Recovery from diabetes in mice by β cell regeneration
J. Clin. Invest. Tomer Nir, et al. 117:2553 doi:10.1172/JCI32959 [
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Figure 2Ablation and regeneration of β cells. (
A–
C) Morphology of islets. Wild-type (
A) and transgenic islets in the absence of doxycycline (Figure
1B) showed the typical organization of central β cells and peripheral α cells. Islets from 5-week-old transgenic mice treated with doxycycline for 7 days (i.e., from 4 weeks of age) showed a decrease in the abundance of β cells and a mixed-islet phenotype with multiple non-β cells at the center (
B). Twenty-three weeks after the withdrawal of doxycycline (about 28 weeks of age), transgenic islets had a near-perfect architecture (
C). Scale bars: 10 μm. (
D–
F) Morphometric assessment of β cell mass (
D), β cell mass normalized to body weight (
E), and the fraction of pancreas tissue area covered by β cells (
F) in 5- and 28-week-old mice that received doxycycline between weeks 4 and 5 (
n = 5–11 per group). Note a significant spontaneous normalization of β cell mass in transgenic mice relative to wild-type littermates undergoing the same treatment. **
P < 0.01. (
G) Pancreatic insulin content in 5- and 28-week-old mice that received doxycycline between weeks 4 and 5 (
n > 3 per group). Values are mean ± SD. (
H) Fed blood glucose levels following doxycycline withdrawal in mice treated with doxycycline between 4 and 5 weeks. (
I) Glucose tolerance following long-term (>8 months) recovery from diabetes. Some transgenic mice regained not only normal fed and fasting blood glucose levels, but also normal glucose tolerance.