PAX4 Gene Transfer Induces ?-to-? Cell Phenotypic Conversion and Confers Therapeutic Benefits for Diabetes Treatment.
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ABSTRACT: The transcription factor Pax4 plays a critical role in the determination of ?- versus ?-cell lineage during endocrine pancreas development. In this study, we explored whether Pax4 gene transfer into ?-cells could convert them into functional ?-cells and thus provide therapeutic benefits for insulin-deficient diabetes. We found that Pax4 delivered by adenoviral vector, Ad5.Pax4, induced insulin expression and reduced glucagon expression in ?TC1.9 cells. More importantly, these cells exhibited glucose-stimulated insulin secretion, a key feature of functional ?-cells. When injected into streptozotocin-induced diabetic mice, Pax4-treated ?TC1.9 cells significantly reduced blood glucose, and the mice showed better glucose tolerance, supporting that Pax4 gene transfer into ?TC1.9 cells resulted in the formation of functional ?-cells. Furthermore, treatment of primary human islets with Ad5.Pax4 resulted in significantly improved ?-cell function. Detection of glucagon(+)/Pax4(+)/Insulin(+) cells argued for Pax4-induced ?-to-? cell transitioning. This was further supported by quantification of glucagon and insulin bi-hormonal cells, which was significantly higher in Pax4-treated islets than in controls. Finally, direct administration of Ad5.Pax4 into the pancreas of insulin-deficient mice ameliorated hyperglycemia. Taken together, our data demonstrate that manipulating Pax4 gene expression represents a viable therapeutic strategy for the treatment of insulin deficient diabetes.
SUBMITTER: Zhang Y
PROVIDER: S-EPMC4817809 | biostudies-other | 2016 Feb
REPOSITORIES: biostudies-other
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