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Am J Physiol Endocrinol Metab 290: E670-E677, 2006. First published November 8, 2005; doi:10.1152/ajpendo.00251.2005
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Measurements of insulin responses as predictive markers of pancreatic beta-cell mass in normal and beta-cell-reduced lean and obese Göttingen minipigs in vivo

Marianne O. Larsen,1 Bidda Rolin,2 Jeppe Sturis,2 Michael Wilken,3 Richard D. Carr,4 Niels Pørksen,5 and Carsten F. Gotfredsen6

1Department of Pharmacology Research I and 2Department of Pharmacology Research III, Novo Nordisk A/S, Maaloev; 3Department of Assay and Cell Technology, Novo Nordisk A/S, Bagsvaerd; 4Discovery Management, Novo Nordisk A/S, Bagsvaerd; 5Medical Department C, Aarhus University Hospital, Aarhus; and 6Department of Pharmacology Research IV, Novo Nordisk A/S, Maaloev, Denmark

Submitted 6 June 2005 ; accepted in final form 1 November 2005

At present, the best available estimators of beta-cell mass in humans are those based on measurement of insulin levels or appearance rates in the circulation. In several animal models, these estimators have been validated against beta-cell mass in lean animals. However, as many diabetic humans are obese, a correlation between in vivo tests and beta-cell mass must be evaluated over a range of body weights to include different levels of insulin sensitivity. For this purpose, obese (n = 10) and lean (n = 25) Göttingen minipigs were studied. beta-Cell mass had been reduced (n = 16 lean, n = 5 obese) with a combination of nicotinamide (67 mg/kg) and streptozotocin (125 mg/kg), acute insulin response (AIR) to intravenous glucose and/or arginine was tested, pulsatile insulin secretion was evaluated by deconvolution (n = 30), and beta-cell mass was determined histologically. AIR to 0.3 (r2 = 0.4502, P < 0.0001) or 0.6 g/kg glucose (r2 = 0.6806, P < 0.0001), 67 mg/kg arginine (r2 = 0.5730, P < 0.001), and maximum insulin concentration (r2 = 0.7726, P < 0.0001) were all correlated to beta-cell mass when evaluated across study groups, and regression lines were not different between lean and obese groups except for AIR to 0.3 g/kg glucose. Baseline pulse mass was not significantly correlated to beta-cell mass across the study groups (r2 = 0.1036, NS), whereas entrained pulse mass did show a correlation across groups (r2 = 0.4049, P < 0.001). This study supports the use of in vivo tests of insulin responses to evaluate beta-cell mass over a range of body weights in the minipig. Extensive stimulation of insulin secretion by a combination of glucose and arginine seems to give the best correlation to beta-cell mass.

animal model; streptozotocin; arginine; pulsatile insulin secretion



Address for reprint requests and other correspondence: M. O. Larsen, Dept. of Pharmacology Research I, Research and Development, Novo Nordisk Park, F6.1.30, DK-2760 Maaloev, Denmark (e-mail: mmla{at}novonordisk.com)




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