PMID- 22427375 OWN - NLM STAT- MEDLINE DCOM- 20120628 LR - 20211021 IS - 1939-327X (Electronic) IS - 0012-1797 (Print) IS - 0012-1797 (Linking) VI - 61 IP - 5 DP - 2012 May TI - Loss of HGF/c-Met signaling in pancreatic beta-cells leads to incomplete maternal beta-cell adaptation and gestational diabetes mellitus. PG - 1143-52 LID - 10.2337/db11-1154 [doi] AB - Hepatocyte growth factor (HGF) is a mitogen and insulinotropic agent for the beta-cell. However, whether HGF/c-Met has a role in maternal beta-cell adaptation during pregnancy is unknown. To address this issue, we characterized glucose and beta-cell homeostasis in pregnant mice lacking c-Met in the pancreas (PancMet KO mice). Circulating HGF and islet c-Met and HGF expression were increased in pregnant mice. Importantly, PancMet KO mice displayed decreased beta-cell replication and increased beta-cell apoptosis at gestational day (GD)15. The decreased beta-cell replication was associated with reductions in islet prolactin receptor levels, STAT5 nuclear localization and forkhead box M1 mRNA, and upregulation of p27. Furthermore, PancMet KO mouse beta-cells were more sensitive to dexamethasone-induced cytotoxicity, whereas HGF protected human beta-cells against dexamethasone in vitro. These detrimental alterations in beta-cell proliferation and death led to incomplete maternal beta-cell mass expansion in PancMet KO mice at GD19 and early postpartum periods. The decreased beta-cell mass was accompanied by increased blood glucose, decreased plasma insulin, and impaired glucose tolerance. PancMet KO mouse islets failed to upregulate GLUT2 and pancreatic duodenal homeobox-1 mRNA, insulin content, and glucose-stimulated insulin secretion during gestation. These studies indicate that HGF/c-Met signaling is essential for maternal beta-cell adaptation during pregnancy and that its absence/attenuation leads to gestational diabetes mellitus. FAU - Demirci, Cem AU - Demirci C AD - Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. FAU - Ernst, Sara AU - Ernst S FAU - Alvarez-Perez, Juan C AU - Alvarez-Perez JC FAU - Rosa, Taylor AU - Rosa T FAU - Valle, Shelley AU - Valle S FAU - Shridhar, Varsha AU - Shridhar V FAU - Casinelli, Gabriella P AU - Casinelli GP FAU - Alonso, Laura C AU - Alonso LC FAU - Vasavada, Rupangi C AU - Vasavada RC FAU - Garcia-Ocana, Adolfo AU - Garcia-Ocana A LA - eng GR - DK077096/DK/NIDDK NIH HHS/United States GR - DK067351/DK/NIDDK NIH HHS/United States GR - DK072264/DK/NIDDK NIH HHS/United States GR - T32DK07052-32/DK/NIDDK NIH HHS/United States GR - R01 DK078060/DK/NIDDK NIH HHS/United States GR - R01 DK072264/DK/NIDDK NIH HHS/United States GR - R01 DK067351/DK/NIDDK NIH HHS/United States GR - R01 DK077096/DK/NIDDK NIH HHS/United States GR - T32 DK007052/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20120316 PL - United States TA - Diabetes JT - Diabetes JID - 0372763 RN - 0 (Blood Glucose) RN - 0 (Insulin) RN - 0 (Receptors, Prolactin) RN - 67256-21-7 (Hepatocyte Growth Factor) RN - EC 2.7.10.1 (Proto-Oncogene Proteins c-met) SB - IM MH - Adaptation, Physiological MH - Animals MH - Blood Glucose/physiology MH - Cell Death MH - Cell Proliferation MH - Diabetes, Gestational/*etiology/metabolism MH - Female MH - Gene Expression Regulation/physiology MH - Hepatocyte Growth Factor/genetics/*metabolism MH - Homeostasis MH - Insulin/blood MH - Insulin-Secreting Cells/cytology/*physiology MH - Mice MH - Mice, Knockout MH - Pregnancy MH - Proto-Oncogene Proteins c-met/genetics/*metabolism MH - Real-Time Polymerase Chain Reaction MH - Receptors, Prolactin/genetics/metabolism MH - Signal Transduction PMC - PMC3331762 EDAT- 2012/03/20 06:00 MHDA- 2012/06/29 06:00 PMCR- 2013/05/01 CRDT- 2012/03/20 06:00 PHST- 2012/03/20 06:00 [entrez] PHST- 2012/03/20 06:00 [pubmed] PHST- 2012/06/29 06:00 [medline] PHST- 2013/05/01 00:00 [pmc-release] AID - db11-1154 [pii] AID - 1154 [pii] AID - 10.2337/db11-1154 [doi] PST - ppublish SO - Diabetes. 2012 May;61(5):1143-52. doi: 10.2337/db11-1154. Epub 2012 Mar 16.