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Publication : The inactivation of Arx in pancreatic α-cells triggers their neogenesis and conversion into functional β-like cells.

First Author  Courtney M Year  2013
Journal  PLoS Genet Volume  9
Issue  10 Pages  e1003934
PubMed ID  24204325 Mgi Jnum  J:205133
Mgi Id  MGI:5544141 Doi  10.1371/journal.pgen.1003934
Citation  Courtney M, et al. (2013) The inactivation of Arx in pancreatic alpha-cells triggers their neogenesis and conversion into functional beta-like cells. PLoS Genet 9(10):e1003934
abstractText  Recently, it was demonstrated that pancreatic new-born glucagon-producing cells can regenerate and convert into insulin-producing beta-like cells through the ectopic expression of a single gene, Pax4. Here, combining conditional loss-of-function and lineage tracing approaches, we show that the selective inhibition of the Arx gene in alpha-cells is sufficient to promote the conversion of adult alpha-cells into beta-like cells at any age. Interestingly, this conversion induces the continuous mobilization of duct-lining precursor cells to adopt an endocrine cell fate, the glucagon(+) cells thereby generated being subsequently converted into beta-like cells upon Arx inhibition. Of interest, through the generation and analysis of Arx and Pax4 conditional double-mutants, we provide evidence that Pax4 is dispensable for these regeneration processes, indicating that Arx represents the main trigger of alpha-cell-mediated beta-like cell neogenesis. Importantly, the loss of Arx in alpha-cells is sufficient to regenerate a functional beta-cell mass and thereby reverse diabetes following toxin-induced beta-cell depletion. Our data therefore suggest that strategies aiming at inhibiting the expression of Arx, or its molecular targets/co-factors, may pave new avenues for the treatment of diabetes.
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