Type 2 diabetes mellitus is characterized by insulin resistance of peripheral tissues and dysfunction of pancreatic -cells. Furthermore, the number of pancreatic -cells decreases as a secondary effect of advanced type 2 diabetes, although the molecular mechanism has not been elucidated. Recently, it has been shown that hyperglycemic conditions induce the expression of cyclooxygenase-2 in pancreatic islets and increase the downstream product prostaglandin E 2 (PGE 2 ). To investigate whether high glucose-induced PGE 2 has an adverse effect on pancreatic -cells, we generated transgenic mice (RIP-C2mE) that express cyclooxygenase-2 and microsomal prostaglandin E synthase-1 in their -cells using the rat insulin-2 gene promoter (RIP). The homozygous RIP-C2mE (Tg/Tg) mice showed severe hyperglycemia from six weeks of age. Although the heterozygous RIP-C2mE (Tg/؊) mice showed normal blood glucose levels throughout their lifetime, this level increased significantly compared with that of wild-type mice when glucose was loaded. The relative number of -cells to the total islet cell number was reduced to 54 and 14% in the RIP-C2mE (Tg/؊) and (Tg/Tg) mice, respectively, whereas that in the wild-type mice was 84%. Importantly, the proliferation rate in the islets of the RIP-C2mE (Tg/Tg) mice at four weeks of age decreased significantly in comparison to that in the wild-type mice. Because -cells replicate not only during the postnatal period but also in the adult pancreas at a basal level, it is possible that increased PGE 2 signaling thus contributes to the reduction of the pancreatic -cell mass through inhibition of proliferation, thereby aggravating diabetes further.Type 2 diabetes mellitus is characterized by the insensitivity of the peripheral tissues to insulin and the reduced function of the pancreatic -cells. It has been suggested that chronic hyperglycemia impairs -cell function as a secondary adverse effect of diabetes (1). Furthermore, the -cell mass in pancreatic islets is reduced significantly in type 2 diabetes patients (2-4). In type 1 diabetes, a complexed autoimmune disease, an inflammatory cytokine interleukin-1 (IL-1) 2 is an important mediator in the impaired function and destruction of pancreatic -cells (5). For example, the treatment of isolated islets with IL-1 inhibits insulin secretion, and this is followed by islet destruction (6). Moreover, adenoviral transduction of the IL-1 receptor antagonist protein into the islets protects against the IL-1-induced dysfunction (7). On the other hand, the long term exposure of islets to high glucose conditions has been shown to result in the induction of IL-1, followed by -cell apoptosis (8). This high glucose-induced -cell destruction is prevented by treating the islets with an IL-1 receptor antagonist. Accordingly, it is possible that IL-1 plays a pivotal role in type 2 diabetes as well.Recently, it has been reported that high glucose conditions induce the expression of cyclooxygenase-2 (COX-2) in pancreatic islets with an increase of the downs...