β-cell dedifferentiation has been accounted as one of the major mechanisms for β-cell failure; thus, is a cause to diabetes. We study direct impacts of liraglutide treatment on
ex vivo
human dedifferentiated islets, and its effects on genes important in endocrine function, progenitor states, and epithelial mesenchymal transition (EMT). Human islets from non-diabetic donors, were purified and incubated until day 1 and day 4, and were determined insulin contents, numbers of insulin (INS
+
) and glucagon (GCG
+
) cells. The islets from day 3 to day 7 were treated with diabetic drugs, the long acting GLP-1 receptor agonist, liraglutide. As observed in pancreatic islets of type 2 diabetic patients,
ex vivo
dedifferentiated islets showed more than 50% reduced insulin contents while number of glucagon increased from 10% to about 20%. β-cell specific genes:
PDX1
,
MAFA
, as well as β-cell functional markers:
GLUT1 and SUR1,
were significantly depleted more than 40%. Notably, we found increased levels of glucagon regulator,
ARX
and pre-glucagon transcripts, and remarkably upregulated progenitor expressions:
NEUROG3
and
ALDH1A
identified as β-cell dysfunction markers in diabetic models. Hyperglucagonemia was often observed in type 2 patients that could lead to over production of gluconeogenesis by the liver. Liraglutide treatments resulted in decreased number of GCG
+
cells, increased numbers of GLP-1 positive cells but did not alter elevated levels of EMT marker genes:
ACTA2, CDH-2, SNAIL2,
and
VIM
. These effects of liraglutide were blunted when
FOXO1
transcripts were depleted. This work illustrates that
ex vivo
human isolated islets can be used as a tool to study different aspects of β-cell dedifferentiation. Our novel finding suggests a role of GLP-1 pathway in beta-cell maintenance in FOXO1-dependent manner. Importantly, dedifferentiated islets
ex vivo
is a useful model that can be utilized to verify the actions of potential drugs to diabetic β-cell failure.