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This version published online on July 2, 2009
Endocrinology, doi:10.1210/en.2009-0395
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Submitted on March 27, 2009
Accepted on June 23, 2009

INSULIN RECEPTOR SUBSTRATE 2 IN {beta}-CELLS DECREASES DIABETES IN NON-OBESE DIABETIC (NOD) MICE

Lisa D. Norquay, Katharine E. D'Aquino, Lynn M. Opare-Addo, Alexandra Kuznetsova, Michael Haas, Jeffrey A. Bluestone, and Morris F. White*

Howard Hughes Medical Institute, Division of Endocrinology, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts, USA; Department of Medicine, UCSF Diabetes Center, University of California, San Francisco, California, USA

* To whom correspondence should be addressed. E-mail: morris.white{at}childrens.harvard.edu.

Insulin receptor substrate-2 (Irs2) integrates insulin-like signals with glucose and cAMP agonists to regulate {beta}-cell growth, function and survival. This study investigated whether increased Irs2 concentration in {beta}-cells could reduce {beta}-cell destruction and the incidence of type 1 diabetes in non-obese diabetic (NOD) mice. NOD-mice were intercrossed with C57Bl/6 mice overexpressing Irs2 specifically in {beta}-cells to create NODIrs2-mice. After backcrossing NODIrs2-mice for 12 generations, glucose homeostasis and diabetes incidence were compared against NOD littermates. Compared to 12-week old NOD-mice, the progression of severe insulitis was reduced and islet mass was increased in NODIrs2-mice. Moreover, the risk of diabetes decreased 50% in NODIrs2-mice until the experiment was terminated at 40 weeks of age. Nondiabetic NODIrs2-mice displayed better glucose tolerance than nondiabetic NOD-mice throughout the duration of the study and up to the age of 18 months. The effect of Irs2 to increase islet mass and improve glucose tolerance raised the possibility that NODIrs2-mice might have an increased capacity to respond to anti-CD3 antibody, which can induce remission of overt diabetes in some NOD mice. Anti-CD3 antibody injections restored glucose tolerance in newly diabetic NOD- and NODIrs2-mice; however, anti-CD3-treated NODIrs2-mice were less likely than NOD-mice to relapse during the experimental period, as they displayed 10-fold greater {beta}-cell mass and mitogenesis. In conclusion, increased Irs2 attenuated the progression of {beta}-cell destruction, promoted {beta}-cell mitogenesis, and reduced diabetes incidence in NODIrs2-mice.







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