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Published in: Diabetologia 12/2012

01-12-2012 | Article

Depletion of homeodomain-interacting protein kinase 3 impairs insulin secretion and glucose tolerance in mice

Authors: N. Shojima, K. Hara, H. Fujita, M. Horikoshi, N. Takahashi, I. Takamoto, M. Ohsugi, H. Aburatani, M. Noda, N. Kubota, T. Yamauchi, K. Ueki, T. Kadowaki

Published in: Diabetologia | Issue 12/2012

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Abstract

Aims/hypothesis

Insufficient insulin secretion and reduced pancreatic beta cell mass are hallmarks of type 2 diabetes. Here, we focused on a family of serine-threonine kinases known as homeodomain-interacting protein kinases (HIPKs). HIPKs are implicated in the modulation of Wnt signalling, which plays a crucial role in transcriptional activity, and in pancreas development and maintenance. The aim of the present study was to characterise the role of HIPKs in glucose metabolism.

Methods

We used RNA interference to characterise the role of HIPKs in regulating insulin secretion and transcription activity. We conducted RT-PCR and western blot analyses to analyse the expression and abundance of HIPK genes and proteins in the islets of high-fat diet-fed mice. Glucose-induced insulin secretion and beta cell proliferation were measured in islets from Hipk3 −/− mice, which have impaired glucose tolerance owing to an insulin secretion deficiency. The abundance of pancreatic duodenal homeobox (PDX)-1 and glycogen synthase kinase (GSK)-3β phosphorylation in Hipk3 −/− islets was determined by immunohistology and western blot analyses.

Results

We found that HIPKs regulate insulin secretion and transcription activity. Hipk3 expression was most significantly increased in the islets of high-fat diet-fed mice. Furthermore, glucose-induced insulin secretion and beta cell proliferation were decreased in the islets of Hipk3 −/− mice. Levels of PDX1 and GSK-3β phosphorylation were significantly decreased in Hipk3 −/− islets.

