Document Detail


Glucose stimulates human beta cell replication in vivo in islets transplanted into NOD-severe combined immunodeficiency (SCID) mice.
MedLine Citation:
PMID:  20936253     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS/HYPOTHESIS: We determined whether hyperglycaemia stimulates human beta cell replication in vivo in an islet transplant model
METHODS: Human islets were transplanted into streptozotocin-induced diabetic NOD-severe combined immunodeficiency mice. Blood glucose was measured serially during a 2 week graft revascularisation period. Engrafted mice were then catheterised in the femoral artery and vein, and infused intravenously with BrdU for 4 days to label replicating beta cells. Mice with restored normoglycaemia were co-infused with either 0.9% (wt/vol.) saline or 50% (wt/vol.) glucose to generate glycaemic differences among grafts from the same donors. During infusions, blood glucose was measured daily. After infusion, human beta cell replication and apoptosis were measured in graft sections using immunofluorescence for insulin, and BrdU or TUNEL.
RESULTS: Human islet grafts corrected diabetes in the majority of cases. Among grafts from the same donor, human beta cell proliferation doubled in those exposed to higher glucose relative to lower glucose. Across the entire cohort of grafts, higher blood glucose was strongly correlated with increased beta cell replication. Beta cell replication rates were unrelated to circulating human insulin levels or donor age, but tended to correlate with donor BMI. Beta cell TUNEL reactivity was not measurably increased in grafts exposed to elevated blood glucose.
CONCLUSIONS/INTERPRETATION: Glucose is a mitogenic stimulus for transplanted human beta cells in vivo. Investigating the underlying pathways may point to mechanisms capable of expanding human beta cell mass in vivo.
Authors:
H E Levitt; T J Cyphert; J L Pascoe; D A Hollern; N Abraham; R J Lundell; T Rosa; L C Romano; B Zou; C P O'Donnell; A F Stewart; A Garcia-Ocaña; L C Alonso
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2010-10-09
Journal Detail:
Title:  Diabetologia     Volume:  54     ISSN:  1432-0428     ISO Abbreviation:  Diabetologia     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-07     Completed Date:  2011-05-25     Revised Date:  2012-04-03    
Medline Journal Info:
Nlm Unique ID:  0006777     Medline TA:  Diabetologia     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  572-82     Citation Subset:  IM    
Affiliation:
Division of Endocrinology and Metabolism, University of Pittsburgh School of Medicine, 200 Lothrop St, BST E1140, Pittsburgh, PA 15261, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Animals
Apoptosis / physiology
Blood Glucose / physiology
Cell Proliferation
Child
Female
Humans
Hyperglycemia / therapy
In Situ Nick-End Labeling
Insulin-Secreting Cells / cytology*
Islets of Langerhans Transplantation*
Male
Mice
Mice, Inbred NOD
Mice, SCID
Middle Aged
Grant Support
ID/Acronym/Agency:
K08 DK076562/DK/NIDDK NIH HHS; K08 DK076562-05/DK/NIDDK NIH HHS; R01 DK077096/DK/NIDDK NIH HHS; R01 DK077096-05/DK/NIDDK NIH HHS; R01 DK55023/DK/NIDDK NIH HHS; R01 HL063767/HL/NHLBI NIH HHS; U01 DK072473/DK/NIDDK NIH HHS
Chemical
Reg. No./Substance:
0/Blood Glucose
Comments/Corrections
Comment In:
Diabetologia. 2011 Mar;54(3):477-9   [PMID:  21174074 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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