OBJECTIVE

Several transcription factors are essential to pancreatic islet β-cell development, proliferation, and activity, including MafA and MafB. However, MafA and MafB are distinct from others in regard to temporal and islet cell expression pattern, with β-cells affected by MafB only during development and exclusively by MafA in the adult. Our aim was to define the functional relationship between these closely related activators to the β-cell.

RESEARCH DESIGN AND METHODS

The distribution of MafA and MafB in the β-cell population was determined immunohistochemically at various developmental and perinatal stages in mice. To identify genes regulated by MafB, microarray profiling was performed on wild-type and MafB−/− pancreata at embryonic day 18.5, with candidates evaluated by quantitative RT-PCR and in situ hybridization. The potential role of MafA in the expression of verified targets was next analyzed in adult islets of a pancreas-wide MafA mutant (termed MafAΔPanc).

RESULTS

MafB was produced in a larger fraction of β-cells than MafA during development and found to regulate potential effectors of glucose sensing, hormone processing, vesicle formation, and insulin secretion. Notably, expression from many of these genes was compromised in MafAΔPanc islets, suggesting that MafA is required to sustain expression in adults.

CONCLUSIONS

Our results provide insight into the sequential manner by which MafA and MafB regulate islet β-cell formation and maturation.

Insulin-secreting islet β-cells play a pivotal role in the regulation of fuel metabolism. Loss or dysfunction of β-cells causes an imbalance in glucose homeostasis that leads to the development of diabetes. Efforts aimed at understanding the molecular processes underlying β-cell development and function have provided perspectives into new diabetes treatment strategies. For example, a hierarchy of transcription factors has been found to regulate β-cell differentiation during development and adult islet cell function, a few of which are mutated in type 2 diabetic patients as discussed by others (1,3). The significance of these proteins was recently reinforced upon observing their expression during the stepwise differentiation of human embryonic stem cells to β-like cells (4,5) and the reprogramming of adult acinar cells to β-like cells upon misexpression of a unique subset of transcription factors, specifically MafA, Pdx1, and Ngn3 (6).

Among the transcription factors vital to the pancreas, there are instances when members of the same gene family contribute to β-cell formation, including winged-helix/forkhead (e.g., FoxA1/2) (7,9), NK6 homeodomain (Nkx6.1 and Nkx6.2) (10,12), paired box homeodomain (Pax4/6) (13,,,17), and basic leucine-zipper (MafA and MafB) (18,19) proteins. FoxA1/2, Nkx6.1/6.2, and Pax4/6 are expressed broadly in pancreatic epithelial cells in both islet hormone+ and hormone cells before or near the onset of pancreatic morphogenesis (3) and then become confined to more specific cellular domains (e.g., Nkx6.1 [β] and Pax6 [all islet cells]) or disappear entirely late in development (Pax4, Nkx6.2). The large MafA/B factors are distinct in being produced relatively later in development and essentially only in hormone+ cells. Thus, MafB is present in developing α-(glucagon+) cells, β-cells, and a very small number of Ngn3+ islet hormone progenitors and then becomes restricted to α-cells soon after birth (20,21). MafA is found exclusively in developing and adult insulin+ cells, with expression first detected at embryonic day (E) 13.5 during the secondary and principal wave of insulin+ cell production (22).

A comparison of the properties of islet-enriched transcription factor mutant mice reveals a novel role for MafA and MafB in β-cell maturation and function. Thus, islet α, β, δ, ε, or pancreatic polypeptide producing cells are either lost or respecified in most transcription factor knockout mice (1,3), whereas the principal defect in MafB−/− embryos is reduced insulin and glucagon expression (18). Furthermore, this change does not affect total endocrine cell numbers, supporting a distinct importance in one or more late steps in α- and β-cell differentiation (18). In contrast, MafA is solely required for glucose-regulated insulin secretion in adult islet β-cells and is not involved in islet cell development (19). Notably, MafB+ insulin+ cells generated during human embryonic stem cell differentiation were dysfunctional until becoming MafA+ insulin+ (5), suggesting that the transition from MafB to MafA is critical to β-cell function.

To obtain a mechanistic understanding of the association between MafB and MafA in β-cell formation and function, gene-profiling studies were performed with E18.5 pancreata from wild-type, MafB−/−, MafAΔPanc, and MafAΔPanc;MafB−/− embryos. (MafAΔPanc mice were generated by crossing MafAfl/fl mice with transgenic mice producing Cre recombinase from the Pdx15.5 promoter fragment early in development and in a pancreas-wide pattern.) Multiple genes were differentially expressed in the MafB−/− mutant, but not in MafAΔPanc mutant, consistent with the much more critical role of MafB in α- and β-cell development (18,21). Significantly, MafB-dependent genes were associated with adult β-cell function, including glucose sensing and insulin secretion. Interestingly, many of these target genes were affected in a similar manner in adult MafAΔPanc islets, even though MafB was retained in a fraction of the mutant insulin+ cell population. These findings provide insight into why the β-cell is dysfunctional in MafA mutant mice, and they illustrate the unusual interrelationship between closely related transcription factors in the generation of a particular islet cell type.

Animals.

Pancreas-wide MafA deletion mutant mice were generated using the Cre-loxP mediated recombination system. A conditional MafA allele was generated using a targeting vector consisting of two loxP sites inserted into the 5′ (PstI site [−699 bp] and 3′ (KpnI site [1,658 bp]) end of the MafA exon (supplementary Fig. 1A in the online appendix available at http://diabetes.diabetesjournals.org/cgi/content/full/db10-0190/DC1). The herpes simplex virus-thymidine kinase (TK) gene was placed outside of the MafA gene homology region for neomycinR selection. After electroporation of 129S6-derived mouse embryonic stem cells, 327 clones survived chemical selection. Fifteen clones were correctly targeted, as determined by Southern blotting hybridization. Two clones were independently injected in mouse blastocysts, and then chimeric mice were bred with C57BL/6J mice for germline transmission screening. The FRT-flanked neomycinR gene was then removed in transmitted MafAfl/+ mice by crossing with FLPe mice (JAX human β-actin FLPe deleter strain; more information online at http://www.mmrrc.org/strains/29994/029994.html). To delete MafA in the developing pancreas, MafAfl/fl animals were bred with Pdx15.5-Cre mice (a gift from Dr. Guoqiang Gu, Vanderbilt University), which produce Cre recombinase by E10.5 in a pattern analogous to endogenous Pdx-1 early in development (23, supplementary reference 1). MafAfl/fl;Pdx15.5-Cre mice were referred to as MafAΔPanc, with MafA effectively removed from the pancreas by E18.5 (Table 1, supplementary Fig. 1B). MafB−/− mice were generated by homologous recombination (24). For embryonic analysis, noon of the day of the vaginal plug discovery was designated E0.5. The Vanderbilt University Institutional Animal Care and Use Committee approved all of our studies in mice.