Conclusions/interpretation

Depletion of HIPK3 impairs insulin secretion and glucose tolerance. Decreased levels of HIPK3 may play a substantial role in the pathogenesis of type 2 diabetes.
Appendix
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Literature
1.
go back to reference Kahn CR (1994) Banting lecture. Insulin action, diabetogenes, and the cause of type II diabetes. Diabetes 43:1066–1084PubMedCrossRef Kahn CR (1994) Banting lecture. Insulin action, diabetogenes, and the cause of type II diabetes. Diabetes 43:1066–1084PubMedCrossRef
2.
go back to reference Accili D (2004) Lilly lecture 2003: the struggle for mastery in insulin action: from triumvirate to republic. Diabetes 53:1633–1642PubMedCrossRef Accili D (2004) Lilly lecture 2003: the struggle for mastery in insulin action: from triumvirate to republic. Diabetes 53:1633–1642PubMedCrossRef
3.
go back to reference Doria A, Patti ME, Kahn CR (2008) The emerging genetic architecture of type 2 diabetes. Cell Metab 8:186–200PubMedCrossRef Doria A, Patti ME, Kahn CR (2008) The emerging genetic architecture of type 2 diabetes. Cell Metab 8:186–200PubMedCrossRef
4.
go back to reference Rulifson IC, Karnik SK, Heiser PW et al (2007) Wnt signaling regulates pancreatic beta cell proliferation. Proc Nat Acad Sci USA 104:6247–6252PubMedCrossRef Rulifson IC, Karnik SK, Heiser PW et al (2007) Wnt signaling regulates pancreatic beta cell proliferation. Proc Nat Acad Sci USA 104:6247–6252PubMedCrossRef
5.
go back to reference Schinner S, Ulgen F, Papewalis C et al (2008) Regulation of insulin secretion, glucokinase gene transcription and beta cell proliferation by adipocyte-derived Wnt signalling molecules. Diabetologia 51:147–154PubMedCrossRef Schinner S, Ulgen F, Papewalis C et al (2008) Regulation of insulin secretion, glucokinase gene transcription and beta cell proliferation by adipocyte-derived Wnt signalling molecules. Diabetologia 51:147–154PubMedCrossRef
6.
7.
go back to reference Welters HJ, Kulkarni RN (2008) Wnt signaling: relevance to beta-cell biology and diabetes. Trends Endocrinol Metab 19:349–355PubMedCrossRef Welters HJ, Kulkarni RN (2008) Wnt signaling: relevance to beta-cell biology and diabetes. Trends Endocrinol Metab 19:349–355PubMedCrossRef
8.
9.
go back to reference Schinner S, Willenberg HS, Schott M, Scherbaum WA (2009) Pathophysiological aspects of Wnt-signaling in endocrine disease. Eur J Endocrinol 160:731–737PubMedCrossRef Schinner S, Willenberg HS, Schott M, Scherbaum WA (2009) Pathophysiological aspects of Wnt-signaling in endocrine disease. Eur J Endocrinol 160:731–737PubMedCrossRef
10.
go back to reference Logan CY, Nusse R (2004) The Wnt signaling pathway in development and disease. Annu Rev Cell Dev Biol 20:781–810PubMedCrossRef Logan CY, Nusse R (2004) The Wnt signaling pathway in development and disease. Annu Rev Cell Dev Biol 20:781–810PubMedCrossRef
11.
go back to reference Moon RT, Kohn AD, de Ferrari GV, Kaykas A (2004) WNT and beta-catenin signalling: diseases and therapies. Nat Rev Genet 5:691–701PubMedCrossRef Moon RT, Kohn AD, de Ferrari GV, Kaykas A (2004) WNT and beta-catenin signalling: diseases and therapies. Nat Rev Genet 5:691–701PubMedCrossRef
12.
go back to reference Liu Z, Tanabe K, Bernal-Mizrachi E, Permutt MA (2008) Mice with beta cell overexpression of glycogen synthase kinase-3beta have reduced beta cell mass and proliferation. Diabetologia 51:623–631PubMedCrossRef Liu Z, Tanabe K, Bernal-Mizrachi E, Permutt MA (2008) Mice with beta cell overexpression of glycogen synthase kinase-3beta have reduced beta cell mass and proliferation. Diabetologia 51:623–631PubMedCrossRef
13.
go back to reference Tanabe K, Liu Z, Patel S et al (2009) Genetic deficiency of glycogen synthase kinase-3beta corrects diabetes in mouse models of insulin resistance. PLoS Biol 6:e37CrossRef Tanabe K, Liu Z, Patel S et al (2009) Genetic deficiency of glycogen synthase kinase-3beta corrects diabetes in mouse models of insulin resistance. PLoS Biol 6:e37CrossRef
14.
go back to reference Liu Y, Tanabe K, Baronnier D et al (2010) Conditional ablation of Gsk-3β in islet beta cells results in expanded mass and resistance to fat feeding-induced diabetes in mice. Diabetologia 53:2600–2610PubMedCrossRef Liu Y, Tanabe K, Baronnier D et al (2010) Conditional ablation of Gsk-3β in islet beta cells results in expanded mass and resistance to fat feeding-induced diabetes in mice. Diabetologia 53:2600–2610PubMedCrossRef
15.
