Much evidence supports the idea that the Pdx1 transcription factor is required for multiple aspects of pancreatic organogenesis, including early growth of the entire pancreatic epithelium, islet β-cell lineage allocation, and maintenance of fate and function in adult β cells. It remains unclear, however, to what extent Pdx1 expression and function depend upon trans-activation focused through 5' upstream conserved cis-regulatory regions and, in particular, if the mammal-specific Area II (located at -2139 to -1958 bp) affects minor or major aspects of organogenesis. We show that Area II is a primary effector of endocrine-selective transcription in epithelial multipotent cells, nascent endocrine progenitors, and differentiating and mature β cells in vivo. Pdx1AREAII/NULL mice exhibited a massive reduction in endocrine progenitor cells and progeny hormone-producing cells, indicating Area II activity as fundamental to mounting an effective endocrine lineage-specification program within the multipotent cell population. Moreover, creating an Area II-deleted state within already-specified Neurog3-expressing endocrine-progenitor cells increased the proportion of glucagon+ α relative to insulin+β cells, associated with the transcriptional and epigenetic derepression of the α-cell-determining Arx gene in endocrine progenitors. There were also glucagon/insulin coexpressing cells, and β cells that were incapable of maturation. Creating the Pdx1AREAII state after cells entered an insulin-expressing stage also led to immature and dysfunctional islet β cells carrying abnormal chromatin marking in vital β-cell-associated genes. Therefore, trans-regulatory integration through the mammal-restricted Area II mediates a surprisingly extensive range of progenitor and β-cell-specific functions of the Pdx1 gene.
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