TABLE 1

The mRNA expression profile of E18.5 wild-type and mutant pancreata

% of wild-type
MafAΔpancMafB−/−MafAΔpanc;MafB−/−
MafA 1 ± 1* 16 ± 1* 2 ± 1* 
MafB 168 ± 1* 10 ± 6* 9 ± 4* 
Insulin 99 ± 16 34 ± 18* 11 ± 3* 
Glucagon 132 ± 23 55 ± 28* 31 ± 10* 
Isl1 112 ± 12 118 ± 50 117 ± 42 
Slc30a8 90 ± 23 4 ± 3* 0 ± 0* 
G6pc2 59 ± 20* 18 ± 9* 4 ± 0* 
Rbp4 84 ± 21 196 ± 54* 188 ± 21* 
Nnat 50 ± 11* 31 ± 7* 26 ± 4* 
% of wild-type
MafAΔpancMafB−/−MafAΔpanc;MafB−/−
MafA 1 ± 1* 16 ± 1* 2 ± 1* 
MafB 168 ± 1* 10 ± 6* 9 ± 4* 
Insulin 99 ± 16 34 ± 18* 11 ± 3* 
Glucagon 132 ± 23 55 ± 28* 31 ± 10* 
Isl1 112 ± 12 118 ± 50 117 ± 42 
Slc30a8 90 ± 23 4 ± 3* 0 ± 0* 
G6pc2 59 ± 20* 18 ± 9* 4 ± 0* 
Rbp4 84 ± 21 196 ± 54* 188 ± 21* 
Nnat 50 ± 11* 31 ± 7* 26 ± 4* 

Data are means ± SEM.

*Change from wild-type littermates is significant, P < 0.05.

Microarray and quantitative RT-PCR analysis.

E18.5 pancreas anlagen from five independently derived wild-type MafAΔPanc, MafB−/−, and MafAΔPanc;MafB−/− mice were dissected in PBS and stored in RNAlater (Ambion). Tissue RNA was isolated using the ToTALLY RNA isolation kit (Ambion). RNA was further purified over RNeasy columns (Qiagen), and RNA quality was analyzed using an Agilent 2100 Bioanalyzer. Each RNA sample (100 ng) was amplified using the Ovation Aminoallyl RNA Amplification and Labeling System (NuGEN Technologies), and PancChip 6.1 (http://www.betacell.org/ma, supplementary reference 2) microarray analysis was performed at the Functional Genomics Core at the University of Pennsylvania.

Quantitative RT-PCR was conducted on total RNA from E18.5 pancreata or 12-week-old islets (n ≥ 3 for each genotype). The RNA (1 μg) was transcribed using iScript reverse transcriptase and iScript reaction mix (Bio-Rad). The PCRs were performed using the SYBR Green (with dissociation curve) program on an Applied Biosystems 7900 machine. All reactions were performed in duplicate with reference dye normalization, and median cycling threshold values were used for analysis. Primer sequences are available on request.

Immunohistochemistry and in situ hybridization.

Tissue fixation, embedding, and immunofluorescence labeling were performed as previously described (25). The primary antibodies used were guinea pig α-insulin (1:2,000; Linco Research), mouse α-insulin (1:2,000; Invitrogen), guinea pig α-glucagon (1:2,000; Linco Research), sheep α-somatostatin (1:2,000; American Research), guinea pig α-pancreatic polypeptide (1:2,000; Linco Research), rabbit α-MafB (1:10,000; Bethyl Laboratories), rabbit α-MafA (1:1,000, Bethyl Laboratories), rabbit α-Slc30a8 (1:1,000, Mellitech), mouse α-Rbp4 (1:1,000, Abnova), rabbit α-G6PC2 (1:500, a gift from Dr. John Hutton at the University of Colorado), rabbit α-Pdx1 (1:5,000, a gift from Dr. Chris Wright at Vanderbilt University), mouse α-Isl1 (1:300, Developmental Studies Hybridoma Bank), rabbit α-Nkx6.1 (1:1,000, Beta Cell Biology Consortium), and rabbit α-Pax6 (1:200, Covance Research Products). The secondary Cy2-, Cy3-, or Cy5-conjugated donkey α-rabbit, α-guinea pig, and α-sheep IgGs were obtained from Jackson ImmunoResearch Laboratories. Nuclear counterstaining was performed using YoPro1 or DAPI (Invitrogen). Immunofluorescence images were acquired using confocal microscopy (LSM510, Carl Zeiss).

In situ hybridization assays were performed using Neuronatin (base pair 119 to 1,163 relative to coding ATG) and Slc30a8 (base pair 166 to 1,269) gene probes according to Henrique et al. (26). The Rbp4 cDNA plasmid (clone ID IMAGp998P0711141Q1) was obtained from the resource center of the human genome project (www.rzpd.de) and used to generate the probe (base pair 295–927).

Quantification and statistical analysis.

Immunolabeling for insulin and MafA (or MafB) was performed on serial 6-μm pancreatic sections that were collected at 60-μm (i.e., at E14.5), 84-μm (E18.5), or 150-μm (postnatal) intervals. All insulin+ cells were imaged by confocal microscopy and presented as the percentage of MafA+insulin+ or MafB+insulin+ to total insulin+ cells. At least 10 random fields were counted from wild-type and MafAΔPanc pancreata (n = 3) to calculate the percentage of MafB+insulin+ cells in adult islets. Immunolabeling for insulin, glucagon, somatostatin, and pancreatic polypeptide-producing cells was performed on 12-week islet sections at 300-μm intervals. At least 10 random fields were counted from wild-type and MafAΔPanc pancreata (n = 4) to calculate the proportion of somatostatin+ δ-cells within islets. Mean differences were tested for statistical significance using a two-tailed Student t test.

MafA and MafB are dynamically expressed in developing and adult β-cells.

There are two distinct waves of insulin+ and glucagon+ cell production within the pancreatic epithelium during embryogenesis, with the massive expansion of secondary transition cells starting at E13.5 populating the adult islet (27). Previous studies established that MafB is expressed in both waves (18,21), whereas MafA is only in the insulin+ cells of the second wave (22). Quantitative immunohistochemical analysis was performed at E15.5, E18.5, P14, and P28 to precisely define the MafA and MafB expression pattern during embryonic and postnatal β-cell differentiation.

MafB was found in almost all insulin+ cells produced at E14.5 and E18.5, whereas the fraction of MafA+ insulin+ cells increased during this period (Fig. 1,A). Our results are in accordance with previous data showing that MafA was expressed in only 54% of the insulin+ cells at E15.5 and MafB in nearly 90% (21). However, MafB was present only in very few insulin+ cells soon after birth (P14, 2.70 ± 0.11%) and was essentially absent in insulin+ cells after 4 weeks (P28, 0.69 ± 0.06%). In contrast, MafA was detected in most islet β-cells by 4 weeks (Fig. 1 A). The postnatal switch in β-cells from principally MafB to exclusively MafA occurs during a period of cell maturation in regards to islet architecture, islet cell mass, and glucose-sensitive insulin secretion.

FIG. 1.

