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Menin Controls Growth of Pancreatic ß-Cells in Pregnant Mice and Promotes Gestational Diabetes Mellitus
Satyajit K. Karnik,1Hainan Chen,1*Graeme W. McLean,1*Jeremy J. Heit,1*Xueying Gu,1Andrew Y. Zhang,1Magali Fontaine,2Michael H. Yen,1,3Seung K. Kim1,3
During pregnancy, maternal pancreatic islets grow to match dynamicphysiological demands, but the mechanisms regulating adaptiveislet growth in this setting are poorly understood. Here weshow that menin, a protein previously characterized as an endocrinetumor suppressor and transcriptional regulator, controls isletgrowth in pregnant mice. Pregnancy stimulated proliferationof maternal pancreatic islet ß-cells that was accompaniedby reduced islet levels of menin and its targets. Transgenicexpression of menin in maternal ß-cells preventedislet expansion and led to hyperglycemia and impaired glucosetolerance, hallmark features of gestational diabetes. Prolactin,a hormonal regulator of pregnancy, repressed islet menin levelsand stimulated ß-cell proliferation. These resultsexpand our understanding of mechanisms underlying diabetes pathogenesisand reveal potential targets for therapy in diabetes.
1 Department of Developmental Biology, Stanford University, Stanford, CA 94305, USA. 2 Department of Pathology, Stanford University, Stanford, CA 94305, USA. 3 Department of Medicine (Oncology Division), Stanford University, Stanford, CA 94305, USA.
* These authors contributed equally to this work.
To whom correspondence should be addressed. E-mail: seungkim{at}stanford.edu
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