2007
DOI: 10.1016/s0378-3782(07)70136-6
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5B-4 Neonatal Exendin-4 administration normalizes epigenetic modifications of the proximal promoter of Pdx-1

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“…In the restricted placental growth model of IUGR, a 6‐day neonatal course of exendin‐4 prevented the development of diabetes in the placentally restricted rat and normalised glucose tolerance after birth and into adulthood 183 . beta cell mass and PDX‐1 expression were also normalized and remarkably, this effect of neonatal exendin‐4 also restored the epigenetic state of the PDX‐1 promoter to control levels 184 . The fetal rat pancreas, however, unlike the human and sheep, does not develop insulin‐containing cells until the second half of gestation, and pancreatic remodeling with peaks in replication and apoptosis occur in the early postnatal period at 1–2 weeks of age 185,186 .…”
Section: Intervention Strategiesmentioning
confidence: 93%
“…In the restricted placental growth model of IUGR, a 6‐day neonatal course of exendin‐4 prevented the development of diabetes in the placentally restricted rat and normalised glucose tolerance after birth and into adulthood 183 . beta cell mass and PDX‐1 expression were also normalized and remarkably, this effect of neonatal exendin‐4 also restored the epigenetic state of the PDX‐1 promoter to control levels 184 . The fetal rat pancreas, however, unlike the human and sheep, does not develop insulin‐containing cells until the second half of gestation, and pancreatic remodeling with peaks in replication and apoptosis occur in the early postnatal period at 1–2 weeks of age 185,186 .…”
Section: Intervention Strategiesmentioning
confidence: 93%
“…This occurs in conjunction with normalisation of β-cell mass and Pdx-1 expression [62]. We have published our preliminary data showing that this induction of Pdx-1 by neonatal exendin-4 also normalises the epigenetic state of the Pdx-1 promoter, probably allowing postnatal expression to be maintained at control levels [63]. In our recent studies in the twin IUGR lamb, neonatal exendin-4 treatment from 1 to 16 days after birth (1 nmol kg −1 d −1 ) reduced fat deposition and growth during treatment [64], similar to responses in neonatal PR rats and in diabetic humans [60,62].…”
Section: Future Directions: Interventions To Restore Insulin Actiomentioning
confidence: 99%