MafA and MafB expression is dynamically regulated in developing and adult β-cells. A: The percentage of β-cells coexpressing MafA or MafB was assessed at E14.5, E18.5, P14, and P28 by quantification of the number of insulin+ cells costaining with either MafA or MafB. Sections spanning the entire pancreas of wild-type mice were used; the results are presented as the mean ± SEM. B and C: MafB is sustained in a fraction of the insulin+ cells in MafAΔpanc islets. Wild-type (B) and mutant (C) pancreatic sections were stained for MafB (green) and insulin (red). Notably, MafB+ is not found in wild-type insulin+ cells, but is found in MafAΔPanc. Yellow arrowhead denotes representative MafB+ insulin+ cells, and white arrowhead denotes MafB+ insulin cells. Nuclei were stained with YO-PRO-1 in blue. MafB was found in 33.4 ± 5.6% of MafAΔpanc insulin+ cells (n = 3). (A high-quality digital representation of this figure is available in the online issue.)

FIG. 1.

MafA and MafB expression is dynamically regulated in developing and adult β-cells. A: The percentage of β-cells coexpressing MafA or MafB was assessed at E14.5, E18.5, P14, and P28 by quantification of the number of insulin+ cells costaining with either MafA or MafB. Sections spanning the entire pancreas of wild-type mice were used; the results are presented as the mean ± SEM. B and C: MafB is sustained in a fraction of the insulin+ cells in MafAΔpanc islets. Wild-type (B) and mutant (C) pancreatic sections were stained for MafB (green) and insulin (red). Notably, MafB+ is not found in wild-type insulin+ cells, but is found in MafAΔPanc. Yellow arrowhead denotes representative MafB+ insulin+ cells, and white arrowhead denotes MafB+ insulin cells. Nuclei were stained with YO-PRO-1 in blue. MafB was found in 33.4 ± 5.6% of MafAΔpanc insulin+ cells (n = 3). (A high-quality digital representation of this figure is available in the online issue.)

Close modal

MafB is retained in some adult islet MafAΔPanc β- cells.

MafB mRNA expression at E18.5 was elevated 1.7 ± 0.1-fold in MafAΔPanc pancreata, yet no overt alterations in islet hormone+ cell development or Isl1, Nkx6.1, Pax6, or Pdx1 expression were found (supplementary Fig. 2). Also similar to MafA−/− mice (19), changes in MafAΔPanc β-cell function and islet morphology were first observed postnatally (data not shown). Pan-endocrine Isl1 expression was unaffected in the MafAΔPanc, MafAΔPanc;MafB−/−, and MafB−/− mutants at E18.5 (Table 1), supporting evidence linking MafB to α- and β-cell maturation, but not islet cell formation or viability (18,21). As expected, insulin mRNA levels were compromised in MafB−/− (18) and MafAΔPanc;MafB−/− samples from E18.5, but not the MafAΔPanc (Table 1) or MafA−/− mutants (19). The larger effect on Insulin mRNA expression in MafAΔPanc;MafB−/− pancreata implies that MafA contribution to embryonic Insulin transcription becomes significant only in the absence of MafB. This was also indicated by the delay in residual insulin+ cell production until the beginning of the secondary transition at E13.5 in MafB−/− mice (18).

Strikingly, immunohistochemical analyses revealed that MafB protein expression was retained in a fraction of insulin+ cells in adult MafAΔPanc mice (compare Fig. 1 B with C; 33.4 ± 5.6% of insulin+ cells express MafB). These results showed that the MafB protein produced in adult MafAΔPanc β-cells does not compensate for the loss of MafA.

MafB regulates the expression of genes critical to β-cell function during embryogenesis.

Gene expression profiling studies of E18.5 wild-type, MafAΔPanc, MafB−/−, and MafAΔPanc;MafB−/− pancreata were performed to more broadly define the regulatory roles of MafB and MafA in β-cell differentiation. Thirty-five genes with mRNA levels altered by ≥1.5-fold (P ≤ 0.01, false discovery rate ≤25%) were identified using the PancChip 6 microarray platform in the MafB−/− mutant, and 47 were identified in MafAΔPanc;MafB−/− (supplementary Table 1). The profiles were similar between MafB−/− and MafAΔPanc;MafB−/− (29 genes were differentially expressed in both genotypes), with most changes more pronounced in MafAΔPanc;MafB−/− (supplementary Table 1). In contrast, no differences were found between MafAΔPanc and the wild-type gene expression profile.

Gene ontology analysis revealed that the differentially expressed genes were mainly involved in aspects of mature β-cell function, such as ion binding and transport, signal transduction, and hormone secretion (supplementary Table 2). The mRNA changes of many candidate genes (like Slc30a8, G6pc2, Rbp4, Nnat, Insulin, and Slc2a2) were independently verified in E18.5 MafB−/− and MafAΔPanc;MafB−/− pancreata by quantitative RT-PCR (Table 1; data not shown). The studies described below examined the significance of MafA in adult expression of genes initially regulated by MafB. Expression within specific islet cell types was examined by in situ hybridization during development and by immunohistochemistry in adults; unfortunately, limitations in the technique (e.g., in situ) or protein abundance precluded examination of these temporal periods using both methods. Importantly, our results provide mechanistic insight into the mutually beneficial relationship between MafB and MafA and provide an explanation for why β-cell activity decreases in MafA−/− and MafAΔPanc mice.

MafB activates Slc30a8-encoded zinc transporter expression in developing α- and β-cells, whereas MafA is essential in adult β-cells.

Slc30a8 or ZnT8 encodes an islet-specific zinc transporter that facilitates the accumulation of zinc from the cytoplasm into intracellular vesicles for insulin maturation and storage (28,29). Overexpression of Slc30a8 enhances glucose-stimulated insulin secretion in INS1 β-cells (29), whereas variants in this locus are linked to type 2 diabetes in humans (30,31). The transporter is also a type 1 diabetes autoantigen in humans (32).

The normal Slc30a8 expression pattern during pancreatic development was first determined by in situ hybridization. Slc30a8 mRNA transcripts were found in both developing β- and α-cells (Fig. 2,A–D, supplementary Fig. 3). Notably, Slc30a8 expression was lost in α- cells at E18.5 in the MafB−/− mutant, but retained in the remaining insulin+ cells (Fig. 2,E and F, supplementary Fig. 3). Significantly, Slc30a8 expression was undetectable in the MafAΔPanc;MafB−/− mutant (Fig. 2 G and H, supplementary Fig. 3), demonstrating that expression was mediated by MafA in the residual insulin+ cells in the MafB mutants. These results suggest that MafB is the primary activator of Slc30a8 expression in α- and β-cells during development.

FIG. 2.

