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These results suggest that GLP-1-potentiated GSIS is primarily mediated by VAMP8 and that defect in exocytosis in VAMP8 KO �� cells is overcome by the increased �� cell mass. Increased �� cell mass in VAMP8 KO islets could be due to primary or secondary effects, including insulin secretory deficiency and peripheral insulin resistance leading to compensatory �� cell proliferation ( Kahn, 1998). The latter seems unlikely since VAMP8 KO mice assessed by insulin tolerance test were not insulin resistant ( Figure?4C). In Figure?4D, we have shown that plasma incretin levels that could affect islet mass were not altered. this website We thus postulated that VAMP8 affects �� cell proliferation by a mechanism distinct from its actions on the exocytotic machinery. We examined factors in VAMP8 KO islets that could account for �� cell proliferation, including Pdx1, a critical transcription factor for �� cell proliferation and survival Quetiapine (WT, 100%; VAMP8 KO, 172%?�� 19.4%), and cell-cycle protein cyclin D1, a mediator for �� cell proliferation (WT, 100%; VAMP8 KO, 150.3%?�� 10.5%), which were at higher levels in VAMP8 KO than WT islets at basal conditions ( Figure?5A). There has been much ado about GLP-1-based therapies that increase islet �� cell mass in diabetes patients ( Lovshin and Drucker, 2009). To assess whether VAMP8 KO deletion might induce islet �� cells to become more conducive to Ex-4-induced proliferation, we examined the in?vivo effects of Ex-4 on �� cell mass. VAMP8 KO and WT mice were treated twice daily with Ex-4 injections for three consecutive days, and on the fourth day pancreata were isolated and subjected to several assays: islet isolation for Selleck KRX 0401 western blot analysis, and pancreatic tissue sectioning for islet morphometry and histochemical analysis. Ex-4 treatment caused the already higher basal levels of cyclin D1 to increase by a 477% in VAMP8 KO islets compared to a lower 226% increase in WT islets ( Figure?5B). Pdx1 levels were mildly increased in VAMP8 KO (from 152% to 264%) and WT islets (from 100% to 165%). Ex-4 treatment caused a stronger ?85% increase in �� cell area in KO islets ( Figure?5C; WT, 0.0052?�� 0.0006; KO, 0.0096?�� 0.0017; p?