Insulin receptor (IR)-deficient pups rapidly become hyperglycemic and hyperinsulinemic and die of diabetic ketoacidosis within a few days. Immunocytochemical analysis of the endocrine pancreas revealed that IR deficiency did not alter islet morphology or the number of -, ␣-, ␦-, and pancreatic polypeptide (PP) cells. The lack of IR did not result in major changes in the expression of islet hormone genes or of -cell-specific marker genes encoding pancreas duodenum homeobox-containing transcription factor-1 (PDX-1), glucokinase (GCK), and GLUT2, as shown by reverse transcriptase-polymerase chain reaction analysis. The serum glucagon levels in IR-deficient and nondiabetic littermates were comparable. Finally, total insulin content in the pancreas of IR-deficient pups was gradually depleted, indicating sustained insulin secretion, not compensated for by increased insulin biosynthesis. These findings are discussed in light of recent results suggesting a role of IR in -cell function. Diabetes 50 (Suppl. 1):S146-S149, 2001 S everal studies using transgenic and knockout mice have established that the development and function of pancreatic -cells are controlled by a number of genes encoding specific transcription factors such as pancreas duodenum homeobox-containing transcription factor-1 (PDX-1), hormones, growth factors such as IGF-I and IGF-II and their receptors, or proteins involved in glucose sensing such as glucokinase (GCK) and the glucose transporter GLUT2 (1,2).The biological effects of insulin are mediated by the insulin receptor (IR), a heterotetrameric (␣ 2  2 ) membrane tyrosine kinase. After insulin binding, the activated IR phosphorylates docking proteins such as insulin receptor substrate (IRS)-1 or IRS-2. These adaptor proteins subsequently recruit intracellular mediators, which in turn lead to the activation of various signaling pathways (3). Although muscle, liver, and fat tissue represent the major target tissues for the metabolic action of insulin, IR is thought to be present in most cells and its expression in the -cell has also been documented (4). Despite a number of in vivo studies of humans or animal models, the question as to whether IR expression in -cells has any functional significance has remained a matter of debate for several years. It has emerged from some recent work using purified -cells or -cell lines that insulin action through IR might play an important autocrine role in normal -cell function. This conclusion is based on the observations that insulin can stimulate insulin gene transcription as well as insulin secretion in -cells (5-7). It was further shown that the signaling pathways activated by IR that lead to the transcriptional upregulation of the insulin gene involve the IRS-2/phosphatidylinositol 3-kinase/p70 S6 kinase and the calcium/calmodulindependent protein (CaM) kinase cascades (5).We and others have previously reported that targeted disruption of the IR gene (Insr) in the mouse resulted in diabetic ketoacidosis and neonatal lethality (8,9). IR deficiency did...