2017
DOI: 10.1016/j.cell.2017.01.040
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Fasting-Mimicking Diet Promotes Ngn3-Driven β-Cell Regeneration to Reverse Diabetes

Abstract: Summary Stem cell-based therapies can potentially reverse organ dysfunction and diseases but the removal of impaired tissue and reactivation of the program leading to organ regeneration pose major challenges. In mice, a four-day fasting mimicking diet (FMD) induces a step-wise expression of Sox17 and Pdx-1, resembling that observed during pancreatic development, followed by Ngn3-driven generation of insulin-producing β-cells. FMD cycles restore insulin secretion and glucose homeostasis in both a type 2 and typ… Show more

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Cited by 282 publications
(258 citation statements)
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“…Our data revealed that Fcn significantly inhibited the mTOR pathway. Additionally, mTOR also plays an important role in controlling intracellular nutrition, and it could be inhibited during the nutrition depletion [31,32]. In the present study, we observed that Fcn caused a decrease in the ATP level, whereas the exogenous supplement of tricarboxylic acid cycle substrates partially antagonized Fcn-induced apoptosis and autophagy.…”
Section: Cellular Physiologysupporting
confidence: 51%
“…Our data revealed that Fcn significantly inhibited the mTOR pathway. Additionally, mTOR also plays an important role in controlling intracellular nutrition, and it could be inhibited during the nutrition depletion [31,32]. In the present study, we observed that Fcn caused a decrease in the ATP level, whereas the exogenous supplement of tricarboxylic acid cycle substrates partially antagonized Fcn-induced apoptosis and autophagy.…”
Section: Cellular Physiologysupporting
confidence: 51%
“…The mouse version of the FMD is a 4-day regimen based on the human FMD (Wei et al, 2017; Brandhorst et al, 2015) and has been previously detailed (Cheng et al, 2017). Briefly, a combination of flavored broth mixes, extra virgin olive oil (EVOO), essential fatty acids, vegetable powders (containing beet root, carrot root, collard leaf, kale leaf, nettle leaf, spinach leaf, tomato fruit, and mitake mushroom), vitamins, and minerals were thoroughly mixed and bound together with heated hydrogel (ClearH 2 0, Maine) on Day 1 of the diet.…”
Section: Star ★ Methodsmentioning
confidence: 99%
“…FMDs can reduce cancer incidence and aging-associated immunosuppression/immunosenescence, a process aided by hematopoietic stem-cell-based regeneration (Brandhorst et al, 2015; Cheng et al, 2014). Moreover, FMD cycles ameliorate or reverse disease progression in mouse models of multiple sclerosis (MS), and type I, and type II diabetes (Choi et al, 2016; Cheng et al, 2017). Recent studies also showed positive effects of a 24-hour fast on intestinal stem cell function in young and aged mice by a fatty acid oxidation pathway (Mihaylova et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…Nonetheless, sustained alterations in cardiac metabolism can lead to prolonged activation of mTOR with adverse consequences (reviewed in Sciarretta et al (180)). While unopposed stimulation of the LYNUS ( Ly sosomal Nu trient S ensing complex)-mTOR axis can provoke contractile dysfunction in cardiometabolic disease states (182, 198, 250), accumulating experimental evidence from our lab and others indicates that cyclic activation and inactivation of this pathway during periods of feeding and fasting may restore cellular homeostasis, in a manner that depends on intact autophagy and lysosomal function (72) (13, 119), Indeed, studies from C. elegans to humans support the notion that fasting strategies prolong lifespan, prevent life-threatening illnesses such as cancer, stimulate cellular regeneration and enhance the ability of organisms to endure subsequent stress (25, 39, 76, 88, 229, 240). In addition, markers of aging and senescence also appear to decrease in models of intermittent fasting (25).…”
Section: Introductionmentioning
confidence: 98%
“…Whether dietary strategies can prevent or even reverse cardiometabolic disease has profound implications for public health. In particular, strategies that emphasize fasting, or various regimens of abstinence from food, have emerged as a way to prevent or even reverse cardiometabolic disease (39, 72, 119, 205). …”
Section: Introductionmentioning
confidence: 99%