Neuronal signals regulate obesity induced β-cell proliferation by FoxM1 dependent mechanism

Nat Commun. 2017 Dec 5;8(1):1930. doi: 10.1038/s41467-017-01869-7.

Abstract

Under insulin-resistant conditions such as obesity, pancreatic β-cells proliferate to prevent blood glucose elevations. A liver-brain-pancreas neuronal relay plays an important role in this process. Here, we show the molecular mechanism underlying this compensatory β-cell proliferation. We identify FoxM1 activation in islets from neuronal relay-stimulated mice. Blockade of this relay, including vagotomy, inhibits obesity-induced activation of the β-cell FoxM1 pathway and suppresses β-cell expansion. Inducible β-cell-specific FoxM1 deficiency also blocks compensatory β-cell proliferation. In isolated islets, carbachol and PACAP/VIP synergistically promote β-cell proliferation through a FoxM1-dependent mechanism. These findings indicate that vagal nerves that release several neurotransmitters may allow simultaneous activation of multiple pathways in β-cells selectively, thereby efficiently promoting β-cell proliferation and maintaining glucose homeostasis during obesity development. This neuronal signal-mediated mechanism holds potential for developing novel approaches to regenerating pancreatic β-cells.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Glucose / metabolism*
  • Brain / metabolism
  • Carbachol / pharmacology
  • Cell Proliferation*
  • Cholinergic Agonists / pharmacology
  • Forkhead Box Protein M1 / metabolism*
  • Gastrointestinal Agents / pharmacology
  • Insulin Resistance*
  • Insulin-Secreting Cells / cytology*
  • Insulin-Secreting Cells / metabolism
  • Islets of Langerhans / drug effects
  • Islets of Langerhans / metabolism
  • Liver / metabolism
  • Mice
  • Neurons / metabolism*
  • Neurotransmitter Agents / pharmacology
  • Obesity / metabolism*
  • Pituitary Adenylate Cyclase-Activating Polypeptide / pharmacology
  • Signal Transduction
  • Vagotomy
  • Vagus Nerve
  • Vasoactive Intestinal Peptide / pharmacology

Substances

  • Blood Glucose
  • Cholinergic Agonists
  • Forkhead Box Protein M1
  • Foxm1 protein, mouse
  • Gastrointestinal Agents
  • Neurotransmitter Agents
  • Pituitary Adenylate Cyclase-Activating Polypeptide
  • Vasoactive Intestinal Peptide
  • Carbachol