Insulin receptor (IR)-deficient pups rapidly become hyperglycemic and hyper
insulinemic and die of diabetic ketoacidosis within a few days. Immunocytoc
hemical analysis of the endocrine pancreas revealed that IR deficiency did
not alter islet morphology or the number of beta-, alpha-, delta-, and panc
reatic polypeptide (PP) cells. The lack of IR did not result in major chang
es in the expression of islet hormone genes or of beta -cell-specific marke
r genes encoding pancreas duodenum homeobox-containing transcription factor
-1 (PDX-1), glucokinase (GCK), and GLUTS, as shown by reverse transcriptase
-polymerase chain reaction analysis. The serum glucagon levels in IR-defici
ent and nondiabetic littermates were comparable. Finally, total insulin con
tent in the pancreas of IR-deficient pups was gradually depleted, indicatin
g sustained insulin secretion, not compensated for by increased insulin bio
synthesis. These findings are discussed in light of recent results suggesti
ng a role of IR in beta -cell function.