■ AbstractIt is well known that pancreatic and duodenal homeobox factor-1 (PDX-1) plays a pleiotropic role in the pancreas. In the developing pancreas, PDX-1 is involved in both pancreas formation and β-cell differentiation. In mature β-cells, PDX-1 transactivates insulin and other β-cell-related genes such as GLUT2 and glucokinase. Furthermore, PDX-1 plays an important role in the induction of insulin-producing cells in various non-β-cells and is thereby a possible therapeutic target for diabetes. On the other hand, under diabetic conditions, expression and/or activity of PDX-1 in β-cells is reduced, which leads to suppression of insulin biosynthesis and secretion. It is likely that PDX-1 inactivation explains, at least in part, the molecular mechanism for β-cell glucose toxicity found in diabetes.Keywords: diabetes · beta-cell differentiation · PDX-1 · pancreas development · beta-cell glucose toxicity A variety of transcription factors are involved in pancreas formation and β-cell differentiation he adult pancreas is composed of exocrine (acini and ducts) and endocrine compartments (α-, β-, δ-, ε-, and PP-cells). Each of the four endocrine cell types synthesizes and secretes one hormone: glucagon (α-cells), insulin (β-cells), somatostatin (δ-cells), ghrelin (ε-cells) and pancreatic polypeptide (PP-cells). The embryonic pancreas initially develops by fusion of the dorsal and ventral buds of the primitive gut epithelium. These two types of buds grow and fuse to form the definitive pancreas [1-4]. The thickening of the dorsal and ventral surface of the foregut is observed from E8.5-E9.5 in the mouse. It has been shown that pancreatic transcription networks play a crucial role in early pancreas organogenesis and endocrine cell formation (Figure 1) [5,6].Pancreatic and duodenal homeobox factor-1 (PDX-1) (also known as IDX-1/STF-1/IPF1) [7][8][9], a member of the large family of homeodomain (HD)-containing proteins, is expressed in precursors of the endocrine and exocrine compartments of the pancreas and is essential for pancreas development [10][11][12][13][14][15][16][17][18], β-cell differentiation [19][20][21][22][23][24][25][26][27][28][29], and maintenance of mature β-cell function by regulating several β-cell-related genes [30][31][32][33][34][35][36][37][38]. PDX-1 expression is initially observed at E8.5-E9.0 in pancreatic progenitor cells, which means that early PDX-1 expression is likely to be a useful marker of pancreatic identity. Interestingly, a study based upon temporally controlled Cre recombination demonstrated that cells expressing PDX-1 give rise to all three types of pancreatic tissue: exocrine, endocrine and duct [39,40]. Furthermore, it was shown that exocrine and endocrine progenitors express PDX-1 throughout early embryogenesis, whereas adult duct progenitors express PDX-1 only between E9.5 and