Forkhead Box Protein 1 (FoxO1) Inhibits Accelerated β Cell Aging in Pancreas-specific SMAD7 Mutant Mice

Xiangwei Xiao1, Congde Chen2, Ping Guo3

  • 1Divisions of Pediatric Surgery.

Insights

Pancreatic SMAD7 depletion causes exocrine failure, leading to bystander beta cell aging and diabetes. Restoring Forkhead box protein 1 (FoxO1) prevents this dysfunction, highlighting its role in maintaining beta cell identity.

Area of Science:

  • Endocrinology
  • Cell Biology
  • Metabolic Diseases

Background:

  • The link between exocrine dysfunction and diabetes development is poorly understood.
  • Beta cell aging contributes to glucose intolerance and diabetes.

Purpose of the Study:

  • To investigate the impact of SMAD7 depletion on pancreatic beta cells and diabetes development.
  • To elucidate the role of Forkhead box protein 1 (FoxO1) in beta cell dysfunction secondary to exocrine failure.

Main Methods:

  • Induction of pancreatic SMAD7 depletion in a mouse model.
  • Assessment of beta cell function, proliferation, and aging markers.
  • Analysis of FoxO1 acetylation, nuclear retention, and expression levels in beta cells.

Main Results:

  • SMAD7 depletion led to age-dependent beta cell dysfunction, impaired glucose tolerance, and overt diabetes.
  • Beta cell aging and loss of proliferation were non-cell-autonomous, resulting from adjacent exocrine failure (bystander effect).
  • Increased FoxO1 acetylation and subsequent loss in beta cells preceded diabetes onset; forced FoxO1 expression protected beta cells.

Conclusions:

  • Pancreatic exocrine failure can accelerate beta cell aging and lead to diabetes through a bystander effect.
  • FoxO1 plays a critical role in maintaining beta cell identity and function, particularly under conditions of SMAD7 deficiency.
  • This study presents a novel model for investigating accelerated beta cell aging and diabetes mechanisms.