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Variables that influence transcription factor-mediated acinar to beta cell reprogramming

by Hannah Worchel Clayton

Institution: Vanderbilt University
Year: 2017
Keywords: acinar-to-ductal metaplasia; Reprogramming; inflammation; beta cells; acinar cells; diabetes
Posted: 02/01/2018
Record ID: 2160547
Full text PDF: http://etd.library.vanderbilt.edu/available/etd-02202017-135410/;


Abstract

Reprogramming of pancreatic cells into new beta-like cells is a potential therapy for Type 1 diabetes. Pancreatic acinar cells are an appealing target for cellular reprogramming since they are abundant, derived from a common progenitor cell during pancreatic organogenesis, and exhibit significant transcriptional plasticity. Towards this end, it has been reported that adenoviral-mediated expression of three pancreas-specific transcription factors MafA, Pdx1 and Neurog3 (3TF) in immunocompromised Rag1-/- mice resulted in the conversion of pancreatic acinar cells into new, insulin-secreting, beta-like cells. Using a transgenic mouse model to express 3TF in a pancreatic acinar cell- and doxycycline-dependent manner, we discovered that the outcome of transcription factor-mediated acinar to beta-like cellular reprogramming is dependent on both the magnitude of 3TF expression and on reprogramming-induced inflammation. Overly robust 3TF expression causes acinar cell necrosis resulting in marked inflammation and acinar-to-ductal metaplasia. Generation of new beta-like cells requires limiting reprogramming-induced inflammation, either by reducing 3TF expression or by eliminating macrophages. The new beta-like cells were able to reverse streptozotocin-induced diabetes 6 days after inducing 3TF expression but failed to sustain their function after removal of the reprogramming factors.Advisors/Committee Members: Gu Guoqiang (chair), Roland W. Stein (committee member), William P. Tansey (committee member), Luc Van Kaer (committee member).

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