Compensatory proliferation, in which cells begin to actively divide to replace those that have been damaged, is a biological mechanism that is both well-known and poorly understood. "And this is particularly true for pancreatic beta cells, whose regenerative mechanism stays largely unexplored despite decades of research," explains Dr Charna Dibner, head of the Circadian Endocrinology Laboratory at UNIGE Faculty of Medicine's the Departments of Medicine and Cell Physiology and Metabolism, as well as at the Diabetes Centre, and at the HUG. "However, deciphering this phenomenon and above all finding out how to promote it could be a game changer for controlling diabetes."

Day-night rotation is essential

To explore the connection between internal biological clocks and beta cell regeneration, Charna Dibner's team first observed two groups of mice with only 20% beta cells remaining after targeted massive ablation. Mice in a first group were arrhythmic, whereas the control group had perfectly functional clocks. "The result was very clear: the mice bearing dysfunctional clocks were unable to regenerate their beta cells, and suffered from severe diabetes, while the control group animals had their beta cells regenerated; in just a few weeks, their diabetes was under control," says Volodymyr Petrenko, a researcher in Dr. Dibner's laboratory and the leading scientist in this study. By measuring the number of dividing beta cells across 24 hours, the scientists also noted that regeneration is significantly greater at night, when the mice are active.

The BMAL1 gene, metronome of cell activity

The arrhythmic mice were lacking the BMAL1 gene, which codes for the protein of the same name, a transcription factor known for its key action in the functioning of circadian clock. "Our analyses show that the BMAL1 gene is essential for the regeneration of beta cells," adds Volodymyr Petrenko. In addition, large-scale transcriptomic analyses over a 24-hour period, conducted in collaboration with Prof. Bart Vandereycken at the Mathematics Department of the UNIGE, revealed that the genes responsible for regulating cell cycle and proliferation were not only upregulated, but also acquired circadian rhythmicity. "BMAL1 seems to be indeed central for our investigation," stresses Charna Dibner. "However, whether the regeneration requires functional circadian clocks themselves, or only BMAL1, whose range of functions goes beyond clocks remains unclear. That is what we would like to find out at present." The scientists also want to explore the function of alpha cells, which produce glucagon, the hormone that antagonises insulin, in this model. The arrhythmic mice indeed showed very high levels of glucagon in the blood. "A detailed understanding of these mechanisms must now be pursued, in an attempt to explore the possibility of triggering beta cell regeneration in humans in the future" conclude the authors.

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Journal Reference:

1. Volodymyr Petrenko, Miri Stolovich-Rain, Bart Vandereycken, Laurianne Giovannoni, Kai-Florian Storch, Yuval Dor, Simona Chera, Charna Dibner. The core clock transcription factor BMAL1 drives circadian β-cell proliferation during compensatory regeneration of the endocrine pancreas. Genes & Development, 2020; DOI: 10.1101/gad.343137.120