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The inactivation of Arx in pancreatic ?-cells triggers their neogenesis and conversion into functional ?-like cells.


ABSTRACT: Recently, it was demonstrated that pancreatic new-born glucagon-producing cells can regenerate and convert into insulin-producing ?-like cells through the ectopic expression of a single gene, Pax4. Here, combining conditional loss-of-function and lineage tracing approaches, we show that the selective inhibition of the Arx gene in ?-cells is sufficient to promote the conversion of adult ?-cells into ?-like cells at any age. Interestingly, this conversion induces the continuous mobilization of duct-lining precursor cells to adopt an endocrine cell fate, the glucagon(+) cells thereby generated being subsequently converted into ?-like cells upon Arx inhibition. Of interest, through the generation and analysis of Arx and Pax4 conditional double-mutants, we provide evidence that Pax4 is dispensable for these regeneration processes, indicating that Arx represents the main trigger of ?-cell-mediated ?-like cell neogenesis. Importantly, the loss of Arx in ?-cells is sufficient to regenerate a functional ?-cell mass and thereby reverse diabetes following toxin-induced ?-cell depletion. Our data therefore suggest that strategies aiming at inhibiting the expression of Arx, or its molecular targets/co-factors, may pave new avenues for the treatment of diabetes.

SUBMITTER: Courtney M 

PROVIDER: S-EPMC3814322 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature

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Recently, it was demonstrated that pancreatic new-born glucagon-producing cells can regenerate and convert into insulin-producing β-like cells through the ectopic expression of a single gene, Pax4. Here, combining conditional loss-of-function and lineage tracing approaches, we show that the selective inhibition of the Arx gene in α-cells is sufficient to promote the conversion of adult α-cells into β-like cells at any age. Interestingly, this conversion induces the continuous mobilization of duc  ...[more]

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