The goal of this proposal is to provide Dr. Davis with a comprehensive 5-year training program which will allow her to emerge as an independent academic endocrinologist. Through this program she will gain valuable research experience in the fields of islet cell biology, in vivo physiology, genetics, cell cycle regulation, bioinformatics, biostatistics and transcriptional regulation. Dr. Alan Attie will serve as the primary mentor for her career and scientific development. Dr. Attie is a recognized leader in the fields of diabetes, genetics, biochemistry, lipidology, and obesity research. He has a proven track record of mentoring successful basic scientists. Dr. Davis has also assembled a mentoring committee comprised of outstanding physician scientists to provide the full spectrum of career development and scientific guidance. Her mentoring committee includes Dr. Marc Drezner, Dr. Molly Carnes, Dr. Jon Odorico, and Dr. Anath Shalev. The research plan involves the study of beta cell proliferation and will utilize multiple models to elucidate the mechanisms that drive this process. Beta cell proliferation is a critical process in the expansion of islet mass in response to insulin resistance and obesity. Decompensation in the form of hyperglycemia occurs when the beta cell mass is inadequate to meet demands. The BTBR mouse becomes severely diabetic when made obese by introduction of the ob leptin mutation. This model of obesity-associated type 2 diabetes has been shown to have a defect in islet cell proliferation. The central hypothesis is that failure to upregulate FoxM1 or survivin, two key cell cycle regulators, leads to decreased proliferation and ultimately hyperglycemia.
The specific aims of this proposal include 1) Examine the role of FoxM1 in promoting beta cell proliferation in vitro and in the BTBR-ob model of type 2 diabetes;2) Determine if survivin is sufficient to drive beta cell proliferation in vitro and in the BTBR-ob model of type 2 diabetes. Together, these aims will allow identification of a novel pathway in beta cell proliferation that may serve as a therapeutic target to expand beta cell mass.

Public Health Relevance

Diabetes is a disease that affects at least 1 in 15 Americans and is estimated to cost at least $132 billion annually.
This research aims to understand the fundamental mechanisms that underlie the development of this disease in association with obesity with an ultimate goal of uncovering new therapeutic strategies that may help halt or slow progression of this devastating disease.

Agency
National Institute of Health (NIH)
Institute
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08DK083442-04
Application #
8281497
Study Section
Diabetes, Endocrinology and Metabolic Diseases B Subcommittee (DDK)
Program Officer
Hyde, James F
Project Start
2009-07-01
Project End
2014-06-30
Budget Start
2012-07-01
Budget End
2013-06-30
Support Year
4
Fiscal Year
2012
Total Cost
$139,995
Indirect Cost
$10,370
Name
University of Wisconsin Madison
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
161202122
City
Madison
State
WI
Country
United States
Zip Code
53715
Davis, Dawn Belt; Khoraki, Jad; Ziemelis, Martynas et al. (2018) Roux en Y gastric bypass hypoglycemia resolves with gastric feeding or reversal: Confirming a non-pancreatic etiology. Mol Metab 9:15-27
Baan, Mieke; Krentz, Kathleen J; Fontaine, Danielle A et al. (2016) Successful in vitro fertilization and generation of transgenics in Black and Tan Brachyury (BTBR) mice. Transgenic Res 25:847-854
Linnemann, Amelia K; Neuman, Joshua C; Battiola, Therese J et al. (2015) Glucagon-Like Peptide-1 Regulates Cholecystokinin Production in ?-Cells to Protect From Apoptosis. Mol Endocrinol 29:978-87
Baan, Mieke; Kibbe, Carly R; Bushkofsky, Justin R et al. (2015) Transgenic expression of the human growth hormone minigene promotes pancreatic ?-cell proliferation. Am J Physiol Regul Integr Comp Physiol 309:R788-94
Lavine, Jeremy A; Kibbe, Carly R; Baan, Mieke et al. (2015) Cholecystokinin expression in the ?-cell leads to increased ?-cell area in aged mice and protects from streptozotocin-induced diabetes and apoptosis. Am J Physiol Endocrinol Metab 309:E819-28
Oleson, Bryndon J; McGraw, Jennifer A; Broniowska, Katarzyna A et al. (2015) Distinct differences in the responses of the human pancreatic ?-cell line EndoC-?H1 and human islets to proinflammatory cytokines. Am J Physiol Regul Integr Comp Physiol 309:R525-34
Linnemann, Amelia K; Baan, Mieke; Davis, Dawn Belt (2014) Pancreatic ?-cell proliferation in obesity. Adv Nutr 5:278-88
Krautkramer, Kimberly A; Linnemann, Amelia K; Fontaine, Danielle A et al. (2013) Tcf19 is a novel islet factor necessary for proliferation and survival in the INS-1 ?-cell line. Am J Physiol Endocrinol Metab 305:E600-10
Dhital, Subarna M; Shenker, Yoram; Meredith, Melissa et al. (2012) A retrospective study comparing neutral protamine hagedorn insulin with glargine as basal therapy in prednisone-associated diabetes mellitus in hospitalized patients. Endocr Pract 18:712-9
Davis, Dawn Belt; Lavine, Jeremy A; Suhonen, Joshua I et al. (2010) FoxM1 is up-regulated by obesity and stimulates beta-cell proliferation. Mol Endocrinol 24:1822-34