Pancreatic β-cell neogenesis by direct conversion from mature α-cells

Stem Cells. 2010 Sep;28(9):1630-8. doi: 10.1002/stem.482.

Abstract

Because type 1 and type 2 diabetes are characterized by loss of β-cells, β-cell regeneration has garnered great interest as an approach to diabetes therapy. Here, we developed a new model of β-cell regeneration, combining pancreatic duct ligation (PDL) with elimination of pre-existing β-cells with alloxan. In this model, in which virtually all β-cells observed are neogenic, large numbers of β-cells were generated within 2 weeks. Strikingly, the neogenic β-cells arose primarily from α-cells. α-cell proliferation was prominent following PDL plus alloxan, providing a large pool of precursors, but we found that β-cells could form from α-cells by direct conversion with or without intervening cell division. Thus, classical asymmetric division was not a required feature of the process of α- to β-cell conversion. Intermediate cells coexpressing α-cell- and β-cell-specific markers appeared within the first week following PDL plus alloxan, declining gradually in number by 2 weeks as β-cells with a mature phenotype, as defined by lack of glucagon and expression of MafA, became predominant. In summary, these data revealed a novel function of α-cells as β-cell progenitors. The high efficiency and rapidity of this process make it attractive for performing the studies required to gain the mechanistic understanding of the process of α- to β-cell conversion that will be required for eventual clinical translation as a therapy for diabetes.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Age Factors
  • Animals
  • Biomarkers / metabolism
  • Cell Proliferation*
  • Cell Transdifferentiation*
  • Diabetes Mellitus, Experimental / metabolism
  • Diabetes Mellitus, Experimental / pathology*
  • Glucagon / metabolism
  • Glucagon-Secreting Cells / metabolism
  • Glucagon-Secreting Cells / pathology*
  • Insulin / metabolism
  • Insulin-Secreting Cells / metabolism
  • Insulin-Secreting Cells / pathology*
  • Lectins, C-Type / metabolism
  • Ligation
  • MafB Transcription Factor / metabolism
  • Membrane Glycoproteins / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Mice, Inbred ICR
  • Oncogene Proteins / metabolism
  • Pancreatic Ducts / surgery
  • Phenotype
  • Regeneration*
  • Time Factors

Substances

  • Biomarkers
  • Insulin
  • Klrg1 protein, rat
  • Lectins, C-Type
  • MafB Transcription Factor
  • Mafb protein, rat
  • Membrane Glycoproteins
  • Oncogene Proteins
  • Glucagon