Cyclin D2 Is Essential for the Compensatory -Cell Hyperplastic
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ORIGINAL ARTICLE Cyclin D2 Is Essential for the Compensatory -Cell Hyperplastic Response to Insulin Resistance in Rodents Senta Georgia,1 Charlotte Hinault,2 Dan Kawamori,2 Jiang Hu,2 John Meyer,2 Murtaza Kanji,1 Anil Bhushan,1 and Rohit N. Kulkarni2 OBJECTIVE—A major determinant of the progression from sufficient to maintain euglycemia up to a specific thresh- insulin resistance to the development of overt type 2 diabetes is old, and crossing the threshold correlates with impaired a failure to mount an appropriate compensatory -cell hyperplas- fasting glucose and clinical diabetes (4). tic response to maintain normoglycemia. We undertook the While direct data in humans is lacking, studies in rodents present study to directly explore the significance of the cell cycle clearly indicate that -cell mass adaptively expands to com- protein cyclin D2 in the expansion of -cell mass in two different models of insulin resistance. pensate for both physiological and pathophysiological states of insulin resistance including pregnancy, onset of obesity, RESEARCH DESIGN AND METHODS—We created com- and high-fat feeding and after partial pancreatectomy pound knockouts by crossing mice deficient in cyclin D2 (D2KO) (5–9). Although the adaptation is dependent on alterations with either the insulin receptor substrate 1 knockout (IRS1KO) in both the number and size of -cells and generation of mice or the insulin receptor liver-specific knockout mice  (LIRKO), neither of which develops overt diabetes on its own new -cells from endogenous progenitors (10,11), recent because of robust compensatory -cell hyperplasia. We pheno- studies point to replication as a primary mechanism for typed the double knockouts and used RT-qPCR and immunohis- the physiological maintenance of adult -cell mass (12) tochemistry to examine -cell mass. and in response to insulin resistance in both rodents and RESULTS—Both compound knockouts, D2KO/LIRKO and humans (9,12–15). D2KO/IRS1KO, exhibited insulin resistance and hyperinsulin- Replication is achieved by reentry of the -cell into the emia and an absence of compensatory -cell hyperplasia. How- cell cycle and relies on proteins regulating the G1 phase ever, the diabetic D2KO/LIRKO group rapidly succumbed early (13,16–19). Our previous work has established that cyclin compared with a relatively normal lifespan in the glucose- D2, a G1/S cell-cycle regulator, is necessary for the post- intolerant D2KO/IRS1KO mice. natal expansion of -cell mass (13). In these studies, we CONCLUSIONS—This study provides direct genetic evidence observed that in the absence of cyclin D2, the diminished that cyclin D2 is essential for the expansion of -cell mass in -cell mass established during the neonatal remodeling response to a spectrum of insulin resistance and points to the period was inadequate to sufficiently respond to metabolic cell-cycle protein as a potential therapeutic target that can be demand for insulin in adult mice, leading to glucose harnessed for preventing and curing type 2 diabetes. Diabetes 59:987–996, 2010 intolerance but not frank diabetes (13). While these exper- iments indicate that cyclin D2 is important during early postnatal expansion of -cells for the adult mouse to achieve its optimal -cell mass, its importance in cell he maintenance of an adequate and functional expansion in response to a pathophysiological demand for pancreatic -cell mass dictates the body’s ability insulin is not known. Considering these observations, we to compensate for insulin resistance. Recent explored whether a limited but adequate -cell mass that studies in autopsy samples from humans re- is challenged by physiological stress would fall below a T  ported expansion of -cell mass from infants through functional threshold required to maintain euglycemia, and adolescence that was largely due to increased islet size eventually to promote the development of diabetes, using (1). Further, humans with established type 2 diabetes cyclin D2 knockout mice. To this end, we created com- exhibit a deficit in -cell mass in comparison with their pound double knockouts by breeding cyclin D2 (D2KO) nondiabetic cohorts (2,3). Interestingly, obese, nondia- mice with either mice that are deficient in insulin receptor betic patients express a wide range of -cell mass that is substrate 1 (IRS1KO) (20,21) or mice with a knockout of the insulin receptor specifically in liver (LIRKO) (22). These models reflect the spectrum of insulin resistance From the 1Larry Hillblom Islet Research Center, University of California, Los Angeles, David Geffen School of Medicine, Los Angeles, California; and the and glucose intolerance observed in humans but do not 2Joslin Diabetes Center and Department of Medicine, Harvard Medical develop frank diabetes in part because of compensatory School, Boston, Massachusetts.  