. Activation of the Reg family genes by pancreatic-specific IGF-I gene deficiency and after streptozotocin-induced diabetes in mouse pancreas. Am J Physiol Endocrinol Metab 291: E50 -E58, 2006. First published January 31, 2006 doi:10.1152/ajpendo.00596.2005.-We have recently reported that Pdx1-Cre-mediated whole pancreas inactivation of IGF-I gene [in pancreatic-specific IGF-I gene-deficient (PID) mice] results in increased -cell mass and significant protection against both type 1 and type 2 diabetes. Because the phenotype is unlikely a direct consequence of IGF-I deficiency, the present study was designed to explore possible activation of proislet factors in PID mice by using a whole genome DNA microarray. As a result, multiple members of the Reg family genes (Reg2, -3␣, and -3, previously not known to promote islet cell growth) were significantly upregulated in the pancreas. This finding was subsequently confirmed by Northern blot and/or real-time PCR, which exhibited 2-to 8-fold increases in the levels of these mRNAs. Interestingly, these Reg family genes were also activated after streptozotocin-induced -cell damage and diabetes (wild-type T1D mice) when islet cells were undergoing regeneration. Immunohistochemistry revealed increased Reg proteins in exocrine as well as endocrine pancreas and suggested their potential role in -cell neogenesis in PID or T1D mice. Previously, other Reg proteins (Reg1 and islet neogenesis-associated protein) have been shown to promote islet cell replication and neogenesis. These uncharacterized Reg proteins may play a similar but more potent role, not only in normal islet cell growth in PID mice, but also in islet cell regeneration after T1D. pancreatic islets; DNA microarray; gene-targeted mice; insulin-like growth factor I INSULIN-LIKE GROWTH FACTOR I (IGF-I) is produced from hepatocytes and many other cells and tissues, including the pancreas (9, 14, 23). Acting through its receptor IGF-IR, which is expressed ubiquitously, IGF-I promotes cell proliferation and growth and inhibits cell apoptosis. In normal growth of the bone, muscle, reproductive systems, and the whole mammalian organisms, IGF-I plays an irreplaceable, essential role (25,33). In cultured cells, IGF-I causes pancreatic islet -cell mitogenesis in a glucose-dependent manner via activation of phosphatidylinositol 3-kinase (PI3K), ERK1/2, and 70-kDa protein S6 kinase (p70 S6K ) (15, 24). Although IGF-I and IGF-IR are normally expressed in both endocrine and exocrine pancreas (8, 9), their in vivo role in islet cell growth has been questioned by the results of most gene-targeted studies. For example, combined inactivation of insulin receptor and IGF-IR genes in early embryos results in a 50% decrease in the size of the exocrine pancreas without affecting the development of endocrine cells (19). Combined ablation of IGF-I and IGF-II genes results in an identical phenotype (19). Moreover, islet -cellspecific inactivation of IGF-IR gene causes no change in -cell mass despite hyperinsulinemia, glucose intoleranc...