Islet zinc transporter Slc30a8 expression is activated by MafB during embryogenesis and by MafA in islet β-cells. Slc30a8 transcripts (green) were detected by in situ analysis in wild-type insulin+ (red, A and C) and glucagon+ (red, B and D) cells at E15.5 and E18.5. Expression is still detected in the remaining insulin+ cells (E), but lost in glucagon+ (F) cells in MafB−/− pancreata. No Slc30a8 expression was detected in the MafA and MafB compound mutant (MafAΔPanc; MafB−/−; G and H). I: RT-PCR data illustrate the change in Slc30a8 mRNA expression between 3-month-old MafAΔpanc and wild-type islets. *P < 0.05 (n = 3). Slc30a8 was detected in islet β-cells (J) and α-cells (K) of 12-week-old wild-type islets by immunofluorescence. Expression was profoundly reduced in MafAΔPanc β-cells (L) and unaffected in α-cells (M). The (L) Slc30a8+ insulin cells labeled with white arrows correspond to (M) Slc30a8+ glucagon+ cells denoted by yellow arrows. Scale bar = 20 μm. Nuclei were stained in blue in panels J–M. (A high-quality digital representation of this figure is available in the online issue.)

FIG. 2.

Islet zinc transporter Slc30a8 expression is activated by MafB during embryogenesis and by MafA in islet β-cells. Slc30a8 transcripts (green) were detected by in situ analysis in wild-type insulin+ (red, A and C) and glucagon+ (red, B and D) cells at E15.5 and E18.5. Expression is still detected in the remaining insulin+ cells (E), but lost in glucagon+ (F) cells in MafB−/− pancreata. No Slc30a8 expression was detected in the MafA and MafB compound mutant (MafAΔPanc; MafB−/−; G and H). I: RT-PCR data illustrate the change in Slc30a8 mRNA expression between 3-month-old MafAΔpanc and wild-type islets. *P < 0.05 (n = 3). Slc30a8 was detected in islet β-cells (J) and α-cells (K) of 12-week-old wild-type islets by immunofluorescence. Expression was profoundly reduced in MafAΔPanc β-cells (L) and unaffected in α-cells (M). The (L) Slc30a8+ insulin cells labeled with white arrows correspond to (M) Slc30a8+ glucagon+ cells denoted by yellow arrows. Scale bar = 20 μm. Nuclei were stained in blue in panels J–M. (A high-quality digital representation of this figure is available in the online issue.)

Close modal

Next, immunohistochemical staining was performed to assess Slc30a8 expression in adult wild-type and MafAΔPanc islets. As reported while this work was in progress (33), Slc30a8 is present in both α- and β-cells (Fig. 2,J and K). (The specificity of the Slc30a8 antibody was confirmed upon comparing pancreatic samples from wild-type and Slc30a8−/− mice [supplementary Fig. 4]). Expression was essentially absent in 3-month-old islet insulin+ cells from the MafAΔPanc mutant (Fig. 2,L). The remaining Slc30a8 in MafAΔPanc islets is primarily (if not exclusively) in α-cells (Fig. 2 M). These data imply that MafA and MafB function at distinct temporal stages to promote Slc30a8 expression in β-cells.

Both MafA and MafB activate islet-specific glucose-6-phosphatase catalytic subunit-2 protein expression.

Glucose-6-phosphatase catalytic subunit-2 protein (G6pc2, also known as IGRP) is a major autoantigen in type 1 diabetes (34) and may regulate fasting plasma glucose levels in humans (35). Expression of G6pc2 mRNA was significantly compromised in E18.5 pancreata from MafB−/−, MafAΔPanc;MafB−/−, and MafAΔPanc embryos. However, the impact of MafA appears greater in adult MafAΔPanc islets than during development (see Fig. 3,A and Table 1), as a much lower level of G6pc2 was present in 3-month-old MafAΔPanc islet β-cells than wild-type (Fig. 3, compare D with G). These data indicate that both MafA and MafB play a role in G6pc2 expression and complement recent cell-line–based studies showing that MafA stimulates G6pc2 transcription by binding to the −177/−164 bp element in its promoter region (36).

FIG. 3.

G6pc2 expression is compromised in adult islets lacking MafA. A: Quantitative RT-PCR analysis revealed that G6pc2 mRNA levels were significantly downregulated in adult MafAΔPanc islets. *P < 0.05 (n = 3). G6pc2 expression (green) in islet insulin+ cells (B–D) (red) was shown by immunostaining to be profoundly reduced in MafAΔpanc islets (E–G). Scale bar = 20 μm. Nuclei were stained with YO-PRO-1 (blue). (A high-quality digital representation of this figure is available in the online issue.)

FIG. 3.

G6pc2 expression is compromised in adult islets lacking MafA. A: Quantitative RT-PCR analysis revealed that G6pc2 mRNA levels were significantly downregulated in adult MafAΔPanc islets. *P < 0.05 (n = 3). G6pc2 expression (green) in islet insulin+ cells (B–D) (red) was shown by immunostaining to be profoundly reduced in MafAΔpanc islets (E–G). Scale bar = 20 μm. Nuclei were stained with YO-PRO-1 (blue). (A high-quality digital representation of this figure is available in the online issue.)

Close modal

Neuronatin expression is principally regulated by MafB.

Neuronatin (Nnat) is involved in modulating ion channel activity in β-cells, with overexpression increasing insulin secretion by elevating intracellular Ca2+ levels (37,38). In situ hybridization analysis showed that Nnat mRNA was expressed at E15.5 and E18.5 in insulin+ cells and in a population that was neither insulin+ nor glucagon+ (Fig. 4, see WT panel, supplementary Figs. 5 and 6). Nnat synthesis was predominately in insulin+ cells by E18.5. A profound reduction in steady-state Nnat levels was observed in E18.5 MafB−/− and MafAΔPanc;MafB−/− pancreata (Table 1), with the enduring Nnat detected only in the remaining mutant insulin+ cells (Fig. 4, supplementary Figs. 5 and 6).

FIG. 4.

Nnat expression in β-cells is regulated only by MafB. Appreciable levels of Nnat (green) were detected in insulin+ (red, A, yellow arrows), insulin (A, white arrows), but not glucagon+ (red, B) cells by in situ analysis. Nnat was essentially restricted to β-cells by E18.5 in the wild-type (G and H) and the remaining insulin+ cells in the MafB−/− and MafAΔPanc;MafB−/− mutants (I and L). Scale bar = 20 μm. Nnat expression was unaffected in MafAΔpanc islets (M). Yellow arrows denote Nnat+hormone+ cells and white arrows denote Nnat+hormone cells. (A high-quality digital representation of this figure is available in the online issue.)

FIG. 4.

Nnat expression in β-cells is regulated only by MafB. Appreciable levels of Nnat (green) were detected in insulin+ (red, A, yellow arrows), insulin (A, white arrows), but not glucagon+ (red, B) cells by in situ analysis. Nnat was essentially restricted to β-cells by E18.5 in the wild-type (G and H) and the remaining insulin+ cells in the MafB−/− and MafAΔPanc;MafB−/− mutants (I and L). Scale bar = 20 μm. Nnat expression was unaffected in MafAΔpanc islets (M). Yellow arrows denote Nnat+hormone+ cells and white arrows denote Nnat+hormone cells. (A high-quality digital representation of this figure is available in the online issue.)

