PMID- 22405036 OWN - NLM STAT- MEDLINE DCOM- 20130501 LR - 20181202 IS - 1555-3892 (Electronic) IS - 0963-6897 (Linking) VI - 21 IP - 6 DP - 2012 TI - Exendin-4 increases the expression of hypoxia-inducible factor-1alpha in rat islets and preserves the endocrine cell volume of both free and macroencapsulated islet grafts. PG - 1269-83 LID - 10.3727/096368911X627408 [doi] AB - In this study, we evaluated the effects of exendin-4 on free and encapsulated islet grafts in a rodent model. We also investigated the role of a transcription factor, hypoxia-inducible factor-1 (HIF-1), in mediating the beneficial effects of exendin-4. Diabetic athymic mice were transplanted with free rat islets under the kidney capsule or with macroencapsulated rat islets SC with or without exendin-4, islet preculture (exendin-4 0.1 nM for 20 h), and/or recipient treatment (IP 100 ng/day, day 0-7). The mice were followed for 4 weeks and the graft function and beta-cell volume were evaluated. The effects of exendin-4 on islet HIF-1alpha mRNA and protein expression and on ATP content in a rat insulinoma cell line (INS-1E) were also examined. Preculture with exendin-4 followed by recipient treatment improved the outcome of both free (73% graft function vs. 26% in controls, p = 0.03) and macroencapsulated islet grafts (100% vs. 25% in controls, p = 0.02). In macroencapsulated grafts, the exendin-4-treated group had significantly larger endocrine volume, less graft necrosis, and more blood vessels around the capsule. In rat islets cultured with exendin-4, HIF-1alpha mRNA and protein expression were significantly enhanced. ATP content was increased in exendin-4-treated INS-1E cells under hypoxic conditions. The improved functional outcome after transplantation of a marginal islet mass with a brief initial treatment with exendin-4 is related to a larger surviving endocrine cell volume. Exendin-4 may improve islet graft resistance to hypoxia during the peritransplant period by increasing the expression of HIF-1alpha. FAU - Jia, Xiaohui AU - Jia X AD - CLINTEC, Division of Transplantation Surgery, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden. FAU - Sharma, Amit AU - Sharma A FAU - Kumagai-Braesch, Makiko AU - Kumagai-Braesch M FAU - Wernerson, Annika M AU - Wernerson AM FAU - Sorenby, Anne K AU - Sorenby AK FAU - Yamamoto, Shinji AU - Yamamoto S FAU - Wang, Feng AU - Wang F FAU - Tibell, Annika B AU - Tibell AB LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120308 PL - United States TA - Cell Transplant JT - Cell transplantation JID - 9208854 RN - 0 (Homeodomain Proteins) RN - 0 (Hypoglycemic Agents) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (Insulin) RN - 0 (Peptides) RN - 0 (Proto-Oncogene Proteins c-bcl-2) RN - 0 (Trans-Activators) RN - 0 (Venoms) RN - 0 (pancreatic and duodenal homeobox 1 protein) RN - 8L70Q75FXE (Adenosine Triphosphate) RN - 9P1872D4OL (Exenatide) RN - EC 3.4.22.- (Caspase 3) SB - IM MH - Adenosine Triphosphate/metabolism MH - Animals MH - Caspase 3/metabolism MH - Cell Hypoxia MH - Cell Line, Tumor MH - Cell Size/drug effects MH - Diabetes Mellitus, Experimental/metabolism/pathology/therapy MH - Endocrine System/*anatomy & histology MH - Exenatide MH - Homeodomain Proteins/metabolism MH - Hypoglycemic Agents/*pharmacology MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/*metabolism MH - Insulin/metabolism MH - Islets of Langerhans/cytology/*drug effects/metabolism MH - Islets of Langerhans Transplantation MH - Male MH - Peptides/*pharmacology MH - Proto-Oncogene Proteins c-bcl-2/metabolism MH - Rats MH - Rats, Sprague-Dawley MH - Trans-Activators/metabolism MH - Venoms/*pharmacology EDAT- 2012/03/13 06:00 MHDA- 2013/05/02 06:00 CRDT- 2012/03/13 06:00 PHST- 2012/03/13 06:00 [entrez] PHST- 2012/03/13 06:00 [pubmed] PHST- 2013/05/02 06:00 [medline] AID - ct0283jia [pii] AID - 10.3727/096368911X627408 [doi] PST - ppublish SO - Cell Transplant. 2012;21(6):1269-83. doi: 10.3727/096368911X627408. Epub 2012 Mar 8.