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-cells by the protein p8 in vitro and in vivo
1Division of Endocrinology and Diabetology, Department of Internal Medicine II, University Hospital of Freiburg; 2Division of Metabolism, Endocrinology, and Molecular Medicine, Department of Internal Medicine I, University of Würzburg; and 3Islet Transplantation Center, Department of Internal Medicine III, University of Giessen, Germany
Submitted 9 September 2005 ; accepted in final form 2 July 2006
p8 protein expression is known to be upregulated in the exocrine pancreas during acute pancreatitis. Own previous work revealed glucose-dependent p8 expression also in endocrine pancreatic
-cells. Here we demonstrate that glucose-induced INS-1
-cell expansion is preceded by p8 protein expression. Moreover, isopropylthiogalactoside (IPTG)-induced p8 overexpression in INS-1
-cells (p8-INS-1) enhances cell proliferation and expansion in the presence of glucose only. Although
-cell-related gene expression (PDX-1, proinsulin I, GLUT2, glucokinase, amylin) and function (insulin content and secretion) are slightly reduced during p8 overexpression, removal of IPTG reverses
-cell function within 24 h to normal levels. In addition, insulin secretion of p8-INS-1
-cells in response to 025 mM glucose is not altered by preceding p8-induced
-cell expansion. Adenovirally transduced p8 overexpression in primary human pancreatic islets increases proliferation, expansion, and cumulative insulin secretion in vitro. Transplantation of mock-transduced control islets under the kidney capsule of immunosuppressed streptozotocin-diabetic mice reduces blood glucose and increases human C-peptide serum concentrations to stable levels after 3 days. In contrast, transplantation of equal numbers of p8-transduced islets results in a continuous decrease of blood glucose and increase of human C-peptide beyond 3 days, indicating p8-induced expansion of transplanted human
-cells in vivo. This is underlined by a doubling of insulin content in kidneys containing p8-transduced islet grafts explanted on day 9. These results establish p8 as a novel molecular mediator of glucose-induced pancreatic
-cell expansion in vitro and in vivo and support the notion of existing
-cell replication in the adult organism.
diabetes; islet transplantation; insulin secretion;
-cell proliferation
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