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The role of aging upon β cell turnover
Jake A. Kushner
Jake A. Kushner
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Review Series

The role of aging upon β cell turnover

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Abstract

Preservation and regeneration of β cell endocrine function is a long-sought goal in diabetes research. Defective insulin secretion from β cells underlies both type 1 and type 2 diabetes, thus fueling considerable interest in molecules capable of rebuilding β cell secretion capacity. Though early work in rodents suggested that regeneration might be possible, recent studies have revealed that aging powerfully restricts cell cycle entry of β cells, which may limit regeneration capacity. Consequently, aging has emerged as an enigmatic challenge that might limit β cell regeneration therapies. This Review summarizes recent data regarding the role of aging in β cell regeneration and proposes models explaining these phenomena.

Authors

Jake A. Kushner

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Figure 2

Molecular regulation of reduced cell cycle entry within aged β cell replication.

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Molecular regulation of reduced cell cycle entry within aged β cell repl...
p16INK4a regulates cell cycle entry of aged β cells, presumably via D-type cyclins and the cyclin-dependent kinases CDK4 and CDK6, and is subject to potent negative regulation by the polycomb proteins EZH2 and BMI1. PDGF receptor signals seem to stimulate EZH2. Similarly, p38 MAPK may stimulate BMI1. p38 MAPK is inhibited by the WIP1 phosphatase.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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