“…In addition to its endocrine effects leading to glucose uptake in muscle and adipose tissue and glycogen storage in liver, insulin has autocrine effects on β-cells, regulating gene transcription (Leibiger et al, 1998;Xu and Rothenberg, 1998;Wu et al, 1999;da Silva Xavier et al, 2000), proliferation (Withers et al, 1998;Kulkarni et al, 1999a;Okada et al, 2007), glucose metabolism (Borelli et al, 2004;Nunemaker et al, 2004), insulin biosynthesis and secretion (reviewed in (Rutter, 1999) and (Leibiger et al, 2002). β-cells thus express insulin receptors (Verspohl and Ammon, 1980;Patel et al, 1982) as well as downstream adapter and signalling proteins, like insulin receptor substrate proteins IRS-1, -2, -3, -4, PI3-kinase and protein kinase B/Akt (Rothenberg et al, 1995;Velloso et al, 1995;Harbeck et al, 1996;Holst et al, 1998;Withers et al, 1998;Kulkarni et al, 1999b;Muller et al, 2006).…”