Profound defects in pancreatic β-cell function in mice with combined heterozygous mutations in Pdx-1, Hnf-1α, and Hnf-3β

DQ Shih, M Heimesaat, S Kuwajima… - Proceedings of the …, 2002 - National Acad Sciences
DQ Shih, M Heimesaat, S Kuwajima, R Stein, CVE Wright, M Stoffel
Proceedings of the National Academy of Sciences, 2002National Acad Sciences
Defects in pancreatic β-cell function contribute to the development of type 2 diabetes, a
polygenic disease that is characterized by insulin resistance and compromised insulin
secretion. Hepatocyte nuclear factors (HNFs)-1α,-3β,-4α, and Pdx-1 contribute in the
complex transcriptional circuits within the pancreas that are involved in β-cell development
and function. In mice, a heterozygous mutation in Pdx-1 alone, but not Hnf-1 α+/−, Hnf-3
β+/−, or Hnf-4 α+/−, causes impaired glucose-stimulated insulin secretion in mice. To …
Defects in pancreatic β-cell function contribute to the development of type 2 diabetes, a polygenic disease that is characterized by insulin resistance and compromised insulin secretion. Hepatocyte nuclear factors (HNFs) -1α, -3β, -4α, and Pdx-1 contribute in the complex transcriptional circuits within the pancreas that are involved in β-cell development and function. In mice, a heterozygous mutation in Pdx-1 alone, but not Hnf-1α+/−, Hnf-3β+/−, or Hnf-4α+/−, causes impaired glucose-stimulated insulin secretion in mice. To investigate the possible functional relationships between these transcription factors on β-cell activity in vivo, we generated mice with the following combined heterozygous mutations: Pdx-1+/−/Hnf-1α+/−, Pdx-1+/−/Hnf-3β+/−, Pdx-1+/−/Hnf-4α+/−, Hnf-1α+/−/Hnf-4α+/−, and Hnf-3β+/−/Hnf-4α+/−. The greatest loss in function was in combined heterozygous null alleles of Pdx-1 and Hnf-1α (Pdx-1+/−/Hnf-1α+/−), or Pdx-1 and Hnf-3β (Pdx-1+/−/Hnf-3β+/−). Both double mutants develop progressively impaired glucose tolerance and acquire a compromised first- and second-phase insulin secretion profile in response to glucose compared with Pdx-1+/− mice alone. The loss in β-cell function in Pdx-1+/−/Hnf-3β+/− mice was associated with decreased expression of Nkx-6.1, glucokinase (Gck), aldolase B (aldo-B), and insulin, whereas Nkx2.2, Nkx-6.1, Glut-2, Gck, aldo-B, the liver isoform of pyruvate kinase, and insulin expression was reduced in Pdx-1+/−/Hnf-1α+/− mice. The islet cell architecture was also abnormal in Pdx-1+/−/Hnf-3β+/− and Pdx-1+/−/Hnf-1α+/− mice, with glucagon-expressing cells scattered throughout the islet, a defect that may be connected to decreased E-cadherin expression. Our data suggest that functional interactions between key islet regulatory factors play an important role in maintaining islet architecture and β-cell function. These studies also established polygenic mouse models for investigating the mechanisms contributing to β-cell dysfunction in diabetes.
National Acad Sciences