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MGI Accession ID: MGI:3712625
J Number: J:121915
Other Accession IDs: Title: Analysis of compensatory beta-cell response in mice with combined mutations of Insr and Irs2.
Authors: Kim JJ; Kido Y; Scherer PE; White MF; Accili D
Journal: Am J Physiol Endocrinol Metab
Volume: 292
Issue: 6
Date: 2007 Jun
Year: 2007
Pages: E1694-701
Review Status: Peer Reviewed

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.

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