongjie WangCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Mengwen WangDepartment of Cardiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Romina WolzCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Petra WilgenbusCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Jens Jn PosmaCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Sivaramakrishna RachakondaGerman Breast Group (GBG) Forschungs GmbH, Neu-Isenburg, Germany.
Federico MariniCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Valeriya V ZininaInstitute of Molecular Medicine, Johannes Gutenberg University Medical Centre, Mainz, Germany.
Sabine ReydaCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Rajinikanth GogirajuDepartment of Cardiology, Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Claudine GrafCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Fahumiya SamadDepartment of Cell Biology, San Diego Biomedical Research Institute, San Diego, California, USA.
Katrin SchäferDepartment of Cardiology, Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Christoph ReinhardtCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Natalia SoshnikovaCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Wolfram RufCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.
Thati MadhusudhanCenter for Thrombosis and Hemostasis (CTH), Medical Centre of the Johannes Gutenberg University, Mainz, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucagon-like peptide-1 (GLP-1) and glucose-induced insulinotropic polypeptide (GIP) receptor agonists have revolutionized obesity therapy, but causes of obesity-associated dysregulation of endogenous incretin production remain incompletely understood. Here we show that intestinal transmembrane serine protease 2 (TMPRSS2) plays a pivotal role in deregulating anti-diabetic GLP-1 production in obesity. TMPRSS2 is widely coexpressed in intestinal epithelial cells along with its signaling target protease-activated receptor 2 (PAR2). In addition to its role in regulating coagulation protease-mediated adipose tissue inflammation, PAR2 signaling in the gut controls postprandial GIP secretion. TMPRSS2, but not the epithelial cell-expressed proteases FXa or matriptase, activates PAR2 and thereby promotes postprandial GIP release. Accordingly, a PAR2-mutant mouse resistant to TMPRSS2 cleavage is protected from GIP upregulation and diet-induced obesity. In the context of obesity, TMPRSS2 also attenuates bioavailability of the ghrelin pathway and thereby suppresses GLP-1-mediated control of glucose homeostasis. Pharmacological inhibition or genetic deletion of TMPRSS2 restores ghrelin signaling-dependent GLP-1 secretion and GLP-1's anti-diabetic effects on nutritional glucose homeostasis. Thus, epithelial cell-expressed TMPRSS2, which critically contributes to the lung pathology in SARS-CoV-2 infection, emerges as an intestinal incretin regulator and a potential link between infection and chronic cardiometabolic diseases.

Indexed as

GhrelinGlucagon-Like Peptide-1 ReceptorGlucoseObesitySerine EndopeptidasesAnimalsEpithelial CellsGastric Inhibitory PolypeptideGlucagon-Like Peptide 1HomeostasisHumansIntestinal MucosaMaleMiceMice, Inbred C57BLMice, ObeseGastric Inhibitory PolypeptideGhrelinGlp1r protein, mouseGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorGlucoseSerine EndopeptidasesTMPRSS2 protein, mouseCoagulationG protein-coupled receptorsInflammationMetabolismProteasesVascular biology

Identifiers

PMID41842964
PMCPMC13167073

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.