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Publication : Growth factors and medium hyperglycemia induce Sox9+ ductal cell differentiation into β cells in mice with reversal of diabetes.

First Author  Zhang M Year  2016
Journal  Proc Natl Acad Sci U S A Volume  113
Issue  3 Pages  650-5
PubMed ID  26733677 Mgi Jnum  J:229942
Mgi Id  MGI:5754920 Doi  10.1073/pnas.1524200113
Citation  Zhang M, et al. (2016) Growth factors and medium hyperglycemia induce Sox9+ ductal cell differentiation into beta cells in mice with reversal of diabetes. Proc Natl Acad Sci U S A 113(3):650-5
abstractText  We previously reported that long-term administration of a low dose of gastrin and epidermal growth factor (GE) augments beta-cell neogenesis in late-stage diabetic autoimmune mice after eliminating insulitis by induction of mixed chimerism. However, the source of beta-cell neogenesis is still unknown. SRY (sex-determining region Y)-box 9(+) (Sox9(+)) ductal cells in the adult pancreas are clonogenic and can give rise to insulin-producing beta cells in an in vitro culture. Whether Sox9(+) ductal cells in the adult pancreas can give rise to beta cells in vivo remains controversial. Here, using lineage-tracing with genetic labeling of Insulin- or Sox9-expressing cells, we show that hyperglycemia (>300 mg/dL) is required for inducing Sox9(+) ductal cell differentiation into insulin-producing beta cells, and medium hyperglycemia (300-450 mg/dL) in combination with long-term administration of low-dose GE synergistically augments differentiation and is associated with normalization of blood glucose in nonautoimmune diabetic C57BL/6 mice. Short-term administration of high-dose GE cannot augment differentiation, although it can augment preexisting beta-cell replication. These results indicate that medium hyperglycemia combined with long-term administration of low-dose GE represents one way to induce Sox9(+) ductal cell differentiation into beta cells in adult mice.
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