Close modal

These results suggest that Nnat expression in developing β-cells is only partially dependent on MafB. This was also true of Pdx1 transcription wherein the ∼50% reduction in E18.5 mRNA levels reflected the loss in the MafB−/− insulin cell population (18). Notably, steady-state Nnat (Fig. 4,M) and Pdx1 (19) levels were unchanged in MafAΔPanc adult islets, a distinction from Slc30a8 (Fig. 2,I) or G6pc2 (Fig. 3 A). These data demonstrate that only MafB regulates Nnat expression.

Rbp4 expression is upregulated in E18.5 MafB mutant and MafAΔPanc adult islets.

Rbp4 contributes to the pathogenesis of type 2 diabetes, as its release from adipocytes causes systemic insulin resistance in both mice and humans (39). This circulating protein is also produced in the liver, although little was known about its effect on islets until recently. Rbp4 has now been found to repress glucose-stimulated insulin secretion in both isolated rat islets and in vivo (P. Fueger, C. Newgard, unpublished data).

In distinction to the genes described previously, Rbp4 mRNA expression was increased in MafB−/− and MafAΔPanc;MafB−/− pancreata at E18.5 (Table 1). In situ RNA analysis was performed to determine the distribution of Rbp4 in hormone+ cells during development. Rbp4 transcripts were found in the majority of wild-type insulin+ and glucagon+ cells at E15.5, but only in a small portion of insulin+, glucagon+, and somatostatin+ (δ) cells by E18.5 (Fig. 5, WT panel, supplementary Figs. 7 and 8). In contrast, most of the remaining hormone+ cell types, as well as hormone islet cells, synthesize Rbp4 in the MafB−/− and MafAΔPanc;MafB−/− mutants (Fig. 5 C–F, J–O, supplementary Figs. 7 and 8).

FIG. 5.

Rbp4 is induced in the embryonic MafB−/− and islet MafAΔPanc mutants. Rbp4 transcripts (green) are present in some (A and G) insulin+ (red, yellow arrows) and (B and H) glucagon+ (red) cells (A and B, yellow arrows) at both E15.5 and E18.5, with expression also found in (I) somatostatin+ δ-cells (red, yellow arrows) by E18.5. The number of hormone+ Rbp4+ cells increased in MafB−/− and MafAΔPanc;MafB−/− mutant pancreata (C–F; J–O). P: Rbp4 mRNA expression was elevated in 12-week MafAΔPanc islets. S–X: The Rbp4 protein is found in somatostatin (SST)+ δ-cells in (S) wild-type and (W) MafAΔPanc islets, and not (Q and U) insulin+, (R and V) glucagon+, or (T and X) pancreatic peptide+ cells. Scale bar = 20 μm. Nuclei were stained in blue in panels Q–W. White arrows denote Rbp4+ hormone cells. (A high-quality digital representation of this figure is available in the online issue.)

FIG. 5.

Rbp4 is induced in the embryonic MafB−/− and islet MafAΔPanc mutants. Rbp4 transcripts (green) are present in some (A and G) insulin+ (red, yellow arrows) and (B and H) glucagon+ (red) cells (A and B, yellow arrows) at both E15.5 and E18.5, with expression also found in (I) somatostatin+ δ-cells (red, yellow arrows) by E18.5. The number of hormone+ Rbp4+ cells increased in MafB−/− and MafAΔPanc;MafB−/− mutant pancreata (C–F; J–O). P: Rbp4 mRNA expression was elevated in 12-week MafAΔPanc islets. S–X: The Rbp4 protein is found in somatostatin (SST)+ δ-cells in (S) wild-type and (W) MafAΔPanc islets, and not (Q and U) insulin+, (R and V) glucagon+, or (T and X) pancreatic peptide+ cells. Scale bar = 20 μm. Nuclei were stained in blue in panels Q–W. White arrows denote Rbp4+ hormone cells. (A high-quality digital representation of this figure is available in the online issue.)

Close modal

Quantitative RNA analysis demonstrated that adult MafAΔPanc islets contained elevated Rbp4 mRNA levels (Fig. 5,P). Notably, Rbp4 protein expression was detected only in somatostatin-producing δ-cells in both wild-type and MafAΔPanc islets (Fig. 5 Q–X). However, there was no change from the wild-type in the somatostatin+ δ-cell proportion produced in mutant islets (wild-type: 8.94 ± 0.73% vs. MafAΔPanc: 8.59 ± 0.89%). Collectively, the data indicate that MafA and MafB negatively regulate production of this effector of insulin secretion and insulin resistance in developing and mature islet cell types.

The expression pattern and functional characteristics of MafA and MafB is unusual when compared with all other islet transcriptional regulators. Hence, the MafA−/− mutant affects only adult islet architecture and β-cell activity, whereas MafB and essentially all other pancreatic transcriptional regulators (at least) affect islet cell development. Here we have examined the relationship between these closely related factors in islet β-cell formation and function, an especially important issue considering that MafB is not produced within this islet cell population in adults.

Histologic and gene expression analyses of regulated genes identified from a microarray screen performed on E18.5 MafB−/−, MafAΔPanc;MafB−/−, and MafAΔPanc pancreata clearly illustrated that MafB is a more potent regulator of β-cell development than MafA, with the majority of differentially expressed genes identical in MafB−/− and MafAΔPanc;MafB−/− samples. Our data also indicate that MafB may serve in a compensatory capacity in the embryonic MafAΔPanc mutant, since MafB levels were amplified at E18.5. Notably, persistent MafB expression in a fraction of adult MafAΔPanc β-cells did not prevent the change in islet architecture and β-cell function first described in MafA−/− mice (19). MafB may not compensate in this setting because of limiting protein levels, or more interestingly, because of differences in activation properties with MafA. In this regard, it is noteworthy that MafA was found to activate Insulin expression, whereas MafB specifically stimulated glucagon in experiments performed in endocrine cells (20,22,40).

Expression profiling analysis showed that MafB activates genes involved in mature endocrine function, including those significant to glucose sensing (e.g., Slc2a2), vesicle maturation (Slc30a8), Ca2+ signaling (Camk2b), and insulin secretion (Nnat) (Table 1, supplementary Table 2; data not shown). In contrast, the levels of transcription factors associated with β-cell differentiation (e.g., Pax6, NeuroD1, Pax4, and Isl1) were unaffected in the MafB−/− (or MafAΔPanc;MafB−/−) mutant, supporting a role for MafB in late events essential to cell maturation and not early islet cell specification (e.g., Ngn3) or cell lineage commitment steps (e.g., Arx, Isl1, Nkx2.2, Pax4, and Pax6) (18). This proposal is also supported by the fact that MafB−/− mutant retained the expression of some α- and β-cell–enriched developmental markers while undergoing a loss in insulin and glucagon production (18). Interestingly, profiling E18.5 MafB−/− or MafAΔPanc;MafB−/− pancreata did not pick up the Gck (i.e., glucokinase), Pcsk1, or Glp1R products that were previously associated with MafA control in a candidate gene study performed with INS1 β-cells (41). These genes may be preferentially under later stage MafA control, since, for example, Gck is produced in high levels postnatally only in β-cells (42).

