PMID- 17665159 OWN - NLM STAT- MEDLINE DCOM- 20090511 LR - 20181113 IS - 1432-1440 (Electronic) IS - 0946-2716 (Linking) VI - 86 IP - 1 DP - 2008 Jan TI - VMAT2 gene expression and function as it applies to imaging beta-cell mass. PG - 5-16 AB - Diabetes mellitus is a metabolic disorder characterized by hyperglycemia. The two main forms of the disease are distinguished by different pathogenesis, natural histories, and population distributions and indicated as either type 1 (T1DM) or type 2 diabetes mellitus (T2DM). It is well established that T1DM is an autoimmune disease whereby beta-cells of pancreatic islets are destroyed leading to loss of endogenous insulin production. Albeit less dramatic, beta-cell mass (BCM) also drops in T2DM. Therefore, it is realistic to expect that noninvasive measures of BCM might provide useful information in the diabetes-care field. Preclinical studies have demonstrated that BCM measurements by positron emission tomography scanning, using the vesicular monoamine transporter type 2 (VMAT2) as a tissue-specific surrogate marker of insulin production and [11C] Dihydrotetrabenazine (DTBZ) as the radioligand specific for this molecule, is feasible in animal models. Unfortunately, the mechanisms underlying beta-cell-specific expression of VMAT2 are still largely unexplored, and a much better understanding of the regulation of VMAT2 gene expression and of its function in beta-cells will be required before the full utility of this technique in the prediction and treatment of individuals with diabetes can be understood. In this review, we summarize much of what is understood about the regulation of VMAT2 and identify questions whose answers may help in understanding what measurements of VMAT2 density mean in the context of diabetes. FAU - Harris, Paul E AU - Harris PE AD - Institute of Genetics and Biophysics Adriano Buzzati-Traverso, CNR, Naples, Italy. peh1@columbia.edu FAU - Ferrara, Caterina AU - Ferrara C FAU - Barba, Pasquale AU - Barba P FAU - Polito, Teresa AU - Polito T FAU - Freeby, Matthew AU - Freeby M FAU - Maffei, Antonella AU - Maffei A LA - eng GR - R01 DK063567/DK/NIDDK NIH HHS/United States GR - R01 DK077493/DK/NIDDK NIH HHS/United States GR - 1R01-DK077493-01/DK/NIDDK NIH HHS/United States GR - 2 R01 DK63567-03/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20070731 PL - Germany TA - J Mol Med (Berl) JT - Journal of molecular medicine (Berlin, Germany) JID - 9504370 RN - 0 (Vesicular Monoamine Transport Proteins) SB - IM MH - Diabetes Mellitus/pathology MH - Gene Expression Regulation MH - Humans MH - Insulin-Secreting Cells/*chemistry/pathology MH - Vesicular Monoamine Transport Proteins/*genetics RF - 131 EDAT- 2007/08/01 09:00 MHDA- 2009/05/12 09:00 CRDT- 2007/08/01 09:00 PHST- 2007/04/06 00:00 [received] PHST- 2007/06/27 00:00 [accepted] PHST- 2007/06/06 00:00 [revised] PHST- 2007/08/01 09:00 [pubmed] PHST- 2009/05/12 09:00 [medline] PHST- 2007/08/01 09:00 [entrez] AID - 10.1007/s00109-007-0242-x [doi] PST - ppublish SO - J Mol Med (Berl). 2008 Jan;86(1):5-16. doi: 10.1007/s00109-007-0242-x. Epub 2007 Jul 31.