Blockade of glucagon signaling prevents or reverses diabetes onset only if residual β-cells persist

  1. Nicolas Damond
  2. Fabrizio Thorel
  3. Julie S Moyers
  4. Maureen J Charron
  5. Patricia M Vuguin
  6. Alvin C Powers
  7. Pedro L Herrera  Is a corresponding author
  1. University of Geneva, Switzerland
  2. Eli Lilly and Company, United States
  3. Albert Einstein College of Medicine, United States
  4. Columbia University, United States
  5. Vanderbilt University, United States
  6. VA Tennessee Valley Healthcare System, United States
6 figures and 1 additional file

Figures

Figure 1 with 1 supplement
Gcgr-/- mice become diabetic after massive β-cell ablation.

(A) Random-fed glycemia (left) and area under the glycemia curve (AUC) between days 0 and 7 after DT (right) in untreated (Untr.) and DT-treated RIP-DTR;Gcgr+/- and RIP-DTR;Gcgr-/- females. (B) Body …

https://doi.org/10.7554/eLife.13828.003
Figure 1—figure supplement 1
Insulin administration stabilizes body weight and allows survival of DT-treated Gcgr-/-mice.

Glycemia (left) and body weight (right) of RIP-DTR;Gcgr+/+ (blue triangles, N=7), RIP-DTR;Gcgr+/- (black squares, N=9), and RIP-DTR;Gcgr-/- (red circles, N=9) males following DT-mediated β-cell …

https://doi.org/10.7554/eLife.13828.004
Figure 2 with 2 supplements
Anti-GCGR mAb-treated mice become diabetic after massive β-cell ablation.

(A) Experimental design. (B-C) Random-fed glycemia (B) and body weight (C) after DT in C57BL/6 males pre-treated with vehicle or mAb (N=3).

https://doi.org/10.7554/eLife.13828.005
Figure 2—figure supplement 1
Anti-GCGR mAb administration recapitulates the metabolic and cellular phenotypes of Gcgr-/- mice.

(A) Experimental design. 9 mg/kg anti-GCGR mAb was injected i.p. 3 times per week for 3 weeks in C57BL/6 animals. (B) Left: Random fed glycemia of vehicle- (black squares) or mAb-treated males (red …

https://doi.org/10.7554/eLife.13828.006
Figure 2—figure supplement 2
Insulin administration is required to stabilize body weight and allow survival of anti-GCGR-treated mice after DT.

(A-C) Exogenous insulin, but not anti-GCGR mAb treatment, stabilizes body weight and improves survival after extreme β-cell loss. (A) Experimental design. (B) Evolution of body weight following DT …

https://doi.org/10.7554/eLife.13828.007
Figure 3 with 2 supplements
DT administration leads to a more complete β-cell ablation than STZ.

(A) Islet sections stained for insulin (red) and glucagon (green) from untreated, STZ-, or DT-treated RIP-DTR;Gcgr-/- females, 6 days after the last STZ or DT injection. Scale bars: 20 μm. (B-D) …

https://doi.org/10.7554/eLife.13828.008
Figure 3—figure supplement 1
RIP-DTR;Gcgr-/- mice remain hyperglucagonemic and α-cell mass is not affected after STZ- or DT-treatment.

(A-B) fed plasma glucagon levels (A) and α-cell mass (B) in untreated (Untr.), STZ-, or DT-treated RIP-DTR;Gcgr+/- and RIP-DTR;Gcgr-/- males and females, measured 6 days after the last injection. …

https://doi.org/10.7554/eLife.13828.009
Figure 3—figure supplement 2
Higher efficiency of β-cell ablation after DT- than after STZ-treatment in mice with normal glucagon signaling.

(A-B) β-cell mass (A) and pancreatic insulin content (B) in untreated (Untr.), STZ-, or DT-treated RIP-DTR;Gcgr+/- females, measured 6 days after the last injection. STZ administration: two …

https://doi.org/10.7554/eLife.13828.010
Figure 4 with 3 supplements
Inhibition of insulin action triggers hyperglycemia in STZ-treated Gcgr-/-mice.

(A) Random-fed glycemia after STZ and/or S961 administration in Gcgr+/- and Gcgr-/- females (left), and area under the glycemia curve (AUC) during S961 treatment (right). (B-D) Hepatic Pepck (top) …

https://doi.org/10.7554/eLife.13828.011
Figure 4—figure supplement 1
Higher hepatic PEPCK protein expression after DT in both Gcgr+/- and Gcgr-/- mice.

Western blot analysis showing PEPCK and Tubulin expression in the liver of untreated (untr.) and DT-treated RIP-DTR-Gcgr+/- and RIP-DTR-Gcgr-/- females (left). Quantification of PEPCK band …

https://doi.org/10.7554/eLife.13828.012
Figure 4—figure supplement 2
Liver glycogen concentration is reduced after DT-treatment in both RIP-DTR-Gcgr+/- and RIP-DTR-Gcgr-/- mice.

Liver glycogen concentration in different conditions of insulin and/or glucagon deficiency (N=4). *p<0.05; Mann-Whitney U test.

https://doi.org/10.7554/eLife.13828.013
Figure 4—figure supplement 3
Expression of genes negatively regulated by insulin signaling in skeletal muscle.

mRNA levels of genes inhibited by insulin in skeletal muscle (gastrocnemius), relative to those of untreated Gcgr+/- females (normalized to Actb, Gapdh, and Gusb) (N=4–6). Irs2, Insulin receptor …

https://doi.org/10.7554/eLife.13828.014
Figure 5 with 1 supplement
Anti-GCGR mAb treatment does not normalize hyperglycemia after efficient STZ-mediated β-cell ablation.

(A) Random-fed glycemia in C57BL/6 males treated with STZ (single injection at day 0: 175 or 225 mg/kg) and/or anti-GCGR mAb (osmotic pump, days 6 to 14; N=3–6). (B) Area under the glycemia curves …

https://doi.org/10.7554/eLife.13828.015
Figure 5—figure supplement 1
Hepatic Pepck and Glucokinase expression after STZ and/or anti-GCGR mAb treatment.

Liver Pepck (left) and Glucokinase (right) mRNA levels in mice treated with STZ (single injection at day 0: 175 or 225 mg/kg) and/or anti-GCGR mAb (osmotic pump, days 6 to 14) relative to those of …

https://doi.org/10.7554/eLife.13828.016
Figure 6 with 1 supplement
Absence of glucagon signaling does not block the appearance of new glucagon-insulin bihormonal cells after β-cell ablation.

(A) Islet sections exhibiting glucagon-insulin co-expressing cells (arrowheads) from RIP-DTR;Gcgr+/+ and RIP-DTR;Gcgr-/- females (1 m after DT). Scale bars: 20 μm. (B-D) Percentage of glucagon+

https://doi.org/10.7554/eLife.13828.017
Figure 6—figure supplement 1
Newly formed bihormonal cells in Gcgr-/- mice are reprogrammed α-cells.

(A) Transgenes required to irreversibly lineage-trace pancreatic α-cells with YFP before β-cell ablation. Inverted triangles represent loxP sites. (B) Experimental design. Upon DOX administration, …

https://doi.org/10.7554/eLife.13828.018

Additional files

Supplementary file 1

Primer sequences used for RT-qPCR.

https://doi.org/10.7554/eLife.13828.019

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