PMID- 25387052 OWN - NLM STAT- MEDLINE DCOM- 20160324 LR - 20181113 IS - 1944-9917 (Electronic) IS - 0888-8809 (Print) IS - 0888-8809 (Linking) VI - 29 IP - 1 DP - 2015 Jan TI - Increasing beta-cell mass requires additional stimulation for adaptation to secretory demand. PG - 108-20 LID - 10.1210/me.2014-1265 [doi] AB - Type 2 diabetes mellitus (T2DM) is caused by relative insulin deficiency, subsequent to both reduced beta-cell mass and insufficient insulin secretion, and both augmenting beta-cell mass and beta-cell function are therapeutic strategies for treating T2DM. However, the relative significance of increasing beta-cell mass vs improving beta-cell stimulus secretion coupling remains unclear. We have developed a mouse model that allows proliferation of beta-cells in adult mice without affecting beta-cell function by inducible expression of the positive cell cycle regulator cyclin A2 specifically in beta-cells. In these mice, when kept on a standard diet, doubling of beta-cell mass does not result in altered glucose tolerance or glucose-stimulated circulating insulin levels. Notably, a doubling of beta-cell mass also does not confer improved glycemic control and ability of beta-cells to respond to diabetogenic high-fat diet-induced glucose intolerance. However, in high-fat diet-exposed mice, an increase in endogenous beta-cell mass confers increased potentiation of in vivo glucose-stimulated rise in circulating insulin in response to acute pharmacologic treatment with the incretin glucagon-like peptide-1 receptor agonist exendin-4. These observations indicate that increasing endogenous beta-cell mass may not be sufficient to improve glycemic control in T2DM without additional strategies to increase beta-cell stimulus secretion coupling. FAU - Mondal, Prosenjit AU - Mondal P AD - Departments of Medicine (M.A.H.), Pediatrics (P.M., W.-J.S., Y.L., K.S.Y., M.A.H.), and Biological Chemistry (M.A.H.), Johns Hopkins University, Baltimore, Maryland 21287. FAU - Song, Woo-Jin AU - Song WJ FAU - Li, Yuanyuan AU - Li Y FAU - Yang, Kil S AU - Yang KS FAU - Hussain, Mehboob A AU - Hussain MA LA - eng GR - P30 DK079637/DK/NIDDK NIH HHS/United States GR - P60 DK079637/DK/NIDDK NIH HHS/United States GR - R01 DK081472/DK/NIDDK NIH HHS/United States GR - R01 DK101591/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PL - United States TA - Mol Endocrinol JT - Molecular endocrinology (Baltimore, Md.) JID - 8801431 RN - 0 (CCNA2 protein, mouse) RN - 0 (Cyclin A2) RN - 0 (Glp1r protein, mouse) RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Insulin) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Animals MH - Cell Count MH - Cell Proliferation MH - Cyclin A2/biosynthesis/genetics MH - Diabetes Mellitus, Type 2/*metabolism MH - Diet, High-Fat MH - Glucagon-Like Peptide-1 Receptor/metabolism MH - Glucose/*metabolism MH - Glucose Intolerance/metabolism MH - Glucose Tolerance Test MH - Insulin/*deficiency MH - Insulin-Secreting Cells/*metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Transgenic MH - Pancreas/cytology/metabolism PMC - PMC4280528 EDAT- 2014/11/12 06:00 MHDA- 2016/03/25 06:00 PMCR- 2016/01/01 CRDT- 2014/11/12 06:00 PHST- 2014/11/12 06:00 [entrez] PHST- 2014/11/12 06:00 [pubmed] PHST- 2016/03/25 06:00 [medline] PHST- 2016/01/01 00:00 [pmc-release] AID - ME-14-1265 [pii] AID - 10.1210/me.2014-1265 [doi] PST - ppublish SO - Mol Endocrinol. 2015 Jan;29(1):108-20. doi: 10.1210/me.2014-1265.