Strikingly, our results demonstrate that islet MafA controls many genes first regulated by MafB in developing β- cells. This conclusion is based on immunohistological and mRNA analysis of selected MafB−/− microarray candidate genes within the embryonic MafB−/− pancreas and adult MafAΔPanc islet. For example, Slc30a8 expression was compromised in MafB mutant glucagon+ and insulin+ cells during development and specifically in adult MafA mutant insulin+ cells (Fig. 2). Instances were also found when MafB was the primary (if not exclusive) activator, such as Nnat (Fig. 3) and Pdx1 (data not shown).

Given the significance of MafA and MafB mutual target genes (e.g., Slc30a8, Insulin, and Slc2a2) to β-cell function, insulin secretion defects associated with the MafA−/− (19) and MafAΔPanc mutants would be expected. The recent studies showing that Rbp4 produced from rat islet cells inhibits glucose-stimulated insulin secretion (P. Fueger, C. Newgard, unpublished data) suggests that activation in δ-cells of MafAΔPanc mouse would also act to diminish β-cell function. (Rbp4 is also principally expressed in human islet δ-cells [supplementary Fig. 9]). Rbp4 attenuates insulin-induced phosphorylation of insulin receptor substrate-1 in human adipocytes (supplementary reference 3). Presumably, it also inhibits insulin-responsive signalling that is essential to β-cell function (supplementary reference 4). We believe that the increased Rbp4 expression in δ-cells is a byproduct of MafAΔPanc β-cell inactivity. Further investigation may reveal that islet Rbp4 expression is also induced in mouse models of type 2 diabetes wherein islet MafA expression was selectively lost (43,44).

Although other closely related transcription factors are synthesized within the pancreas (e.g., Pax4/Pax6, Nkx6.1/Nkx6.2, FoxA1/FoxA2), none act as specifically and in such a coordinated manner to affect islet cell function as MafA and MafB. For instance, Nkx6.1 and Nkx6.2 are expressed more broadly and earlier, with only Nkx6.1 significantly influencing β-cell development and function (10,12,45). Likewise, FoxA1 and FoxA2 have a similar early expression pattern to Nkx6.1/6.2 in the forming pancreas, with the dominant and general role in islet cell formation and function served by FoxA2 (7,9). Perhaps parallels can be made between islet MafA and MafB and the basic helix-loop-helix Myf-5, MyoD, and Myogenin factors through their actions in skeletal muscle formation. Hence, gene knockout experiments in mice have shown that myogenin plays an essential role in the late differentiation of myoblasts to myotubes (46) (analogous to MafA in the maturing β-cell), whereas both Myf-5 and MyoD act upstream and are critical to myoblast formation (47) (acting similarly to MafB). However, expression of any of these myogenic factors can convert a variety of tissue culture cells into muscle cells (48,49), whereas only MafA appears capable of activating Insulin transcription in vitro (22,40). Interestingly, differences in myogenic potential was revealed when Myogenin was expressed from the Myf5 locus in vivo (48), suggesting that a knock-in analysis might also reveal elementary regulatory differences between the MafA and MafB proteins.

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 with 18 U.S.C. Section 1734 solely to indicate this fact.

This work was supported by grants from the National Institutes of Health (P01 DK-42502 to R.S.; DK-72433 to M.A.M.), Juvenile Diabetes Research Foundation (research grant 1-2008-595 to R.S.; 2-2007-716 to I.A.), and the Swedish Research Council (to I.A.). Support for this work was provided to the Vanderbilt Transgenic Mouse/ES Cell Shared Resource by the Vanderbilt University Diabetes Research and Training Center (P60 DK-20593).

No potential conflicts of interest relevant to this article were reported.

I.A. and Y.H. researched data, contributed to discussion, wrote the manuscript, and reviewed/edited the manuscript. M.M., M.G., and J.L. researched data. T.Y. researched data and contributed to discussion. M.A.M. contributed to discussion and reviewed/edited the manuscript. R.S. contributed to discussion, wrote the manuscript, and reviewed/edited the manuscript.

