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Publication : Converting Adult Pancreatic Islet α Cells into β Cells by Targeting Both Dnmt1 and Arx.

First Author  Chakravarthy H Year  2017
Journal  Cell Metab Volume  25
Issue  3 Pages  622-634
PubMed ID  28215845 Mgi Jnum  J:251955
Mgi Id  MGI:6106991 Doi  10.1016/j.cmet.2017.01.009
Citation  Chakravarthy H, et al. (2017) Converting Adult Pancreatic Islet alpha Cells into beta Cells by Targeting Both Dnmt1 and Arx. Cell Metab 25(3):622-634
abstractText  Insulin-producing pancreatic beta cells in mice can slowly regenerate from glucagon-producing alpha cells in settings like beta cell loss, but the basis of this conversion is unknown. Moreover, it remains unclear if this intra-islet cell conversion is relevant to diseases like type 1 diabetes (T1D). We show that the alpha cell regulators Aristaless-related homeobox (Arx) and DNA methyltransferase 1 (Dnmt1) maintain alpha cell identity in mice. Within 3 months of Dnmt1 and Arx loss, lineage tracing and single-cell RNA sequencing revealed extensive alpha cell conversion into progeny resembling native beta cells. Physiological studies demonstrated that converted alpha cells acquire hallmark beta cell electrophysiology and show glucose-stimulated insulin secretion. In T1D patients, subsets of glucagon-expressing cells show loss of DNMT1 and ARX and produce insulin and other beta cell factors, suggesting that DNMT1 and ARX maintain alpha cell identity in humans. Our work reveals pathways regulated by Arx and Dnmt1 that are sufficient for achieving targeted generation of beta cells from adult pancreatic alpha cells.
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