Corresponding author: Rohit N. Kulkarni, [email protected], -cell expansion that can increase from 3-fold (IRS1KO) to or Anil Bhushan, [email protected]. 30-fold (LIRKO) largely by replication of -cells (21,23). Received 3 June 2009 and accepted 7 January 2010. Published ahead of print Our results indicate that both D2KO/LIRKO and D2KO/ at http://diabetes.diabetesjournals.org on 27 January 2010. DOI: 10.2337/  db09-0838. IRS1KO double-knockout mice fail to show a -cell com- S.G. and C.H. contributed equally to this study. pensatory response to insulin resistance, leading to overt © 2010 by the American Diabetes Association. Readers may use this article as diabetes that is secondary, in part, to a dramatic decrease long as the work is properly cited, the use is educational and not for profit,   and the work is not altered. See http://creativecommons.org/licenses/by in -cell mass due to reduced -cell replication. These data -nc-nd/3.0/ for details. provide genetic evidence that cyclin D2 is essential for the The costs of publication of this article were defrayed in part by the payment of page  charges. This article must therefore be hereby marked “advertisement” in accordance compensatory increase in -cell hyperplasia in response to with 18 U.S.C. Section 1734 solely to indicate this fact. insulin-resistant states. diabetes.diabetesjournals.org DIABETES, VOL. 59, APRIL 2010 987 CYCLIN D2 AND COMPENSATORY -CELL HYPERPLASIA TABLE 1 Body weight and blood glucose of mice A 12 * Nonfasted Body blood 10 * * Weight P vs. glucose P vs. 8 (g) control (mg/dl) control 6 10–12 weeks of age 4 * Control 24.8 Ϯ 1.5 149 Ϯ 9 2 LIRKO 24.2 Ϯ 1.7 NS 198 Ϯ 40 NS D2KO/LIRKO 18.5 Ϯ 1.4 Ͻ0.01 Ͼ600 Ͻ0.000,001 Plasma Insulin (ng/ml) 0 control LIRKO D2KO D2KO D2KO 19.7 Ϯ 1.4 0.024 188 Ϯ 22 0.042 25 weeks of age /LIRKO Control 23.1 Ϯ 0.9 172 Ϯ 5 IRS1KO 18.4 Ϯ 1.1 0.012 176 Ϯ 9NS B D2KO/IRS1KO 13.5 Ϯ 0.4 Ͻ0.005 390 Ϯ 41 Ͻ0.005 200 * D2KO 21.2 Ϯ 0.8 NS 253 Ϯ 18 Ͻ0.005 Data are means Ϯ SE (n ϭ 5–9 male mice). NS, nonsignificant. 150 * * 100 RESEARCH DESIGN AND METHODS Animal breeding and genotyping. All studies and procedures were per- formed after approval according to the institutional animal committee regu- 50 lations in both institutions. The creation and characterization of the LIRKO, IRS1KO, and D2KO mice has previously been described (20–22,24). All mice 0 were maintained on a 12-h light/12-h dark cycle with ad libitum access to Plasma Glucagon (pg/ml) controlLIRKO D2KO D2KO water and food, and a mixed mating scheme was adopted for breeding. In the /LIRKO first group, males and females homozygous for loxP sites (IRLox) and expressing Cre recombinase on an albumin promoter were bred with mice control D2KO/LIRKO lacking cyclin D2. In the second group, males and females carrying either the C insulin receptor substrate 1 or cyclin D2 alleles were used. In the D2KO/LIRKO LIRKO D2KO study, the breeding generated mice homozygous for loxP (controls), LIRKO, 600 * * D2KO/LIRKO, and D2KO, and in the D2KO/IRS1KO study the genotypes * included IRS1KO (cycD2ϩ/Ϫ;irs1Ϫ/Ϫ), D2KO/IRS1KO (cycD2Ϫ/Ϫ;irs1Ϫ/Ϫ), 500 Ϫ/Ϫ ϩ/Ϫ ϩ/Ϫ ϩ/Ϫ * D2KO (cycD2 ;irs1 ), and their controls (cycD2 ;irs1 ). DNA ex- 400 * tracted from tails was used for PCR-based genotyping (13,22). All studies * * included animals from a mixed genetic background. Pancreata were collected 300 * for immunohistochemical analyses (25), and islets were isolated using previ- * 200 * ously described methods (26). * * Glucose and insulin tolerance tests and plasma insulin levels. Following 100 a 16-h fast, baseline blood glucose levels were measured from tail-vein samples using a glucometer (LifeScan, Milpitas, CA). Glucose tolerance (mg/dl) Blood Glucose 0 tests were performed (25) in 7-week-old (D2KO/LIRKO) or 25-week-old 0 15 30 60 120 (D2KO/IRS1KO) mice. Plasma insulin levels were measured by ELISA Minutes after IP glucose injection (Linco Research). Insulin tolerance tests were performed on 25-week-old mice (25). FIG. 1. D2KO/LIRKO mice exhibit severe hyperglycemia and early Real-time RT–quantitative PCR. Quantitative real-time RT-PCR was per- diabetes. A and B: Plasma insulin (A) and glucagon (B) levels were formed on total RNA samples extracted from islets (RNeasy Mini Kit; Qiagen, measured at random fed states in control (white), LIRKO (light gray), > P* .(10–4 ؍ Valencia, CA). cDNA samples were amplified by using the SYBR Green PCR D2KO/LIRKO (black), and D2KO (dark gray) mice (n Master Mix (Applied Biosystems) and analyzed on an ABI PRISM 7900 0.05 as indicated by bars. C: Glucose tolerance tests were performed in sequence detection system (Applied Biosystems). All primer sequences are 7-week-old mice, and blood glucose was measured at 0, 15, 30, 60, and 120 min after intraperitoneal (IP) injection of glucose (2 g/kg body .8–4 ؍ available in the online appendix, available at http://diabetes.diabetesjournals.