FoxO1 as a double-edged sword in the pancreas: analysis of pancreas- and β-cell-specific FoxO1 knockout mice

Masaki Kobayashi1, Osamu Kikuchi, Tsutomu Sasaki

  • 1Metabolic Signal Research Center, Institute for Molecular and Cellular Regulation, Gunma University, Maebashi, Gunma, Japan.

Insights

Forkhead box O1 (FoxO1) plays a dual role in diabetes research. It inhibits new beta-cell formation but is crucial for maintaining insulin secretion under metabolic stress.

Area of Science:

  • Endocrinology
  • Metabolic diseases
  • Molecular biology

Background:

  • Diabetes mellitus is a metabolic disorder characterized by pancreatic beta-cell deficiency.
  • Forkhead box O1 (FoxO1) has contradictory roles in beta-cell function, inhibiting growth yet protecting against failure.
  • Understanding FoxO1's precise functions is critical for developing novel diabetes therapies.

Purpose of the Study:

  • To elucidate the physiological roles of FoxO1 in pancreatic beta-cell neogenesis and function.
  • To investigate FoxO1's impact on metabolic parameters and pancreatic morphology under metabolic stress.
  • To differentiate the roles of FoxO1 regulated by the Pdx1 and insulin 2 promoters.

Main Methods:

  • Generation of mice with FoxO1 deletion under the Pdx1 promoter (P-FoxO1-KO) and insulin 2 promoter (β-FoxO1-KO).
  • Analysis of metabolic parameters and pancreatic morphology in mice fed a high-fat high-sucrose diet (HFHSD) or on a db/db background.
  • Immunohistochemistry and electron microscopy to assess beta-cell mass, islet number, and insulin granule content.

Main Results:

  • P-FoxO1-KO mice exhibited improved glucose tolerance on HFHSD, linked to increased beta-cell neogenesis and more insulin-positive duct cells.
  • Neither P-FoxO1-KO nor β-FoxO1-KO improved glucose intolerance in db/db mice; instead, they showed exacerbated hyperglycemia.
  • FoxO1 knockout in db/db mice led to reduced insulin secretion and fewer insulin granules, indicating impaired function under metabolic stress.

Conclusions:

  • FoxO1 acts as a double-edged sword: it inhibits beta-cell neogenesis from pancreatic duct cells but is essential for maintaining insulin secretion capacity during metabolic stress.
  • Targeting FoxO1 requires a nuanced approach, considering its opposing roles in beta-cell proliferation and function.
  • These findings offer insights into potential therapeutic strategies for diabetes by modulating FoxO1 activity.