The absence of Pdx1 and the expression of brain-4 distinguish alpha -cells
from other pancreatic endocrine cell lineages. To define the transcription
factor responsible for pancreatic cell differentiation, we employed the rev
erse tetracycline-dependent transactivator system in INS-I cell-derived sub
clones INSr alpha beta and INSr beta to achieve tightly controlled and cond
itional expression of wild type Pdx1 or its dominant-negative mutant, as we
ll as brain-4, INSr alpha beta cells express not only insulin but also gluc
agon and brain-4, while INSr beta cells express only insulin. Overexpressio
n of Pdx1 eliminated glucagon mRNA and protein in INSr alpha beta cells and
promoted the expression of beta -cell-specific genes in INSr beta cells. I
nduction of dominant-negative Pdx1 in INSr alpha beta cells resulted in dif
ferentiation of insulin-producing beta -cells into glucagon-containing alph
a -cells without altering brain4 expression. Loss of Pdx1 function alone in
INSr beta cells, which do not express endogenous brain-4 and glucagon, was
also sufficient to abolish the expression of genes restricted to beta -cel
ls and to cause alpha -cell differentiation. in contrast, induction of brai
n-4 in INSr beta cells initiated detectable expression of glucagon but did
not affect beta -cell-specific gene expression. In conclusion, Pdx1 confers
the expression of pancreatic beta -cell-specific genes, such as genes enco
ding insulin, islet amyloid polypeptide, Glut2, and Nkx6.1. Pdx1 defines pa
ncreatic cell lineage differentiation. Loss of Pdx1 function rather than ex
pression of brain4 is a prerequisite for alpha -cell differentiation.