1.
Gradwohl
G
.
Development of the endocrine pancreas
.
Diabete Metab
2006
;
32
:
532
533
2.
Kim
SK
,
MacDonald
RJ
.
Signaling and transcriptional control of pancreatic organogenesis
.
Curr Opin Genet Dev
2002
;
12
:
540
547
3.
Oliver-Krasinski
JM
,
Stoffers
DA
.
On the origin of the β cell
.
Genes Dev
2008
;
22
:
1998
2021
4.
D'Amour
KA
,
Bang
AG
,
Eliazer
S
,
Kelly
OG
,
Agulnick
AD
,
Smart
NG
,
Moorman
MA
,
Kroon
E
,
Carpenter
MK
,
Baetge
EE
.
Production of pancreatic hormone-expressing endocrine cells from human embryonic stem cells
.
Nat Biotechnol
2006
;
24
:
1392
1401
5.
Kroon
E
,
Martinson
LA
,
Kadoya
K
,
Bang
AG
,
Kelly
OG
,
Eliazer
S
,
Young
H
,
Richardson
M
,
Smart
NG
,
Cunningham
J
,
Agulnick
AD
,
D'Amour
KA
,
Carpenter
MK
,
Baetge
EE
.
Pancreatic endoderm derived from human embryonic stem cells generates glucose-responsive insulin-secreting cells in vivo
.
Nat Biotechnol
2008
;
26
:
443
452
6.
Zhou
Q
,
Brown
J
,
Kanarek
A
,
Rajagopal
J
,
Melton
DA
.
In vivo reprogramming of adult pancreatic exocrine cells to β-cells
.
Nature
2008
;
455
:
627
632
7.
Gao
N
,
LeLay
J
,
Vatamaniuk
MZ
,
Rieck
S
,
Friedman
JR
,
Kaestner
KH
.
Dynamic regulation of Pdx1 enhancers by Foxa1 and Foxa2 is essential for pancreas development
.
Genes Dev
2008
;
22
:
3435
3448
8.
Gao
N
,
White
P
,
Doliba
N
,
Golson
ML
,
Matschinsky
FM
,
Kaestner
KH
.
Foxa2 controls vesicle docking and insulin secretion in mature β cells
.
Cell Metab
2007
;
6
:
267
279
9.
Sund
NJ
,
Vatamaniuk
MZ
,
Casey
M
,
Ang
SL
,
Magnuson
MA
,
Stoffers
DA
,
Matschinsky
FM
,
Kaestner
KH
.
Tissue-specific deletion of Foxa2 in pancreatic β cells results in hyperinsulinemic hypoglycemia
.
Genes Dev
2001
;
15
:
1706
1715
10.
Henseleit
KD
,
Nelson
SB
,
Kuhlbrodt
K
,
Hennings
JC
,
Ericson
J
,
Sander
M
.
NKX6 transcription factor activity is required for α- and β-cell development in the pancreas
.
Development
2005
;
132
:
3139
3149
11.
Nelson
SB
,
Schaffer
AE
,
Sander
M
.
The transcription factors Nkx6.1 and Nkx6.2 possess equivalent activities in promoting β-cell fate specification in Pdx1+ pancreatic progenitor cells
.
Development
2007
;
134
:
2491
2500
12.
Sander
M
,
Sussel
L
,
Conners
J
,
Scheel
D
,
Kalamaras
J
,
Dela Cruz
F
,
Schwitzgebel
V
,
Hayes-Jordan
A
,
German
M
.
Homeobox gene Nkx6.1 lies downstream of Nkx2.2 in the major pathway of β-cell formation in the pancreas
.
Development
2000
;
127
:
5533
5540
13.
Ashery-Padan
R
,
Zhou
X
,
Marquardt
T
,
Herrera
P
,
Toube
L
,
Berry
A
,
Gruss
P
.
Conditional inactivation of Pax6 in the pancreas causes early onset of diabetes
.
Dev Biol
2004
;
269
:
479
488
14.
Collombat
P
,
Mansouri
A
,
Hecksher-Sorensen
J
,
Serup
P
,
Krull
J
,
Gradwohl
G
,
Gruss
P
.
Opposing actions of Arx and Pax4 in endocrine pancreas development
.
Genes Dev
2003
;
17
:
2591
2603
15.
Sander
M
,
Neubuser
A
,
Kalamaras
J
,
Ee
HC
,
Martin
GR
,
German
MS
.
Genetic analysis reveals that PAX6 is required for normal transcription of pancreatic hormone genes and islet development
.
Genes Dev
1997
;
11
:
1662
1673
16.
Sosa-Pineda
B
,
Chowdhury
K
,
Torres
M
,
Oliver
G
,
Gruss
P
.
The Pax4 gene is essential for differentiation of insulin-producing β cells in the mammalian pancreas
.
Nature
1997
;
386
:
399
402
17.
St-Onge
L
,
Sosa-Pineda
B
,
Chowdhury
K
,
Mansouri
A
,
Gruss
P
.
Pax6 is required for differentiation of glucagon-producing α-cells in mouse pancreas
.
Nature
1997
;
387
:
406
409
18.
Artner
I
,
Blanchi
B
,
Raum
JC
,
Guo
M
,
Kaneko
T
,
Cordes
S
,
Sieweke
M
,
Stein
R
.
MafB is required for islet β cell maturation
.
Proc Natl Acad Sci U S A
2007
;
104
:
3853
3858
19.
Zhang
C
,
Moriguchi
T
,
Kajihara
M
,
Esaki
R
,
Harada
A
,
Shimohata
H
,
Oishi
H
,
Hamada
M
,
Morito
N
,
Hasegawa
K
,
Kudo
T
,
Engel
JD
,
Yamamoto
M
,
Takahashi
S
.
MafA is a key regulator of glucose-stimulated insulin secretion
.
Mol Cell Biol
2005
;
25
:
4969
4976
20.
Artner
I
,
Le Lay
J
,
Hang
Y
,
Elghazi
L
,
Schisler
JC
,
Henderson
E
,
Sosa-Pineda
B
,
Stein
R
.
MafB: an activator of the glucagon gene expressed in developing islet α- and β-cells
.
Diabetes
2006
;
55
:
297
304
21.
Nishimura
W
,
Kondo
T
,
Salameh
T
,
El Khattabi
I
,
Dodge
R
,
Bonner-Weir
S
,
Sharma
A
.
A switch from MafB to MafA expression accompanies differentiation to pancreatic β-cells
.
Dev Biol
2006
;
293
:
526
539
22.
Matsuoka
TA
,
Artner
I
,
Henderson
E
,
Means
A
,
Sander
M
,
Stein
R
.
The MafA transcription factor appears to be responsible for tissue-specific expression of insulin
.
Proc Natl Acad Sci U S A
2004
;
101
:
2930
2933
23.
Gu
G
,
Dubauskaite
J
,
Melton
DA
.
Direct evidence for the pancreatic lineage: NGN3+ cells are islet progenitors and are distinct from duct progenitors
.
Development
2002
;
129
:
2447
2457
24.
Blanchi
B
,
Kelly
LM
,
Viemari
JC
,
Lafon
I
,
Burnet
H
,
Bevengut
M
,
Tillmanns
S
,
Daniel
L
,
Graf
T
,
Hilaire
G
,
Sieweke
MH
.
MafB deficiency causes defective respiratory rhythmogenesis and fatal central apnea at birth
.
Nat Neurosci
2003
;
6
:
1091
1100
25.
Matsuoka
TA
,
Zhao
L
,
Artner
I
,
Jarrett
HW
,
Friedman
D
,
Means
A
,
Stein
R
.
Members of the large Maf transcription family regulate insulin gene transcription in islet β cells
.
Mol Cell Biol
2003
;
23
:
6049
6062
26.
Henrique
D
,
Adam
J
,
Myat
A
,
Chitnis
A
,
Lewis
J
,
Ish-Horowicz
D
.
Expression of a Δhomologue in prospective neurons in the chick
.
Nature
1995
;
375
:
787
790
27.
Golosow
N
,
Grobstein
C
.
Epitheliomesenchymal interaction in pancreatic morphogenesis
.
Dev Biol
1962
;
4
:
242
255
28.
Chimienti
F
,
Devergnas
S
,
Favier
A
,
Seve
M
.
Identification and cloning of a β-cell-specific zinc transporter, ZnT-8, localized into insulin secretory granules
.
Diabetes
