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1 Department of Pharmacology Research I, Novo Nordisk A/S, Maaloev, Denmark
2 Department of Pharmacology Research III, Novo Nordisk A/S, Maaloev, Denmark
3 Department of Assay and Cell Technology, Novo Nordisk A/S, Basvaerd, Denmark
4 Discovery Management, Novo Nordisk A/S, Bagsvaerd, Denmark
5 Medical Department C, Aarhus University Hospital, Aarhus, Denmark
6 Department of Pharmacology Research IV, Novo Nordisk A/S, Maaloev, Denmark
* To whom correspondence should be addressed. E-mail: mmla{at}novonordisk.com.
At present, the best available estimators of beta-cell mass in humans are those based upon 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, since 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) Gottingen minipigs were studied. Beta-cell mass had been reduced (n=16 lean and n=5 obese) with a combination of nicotinamide (67mg/kg) and streptozotocin (125mg/kg), insulin response (AIR) to iv 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.
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R. P. Robertson Estimation of {beta}-Cell Mass by Metabolic Tests: Necessary, but How Sufficient? Diabetes, October 1, 2007; 56(10): 2420 - 2424. [Abstract] [Full Text] [PDF] |
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