Current endeavors in the type 2 diabetes (T2D) field include gaining a better understanding of extracellular signaling pathways that regulate pancreatic islet function. Recent data suggest that both Bmp and Wnt pathways are operative in pancreatic islets and play a positive role in insulin secretion and glucose homeostasis. Our laboratory found the dual Bmp and Wnt antagonist Sostdc1 to be upregulated in a mouse model of islet dysmorphogenesis and nonimmune-mediated lean diabetes. Because Bmp signaling has been proposed to enhance -cell function, we evaluated the role of Sostdc1 in adult islet function using animals in which Sostdc1 was globally deleted. While Sostdc1-null animals exhibited no pancreas development phenotype, a subset of mutants exhibited enhanced insulin secretion and improved glucose homeostasis compared with control animals after 12-wk exposure to high-fat diet. Loss of Sostdc1 in the setting of metabolic stress results in altered expression of Bmp-responsive genes in islets but did not affect expression of Wnt target genes, suggesting that Sostdc1 primarily regulates the Bmp pathway in the murine pancreas. Furthermore, our data indicate that removal of Sostdc1 enhances the downregulation of the closely related Bmp inhibitors Ctgf and Gremlin in islets after 8-wk exposure to high-fat diet. These data imply that Sostdc1 regulates expression of these inhibitors and provide a means by which Sostdc1-null animals show enhanced insulin secretion and glucose homeostasis. Our studies provide insights into Bmp pathway regulation in the endocrine pancreas and reveal new avenues for improving -cell function under metabolic stress. type 2 diabetes; -cell function; sclerostin domain-containing 1; Bmp; Wnt TYPE 2 DIABETES (T2D) results from a loss of insulin sensitivity in the peripheral tissues and a decline in functional pancreatic -cell mass. The -cells of the pancreas secrete insulin in response to subtle changes in blood glucose and, along with other islet endocrine cells, are responsible for maintaining glucose homeostasis within the organism. Typically, treatments for T2D target one area of impaired glucose homeostasis, such as improving insulin sensitivity in peripheral tissues, decreasing hepatic glucose output, or increasing insulin secretion. For example, sulfonylureas, insulin secretagogues that act at the level of the voltage-gated potassium (K ATP ) channel on -cells, initially improve glycemia by increasing insulin secretion.However, over time sulfonylureas lose efficacy and -cells become exhausted; eventually patients require supplemental treatments to maintain glucose homeostasis before exogenous insulin therapy is required (6).Recently, extracellular modulation of pancreatic islet function has become an area of study that is especially promising to the development of novel T2D therapeutics that improve more than one area of glucose homeostasis. Increasing evidence suggests that manipulation of bone morphogenetic protein (Bmp) and Wingless-type MMTV integration site family (Wnt) sign...
Summary Pdx1 and Oc1 are co-expressed in multipotent pancreatic progenitors and regulate the pro-endocrine gene Neurog3. Their expression diverges in later organogenesis, with Oc1 absent from hormone+ cells and Pdx1 maintained in mature β cells. In a classical genetic test for cooperative functional interactions, we derived mice with combined Pdx1 and Oc1 heterozygosity. Endocrine development in double-heterozygous pancreata was normal at embryonic day (e)13.5, but defects in specification and differentiation were apparent at e15.5, the height of the second wave of differentiation. Pancreata from double heterozygotes showed alterations in the expression of genes crucial for β-cell development and function, decreased numbers and altered allocation of Neurog3-expressing endocrine progenitors, and defective endocrine differentiation. Defects in islet gene expression and β-cell function persisted in double heterozygous neonates. These results suggest that Oc1 and Pdx1 cooperate prior to their divergence, in pancreatic progenitors, to allow for proper differentiation and functional maturation of β cells.
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