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Embryonic endocrine pancreas and mature β cells acquire α and PP cell phenotypes upon Arx misexpression
Patrick Collombat, Jacob Hecksher-Sørensen, Jens Krull, Joachim Berger, Dietmar Riedel, Pedro L. Herrera, Palle Serup, Ahmed Mansouri
Patrick Collombat, Jacob Hecksher-Sørensen, Jens Krull, Joachim Berger, Dietmar Riedel, Pedro L. Herrera, Palle Serup, Ahmed Mansouri
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Research Article

Embryonic endocrine pancreas and mature β cells acquire α and PP cell phenotypes upon Arx misexpression

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Abstract

Aristaless-related homeobox (Arx) was recently demonstrated to be involved in pancreatic α cell fate specification while simultaneously repressing the β and δ cell lineages. To establish whether Arx is not only necessary, but also sufficient to instruct the α cell fate in endocrine progenitors, we used a gain-of-function approach to generate mice conditionally misexpressing this factor. Mice with forced Arx expression in the embryonic pancreas or in developing islet cells developed a dramatic hyperglycemia and eventually died. Further analysis demonstrated a drastic loss of β and δ cells. Concurrently, a remarkable increase in the number of cells displaying α cell or, strikingly, pancreatic polypeptide (PP) cell features was observed. Notably, the ectopic expression of Arx induced in embryonic or adult β cells led to a loss of the β cell phenotype and a concomitant increase in a number of cells with α or PP cell characteristics. Combining quantitative real-time PCR and lineage-tracing experiments, we demonstrate that, in adult mice, the misexpression of Arx, rather than its overexpression, promotes a conversion of β cells into glucagon- or PP-producing cells in vivo. These results provide important insights into the complex mechanisms underlying proper pancreatic endocrine cell allocation and cell identity acquisition.

Authors

Patrick Collombat, Jacob Hecksher-Sørensen, Jens Krull, Joachim Berger, Dietmar Riedel, Pedro L. Herrera, Palle Serup, Ahmed Mansouri

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Figure 3

Quantification of the phenotypic alterations in hormone-producing cell contents following the targeted misexpression of Arx.

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Quantification of the phenotypic alterations in hormone-producing cell c...
Six-week-old independent pancreata estimated to be of the same size were serially sectioned, every tenth section was stained as indicated, and the numbers of positive cells were counted and reported to the total islet cell content (estimated on adjacent sections with the use of a mixture of antibodies raised against the different endocrine hormones). Data are shown as the percentage ± SEM of hormone-positive cells contributing to the total endocrine population. On average, the misexpression of Arx during early pancreas genesis promotes a dramatic loss of β and δ cells, whereas the contents in glucagon- and PP-labeled cells are proportionally increased. *P < 0.05, **P < 0.01, ***P < 0.001. n ≥ 8.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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