1. Increased frequency of β cells with abnormal NKX6.1 expression in type 2 diabetes but not in subjects with higher risk for type 2 diabetes
- Author
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Jiaqi Zou, Peng Sun, Le Wang, Tengli Liu, Shusen Wang, Guanqiao Wang, Xuejie Ding, Zhongyang Shen, Yaojuan Liu, Boya Zhang, Rui Liang, and Na Liu
- Subjects
Male ,0301 basic medicine ,endocrine system diseases ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,Cell ,Cell Count ,Chromosomal translocation ,Type 2 diabetes ,lcsh:Diseases of the endocrine glands. Clinical endocrinology ,chemistry.chemical_compound ,0302 clinical medicine ,Risk Factors ,Insulin-Secreting Cells ,Medicine ,Cell Differentiation ,General Medicine ,Middle Aged ,medicine.anatomical_structure ,embryonic structures ,Female ,Autopsy ,Research Article ,Adult ,medicine.medical_specialty ,animal structures ,HbA1c ,030209 endocrinology & metabolism ,Prediabetic State ,03 medical and health sciences ,Age ,Diabetes mellitus ,Internal medicine ,Humans ,Obesity ,NKX6.1 ,Aged ,Glycated Hemoglobin ,Homeodomain Proteins ,β-Cell dedifferentiation ,lcsh:RC648-665 ,business.industry ,Insulin ,Type 2 Diabetes Mellitus ,nutritional and metabolic diseases ,medicine.disease ,030104 developmental biology ,Endocrinology ,Diabetes Mellitus, Type 2 ,chemistry ,Cytoplasm ,Case-Control Studies ,Glycated hemoglobin ,business - Abstract
Background NKX6.1 is a transcription factor for insulin, as well as a marker for β cell maturity. Abnormal NKX6.1 expression in β cells, such as translocation from the nucleus to cytoplasm or lost expression, has been shown as a marker for β cell dedifferentiation. Methods We obtained pancreatic sections from organ donors and immunofluorescence staining with NKX6.1 and insulin was performed to characterize NKX6.1 expression in subjects with or without type 2 diabetes mellitus (T2DM). Results Our results showed that cells with insulin expression but no nucleic NKX6.1 expression (NKX6.1Nuc-Ins+), and cells with cytoplasmic NKX6.1 expression but no insulin expression (NKX6.1cytIns−) were significantly increased in T2DM subjects and positively correlated with glycated hemoglobin (HbA1c), indicating the elevated β cell dedifferentiation with NKX6.1 inactivation in T2DM. To investigate whether β cell dedifferentiation has initiated in subjects with higher risks for T2DM, we next analyzed the association between β-cell dedifferentiation level in ND subjects with different ages, body mass index, and HbA1c. The results showed the absolute number and percentage of dedifferentiated β cells with NKX6.1 inactivation did not significantly change in subjects with advanced aging, obesity, or modest hyperglycemia, indicating that the β cell dedifferentiation might mainly occur after T2DM was diagnosed. Conclusion Our results suggested that NKX6.1 expression in β cells was changed in type 2 diabetic subjects, evidenced by significantly increased NKX6.1Nuc-Ins+ and NKX6.1cytIns− cells. This abnormality did not occur more frequently in subjects with a higher risk for T2DM, suggesting that β cell dedifferentiation might be secondary to the pathological changes in T2DM.
- Published
- 2021