Generation of functional insulin-producing cells in the gut by Foxo1 ablation

C Talchai, S Xuan, T Kitamura, RA DePinho, D Accili - Nature genetics, 2012 - nature.com
C Talchai, S Xuan, T Kitamura, RA DePinho, D Accili
Nature genetics, 2012nature.com
Restoration of regulated insulin secretion is the ultimate goal of therapy for type 1 diabetes.
Here, we show that, unexpectedly, somatic ablation of Foxo1 in Neurog3+ enteroendocrine
progenitor cells gives rise to gut insulin-positive (Ins+) cells that express markers of mature β
cells and secrete bioactive insulin as well as C-peptide in response to glucose and
sulfonylureas. Lineage tracing experiments showed that gut Ins+ cells arise cell
autonomously from Foxo1-deficient cells. Inducible Foxo1 ablation in adult mice also …
Abstract
Restoration of regulated insulin secretion is the ultimate goal of therapy for type 1 diabetes. Here, we show that, unexpectedly, somatic ablation of Foxo1 in Neurog3+ enteroendocrine progenitor cells gives rise to gut insulin-positive (Ins+) cells that express markers of mature β cells and secrete bioactive insulin as well as C-peptide in response to glucose and sulfonylureas. Lineage tracing experiments showed that gut Ins+ cells arise cell autonomously from Foxo1-deficient cells. Inducible Foxo1 ablation in adult mice also resulted in the generation of gut Ins+ cells. Following ablation by the β-cell toxin streptozotocin, gut Ins+ cells regenerate and produce insulin, reversing hyperglycemia in mice. The data indicate that Neurog3+ enteroendocrine progenitors require active Foxo1 to prevent differentiation into Ins+ cells. Foxo1 ablation in gut epithelium may provide an approach to restore insulin production in type 1 diabetes.
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