Analysis of compensatory beta-cell response in mice with combined mutations of Insr and Irs2

Am J Physiol Endocrinol Metab. 2007 Jun;292(6):E1694-701. doi: 10.1152/ajpendo.00430.2006. Epub 2007 Feb 13.

Abstract

Type 2 diabetes results from impaired insulin action and beta-cell dysfunction. There are at least two components to beta-cell dysfunction: impaired insulin secretion and decreased beta-cell mass. To analyze how these two variables contribute to the progressive deterioration of metabolic control seen in diabetes, we asked whether mice with impaired beta-cell growth due to Irs2 ablation would be able to mount a compensatory response in the background of insulin resistance caused by Insr haploinsufficiency. As previously reported, approximately 70% of mice with combined Insr and Irs2 mutations developed diabetes as a consequence of markedly decreased beta-cell mass. In the initial phases of the disease, we observed a robust increase in circulating insulin levels, even as beta-cell mass gradually declined, indicating that replication-defective beta-cells compensate for insulin resistance by increasing insulin secretion. These data provide further evidence for a heterogeneous beta-cell response to insulin resistance, in which compensation can be temporarily achieved by increasing function when mass is limited. The eventual failure of compensatory insulin secretion suggests that a comprehensive treatment of beta-cell dysfunction in type 2 diabetes should positively affect both aspects of beta-cell physiology.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Physiological*
  • Adiponectin / blood
  • Adipose Tissue / pathology
  • Animals
  • Animals, Newborn
  • Diabetes Mellitus / genetics
  • Glucose Tolerance Test
  • Growth Disorders / genetics
  • Hyperinsulinism / genetics
  • Insulin / metabolism
  • Insulin Receptor Substrate Proteins
  • Insulin Resistance / genetics
  • Insulin-Secreting Cells / metabolism*
  • Insulin-Secreting Cells / pathology*
  • Intracellular Signaling Peptides and Proteins / genetics*
  • Leptin / blood
  • Liver / metabolism
  • Mice
  • Mice, Inbred Strains
  • Mice, Knockout
  • Muscle, Skeletal / metabolism
  • Mutation*
  • Organ Size
  • Osmolar Concentration
  • Phosphatidylinositol 3-Kinases / metabolism
  • Phosphoproteins / genetics*
  • Proto-Oncogene Proteins c-akt / metabolism
  • Receptor, Insulin / genetics*

Substances

  • Adiponectin
  • Insulin
  • Insulin Receptor Substrate Proteins
  • Intracellular Signaling Peptides and Proteins
  • Irs2 protein, mouse
  • Leptin
  • Phosphoproteins
  • Phosphatidylinositol 3-Kinases
  • Receptor, Insulin
  • Proto-Oncogene Proteins c-akt