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Am J Physiol Endocrinol Metab (January 21, 2009). doi:10.1152/ajpendo.90931.2008
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Submitted on November 19, 2008
Revised on January 16, 2009
Accepted on January 16, 2009

HIGH DOSES OF DEXAMETHASONE INDUCE INCREASED BETA-CELL PROLIFERATION IN PANCREATIC RAT ISLETS

Alex Rafacho1*, Tania Mari Cestari2, Sebastiao Roberto Taboga2, Antonio C. Boschero3, and Jose Roberto Bosqueiro2

1 State University of Campinas
2 Sao Paulo State University
3 Universidade Estadual de Campinas,UNICAMP

* To whom correspondence should be addressed. E-mail: rafacho{at}unicamp.br.

Activation of insulin signaling and cell cycle intermediates are required for adult beta-cell proliferation. Here, we report a model to study beta-cell proliferation in living rats by administering three different doses of dexamethasone (0.1, 0.5 and 1.0 mg/kg, ip.) (DEX 0.1, DEX 0.5 and DEX 1.0) for 5 days. Insulin sensitivity, insulin secretion and histomorphometric data were investigated. Western blotting was used to analyze the levels of proteins related to the control of beta-cell growth. DEX 1.0 rats, which present moderate hyperglycemia and marked hyperinsulinemia, exhibited a 5.1-fold increase in beta-cell proliferation and an increase (17%) in beta-cell size, with significant increase in beta-cell mass, compared to control (CTL) rats. The hyperinsulinemic but euglycemic DEX 0.5 rats also showed a significant 3.6-fold increase in beta-cell proliferation. However, DEX 0.1 rats, which exhibited the lowest degree of insulin resistance, compensate for insulin demand by improving only islet function. Activation of the IRS2/PI3K/AKT/p70S6K pathway, as well as pRb in islets from DEX 1.0 and DEX 0.5, but not in DEX 0.1, rats was also observed. Therefore, increasing doses of dexamethasone induce three different degrees of insulin requirement in living rats, serving as a model to investigate compensatory beta-cell alterations. Augmented beta-cell mass involves beta-cell hyperplasia and, to a lower extent, beta-cell hypertrophy. We suggest that alterations in circulating insulin and, to a lesser extent, glucose levels could be the major stimuli for beta-cell proliferation in the dexamethasone-induced insulin resistance.




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