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Diabetes 55:318-325, 2006
DOI: 10.2337/diabetes.55.02.06.db05-0757
© 2006 by the American Diabetes Association
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Islet Study

Akt Induces ß-Cell Proliferation by Regulating Cyclin D1, Cyclin D2, and p21 Levels and Cyclin-Dependent Kinase-4 Activity

Szabolcs Fatrai1, Lynda Elghazi1, Norman Balcazar1, Corentin Cras-Méneur1, Irina Krits1, Hiroaki Kiyokawa2, and Ernesto Bernal-Mizrachi1

1 Division of Endocrinology, Metabolism, and Lipid Research, Washington University School of Medicine, St. Louis, Missouri
2 Department of Biochemistry and Molecular Genetics, College of Medicine, University of Illinois, Chicago, Illinois

Address correspondence and reprint requests to Ernesto Bernal-Mizrachi, Washington University School of Medicine, 660 S. Euclid Ave., Campus Box 8127, St. Louis, MO 63110. E-mail: ebernal{at}wustl.edu

Key Words: BrdU, bromodeoxyuridine • cdk4, cyclin-dependent kinase-4 • FOXO1, forkhead box factor 1 • GSK, glycogen synthase kinase • INK4, inhibitor of cdk4 • PI 3-kinase, phosphoinositide 3-kinase

Proliferation is the major component for maintenance of ß-cell mass in adult animals. Activation of phosphoinositide 3-kinase/Akt-kinase pathway is a critical regulator of ß-cell mass. Pancreatic ß-cell overexpression of constitutively active Akt in mice (caAktTg) resulted in marked expansion of ß-cell mass by increase in ß-cell proliferation and size. The current studies provide new insights into the molecular mechanisms involved in ß-cell proliferation by Akt. Proliferation of ß-cells in caAktTg was associated with increased cyclin D1, cyclin D2, and p21 levels and cyclin-dependent kinase-4 (cdk4) activity. To determine the role of cdk4 in ß-cell proliferation induced by Akt, we generated caAktTg mice that were homozygous, heterozygous, or nullizygous for cdk4. The results of these studies showed that deletion of one cdk4 allele significantly reduced ß-cell expansion in caAktTg mice by decreased proliferation. CaAktTg mice deficient in cdk4 developed ß-cell failure and diabetes. These experiments suggest that Akt induces ß-cell proliferation in a cdk4-dependent manner by regulation of cyclin D1, cyclin D2, and p21 levels. These data also indicate that alteration in levels of these cell cycle components could affect the maintenance of ß-cell mass in basal states and the adaptation of ß-cells to pathological states resulting in diabetes.


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Copyright © 2006 by the American Diabetes Association.