2004
;
53
:
2330
2337
29.
Chimienti
F
,
Devergnas
S
,
Pattou
F
,
Schuit
F
,
Garcia-Cuenca
R
,
Vandewalle
B
,
Kerr-Conte
J
,
Van Lommel
L
,
Grunwald
D
,
Favier
A
,
Seve
M
.
In vivo expression and functional characterization of the zinc transporter ZnT8 in glucose-induced insulin secretion
.
J Cell Sci
2006
;
119
:
4199
4206
30.
Saxena
R
,
Voight
BF
,
Lyssenko
V
,
Burtt
NP
,
de Bakker
PI
,
Chen
H
,
Roix
JJ
,
Kathiresan
S
,
Hirschhorn
JN
,
Daly
MJ
,
Hughes
TE
,
Groop
L
,
Altshuler
D
,
Almgren
P
,
Florez
JC
,
Meyer
J
,
Ardlie
K
,
Bengtsson Bostrom
K
,
Isomaa
B
,
Lettre
G
,
Lindblad
U
,
Lyon
HN
,
Melander
O
,
Newton-Cheh
C
,
Nilsson
P
,
Orho-Melander
M
,
Rastam
L
,
Speliotes
EK
,
Taskinen
MR
,
Tuomi
T
,
Guiducci
C
,
Berglund
A
,
Carlson
J
,
Gianniny
L
,
Hackett
R
,
Hall
L
,
Holmkvist
J
,
Laurila
E
,
Sjogren
M
,
Sterner
M
,
Surti
A
,
Svensson
M
,
Tewhey
R
,
Blumenstiel
B
,
Parkin
M
,
Defelice
M
,
Barry
R
,
Brodeur
W
,
Camarata
J
,
Chia
N
,
Fava
M
,
Gibbons
J
,
Handsaker
B
,
Healy
C
,
Nguyen
K
,
Gates
C
,
Sougnez
C
,
Gage
D
,
Nizzari
M
,
Gabriel
SB
,
Chirn
GW
,
Ma
Q
,
Parikh
H
,
Richardson
D
,
Ricke
D
,
Purcell
S
.
Genome-wide association analysis identifies loci for type 2 diabetes and triglyceride levels
.
Science
2007
;
316
:
1331
1336
31.
Sladek
R
,
Rocheleau
G
,
Rung
J
,
Dina
C
,
Shen
L
,
Serre
D
,
Boutin
P
,
Vincent
D
,
Belisle
A
,
Hadjadj
S
,
Balkau
B
,
Heude
B
,
Charpentier
G
,
Hudson
TJ
,
Montpetit
A
,
Pshezhetsky
AV
,
Prentki
M
,
Posner
BI
,
Balding
DJ
,
Meyre
D
,
Polychronakos
C
,
Froguel
P
.
A genome-wide association study identifies novel risk loci for type 2 diabetes
.
Nature
2007
;
445
:
881
885
32.
Wenzlau
JM
,
Juhl
K
,
Yu
L
,
Moua
O
,
Sarkar
SA
,
Gottlieb
P
,
Rewers
M
,
Eisenbarth
GS
,
Jensen
J
,
Davidson
HW
,
Hutton
JC
.
The cation efflux transporter ZnT8 (Slc30A8) is a major autoantigen in human type 1 diabetes
.
Proc Natl Acad Sci U S A
2007
;
104
:
17040
17045
33.
Gyulkhandanyan
AV
,
Lu
H
,
Lee
SC
,
Bhattacharjee
A
,
Wijesekara
N
,
Fox
JE
,
MacDonald
PE
,
Chimienti
F
,
Dai
FF
,
Wheeler
MB
.
Investigation of transport mechanisms and regulation of intracellular Zn2+ in pancreatic α-cells
.
J Biol Chem
2008
;
283
:
10184
10197
34.
Jarchum
I
,
Nichol
L
,
Trucco
M
,
Santamaria
P
,
DiLorenzo
TP
.
Identification of novel IGRP epitopes targeted in type 1 diabetes patients
.
Clin Immunol
2008
;
127
:
359
365
35.
Bouatia-Naji
N
,
Rocheleau
G
,
Van Lommel
L
,
Lemaire
K
,
Schuit
F
,
Cavalcanti-Proenca
C
,
Marchand
M
,
Hartikainen
AL
,
Sovio
U
,
De Graeve
F
,
Rung
J
,
Vaxillaire
M
,
Tichet
J
,
Marre
M
,
Balkau
B
,
Weill
J
,
Elliott
P
,
Jarvelin
MR
,
Meyre
D
,
Polychronakos
C
,
Dina
C
,
Sladek
R
,
Froguel
P
.
A polymorphism within the G6PC2 gene is associated with fasting plasma glucose levels
.
Science
2008
;
320
:
1085
1088
36.
Martin
CC
,
Flemming
BP
,
Wang
Y
,
Oeser
JK
,
O'Brien
RM
.
Foxa2 and MafA regulate islet-specific glucose-6-phosphatase catalytic subunit-related protein gene expression
.
J Mol Endocrinol
2008
;
41
:
315
328
37.
Joe
MK
,
Lee
HJ
,
Suh
YH
,
Han
KL
,
Lim
JH
,
Song
J
,
Seong
JK
,
Jung
MH
.
Crucial roles of neuronatin in insulin secretion and high glucose-induced apoptosis in pancreatic β-cells
.
Cell Signal
2008
;
20
:
907
915
38.
Chu
K
,
Tsai
MJ
.
Neuronatin, a downstream target of β2/NeuroD1 in the pancreas, is involved in glucose-mediated insulin secretion
.
Diabetes
2005
;
54
:
1064
1073
39.
Wolf
G
.
Serum retinol-binding protein: a link between obesity, insulin resistance, and type 2 diabetes
.
Nutr Rev
2007
;
65
:
251
256
40.
Artner
I
,
Hang
Y
,
Guo
M
,
Gu
G
,
Stein
R
.
MafA is a dedicated activator of the insulin gene in vivo
.
J Endocrinol
2008
;
198
:
271
279
41.
Wang
H
,
Brun
T
,
Kataoka
K
,
Sharma
AJ
,
Wollheim
CB
.
MAFA controls genes implicated in insulin biosynthesis and secretion
.
Diabetologia
2007
;
50
:
348
358
42.
Matschinsky
FM
.
Regulation of pancreatic β-cell glucokinase: from basics to therapeutics
.
Diabetes
2002
;
51
(
Suppl. 3
):
S394
S404
43.
Harmon
JS
,
Bogdani
M
,
Parazzoli
SD
,
Mak
SS
,
Oseid
EA
,
Berghmans
M
,
Leboeuf
RC
,
Robertson
RP
.
β-Cell-specific overexpression of glutathione peroxidase preserves intranuclear MafA and reverses diabetes in db/db mice
.
Endocrinology
2009
;
150
:
4855
4862
44.
Kitamura
YI
,
Kitamura
T
,
Kruse
JP
,
Raum
JC
,
Stein
R
,
Gu
W
,
Accili
D
.
FoxO1 protects against pancreatic β cell failure through NeuroD and MafA induction
.
Cell Metab
2005
;
2
:
153
163
45.
Schisler
JC
,
Jensen
PB
,
Taylor
DG
,
Becker
TC
,
Knop
FK
,
Takekawa
S
,
German
M
,
Weir
GC
,
Lu
D
,
Mirmira
RG
,
Newgard
CB
.
The Nkx6.1 homeodomain transcription factor suppresses glucagon expression and regulates glucose-stimulated insulin secretion in islet β cells
.
Proc Natl Acad Sci U S A
2005
;
102
:
7297
7302
46.
Hasty
P
,
Bradley
A
,
Morris
JH
,
Edmondson
DG
,
Venuti
JM
,
Olson
EN
,
Klein
WH
.
Muscle deficiency and neonatal death in mice with a targeted mutation in the myogenin gene
.
Nature
1993
;
364
:
501
506
47.
Rudnicki
MA
,
Schnegelsberg
PN
,
Stead
RH
,
Braun
T
,
Arnold
HH
,
Jaenisch
R
.
MyoD or Myf-5 is required for the formation of skeletal muscle
.
Cell
1993
;
75
:
1351
1359
48.
Wang
Y
,
Jaenisch
R
.
Myogenin can substitute for Myf5 in promoting myogenesis but less efficiently
.
Development
1997
;
124
:
2507
2513
49.
Weintraub
H
,
Davis
R
,
Tapscott
S
,
Thayer
M
,
Krause
M
,
Benezra
R
,
Blackwell
TK
,
Turner
D
,
Rupp
R
,
Hollenberg
S
, et al
.
The myoD gene family: nodal point during specification of the muscle cell lineage
.
Science
1991
;
251
:
761
766
Readers may use this article as 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-nc-nd/3.0/ for details.

Supplementary data