go back to reference Kanei-Ishii C, Ninomiya-Tsuji J, Tanikawa J et al (2004) Wnt-1 signal induces phosphorylation and degradation of c-Myb protein via TAK1, HIPK2, and NLK. Genes Dev 18:816–829PubMedCrossRef Kanei-Ishii C, Ninomiya-Tsuji J, Tanikawa J et al (2004) Wnt-1 signal induces phosphorylation and degradation of c-Myb protein via TAK1, HIPK2, and NLK. Genes Dev 18:816–829PubMedCrossRef
16.
go back to reference Wei G, Ku S, Ma G et al (2007) HIPK2 represses beta-catenin-mediated transcription, epidermal stem cell expansion, and skin tumorigenesis. Proc Natl Acad Sci USA 104:13040–13045PubMedCrossRef Wei G, Ku S, Ma G et al (2007) HIPK2 represses beta-catenin-mediated transcription, epidermal stem cell expansion, and skin tumorigenesis. Proc Natl Acad Sci USA 104:13040–13045PubMedCrossRef
17.
go back to reference Kim EA, Kim JE, Sung KS et al (2010) Homeodomain-interacting protein kinase 2 (HIPK2) targets beta-catenin for phosphorylation and proteasomal degradation. Biochem Biophys Res Commun 394:966–971PubMedCrossRef Kim EA, Kim JE, Sung KS et al (2010) Homeodomain-interacting protein kinase 2 (HIPK2) targets beta-catenin for phosphorylation and proteasomal degradation. Biochem Biophys Res Commun 394:966–971PubMedCrossRef
18.
go back to reference Swarup S, Verheyen EM (2011) Drosophila homeodomain-interacting protein kinase inhibits the Skp1-Cul1-F-box E3 ligase complex to dually promote Wingless and Hedgehog signaling. Proc Natl Acad Sci USA 108:9887–9892PubMedCrossRef Swarup S, Verheyen EM (2011) Drosophila homeodomain-interacting protein kinase inhibits the Skp1-Cul1-F-box E3 ligase complex to dually promote Wingless and Hedgehog signaling. Proc Natl Acad Sci USA 108:9887–9892PubMedCrossRef
19.
go back to reference Lee W, Swarup S, Chen J, Ishitani T, Verheyen EM (2009) Homeodomain-interacting protein kinases (Hipks) promote Wnt/Wg signaling through stabilization of beta-catenin/Arm and stimulation of target gene expression. Development 136:241–251PubMedCrossRef Lee W, Swarup S, Chen J, Ishitani T, Verheyen EM (2009) Homeodomain-interacting protein kinases (Hipks) promote Wnt/Wg signaling through stabilization of beta-catenin/Arm and stimulation of target gene expression. Development 136:241–251PubMedCrossRef
20.
go back to reference Louie SH, Yang XY, Conrad WH et al (2009) Modulation of the beta-catenin signaling pathway by the dishevelled-associated protein Hipk1. PLoS One 4:e4310PubMedCrossRef Louie SH, Yang XY, Conrad WH et al (2009) Modulation of the beta-catenin signaling pathway by the dishevelled-associated protein Hipk1. PLoS One 4:e4310PubMedCrossRef
21.
go back to reference Hisaka H, Ezan J, Itoh K, Li X, Klymkowsky MW, Sokol SY (2010) Regulation of TCF3 by Wnt-dependent phosphorylation during vertebrate axis specification. Dev Cell 19:521–532CrossRef Hisaka H, Ezan J, Itoh K, Li X, Klymkowsky MW, Sokol SY (2010) Regulation of TCF3 by Wnt-dependent phosphorylation during vertebrate axis specification. Dev Cell 19:521–532CrossRef
22.
go back to reference Kim YH, Choi CY, Lee SJ, Conti MA, Kim Y (1998) Homeodomain-interacting protein kinases, a novel family of co-repressors for homeodomain transcription factors. J Biol Chem 273:25875–25879PubMedCrossRef Kim YH, Choi CY, Lee SJ, Conti MA, Kim Y (1998) Homeodomain-interacting protein kinases, a novel family of co-repressors for homeodomain transcription factors. J Biol Chem 273:25875–25879PubMedCrossRef
23.
go back to reference D’Orazi G, Cecchinelli B, Bruno T et al (2002) Homeodomain-interacting protein kinase-2 phosphorylates p53 at Ser 46 and mediates apoptosis. Cell Biol 4:11–19 D’Orazi G, Cecchinelli B, Bruno T et al (2002) Homeodomain-interacting protein kinase-2 phosphorylates p53 at Ser 46 and mediates apoptosis. Cell Biol 4:11–19
24.
go back to reference Hofmann TG, Moller A, Sirma H et al (2002) Regulation of p53 activity by its interaction with homeodomain-interacting protein kinase-2. Nat Cell Biol 4:1–10PubMedCrossRef Hofmann TG, Moller A, Sirma H et al (2002) Regulation of p53 activity by its interaction with homeodomain-interacting protein kinase-2. Nat Cell Biol 4:1–10PubMedCrossRef
25.
go back to reference Kondo S, Lu Y, Debbas M et al (2003) Characterization of cells and gene-targeted mice deficient for the p53-binding kinase homeodomain-interacting protein kinase 1 (HIPK1). Proc Natl Acad Sci USA 100:5431–5436PubMedCrossRef Kondo S, Lu Y, Debbas M et al (2003) Characterization of cells and gene-targeted mice deficient for the p53-binding kinase homeodomain-interacting protein kinase 1 (HIPK1). Proc Natl Acad Sci USA 100:5431–5436PubMedCrossRef
26.
go back to reference Zhang Q, Yoshimatsu Y, Hildebrand J, Frisch SM, Goodman RH (2003) Homeodomain interacting protein kinase 2 promotes apoptosis by downregulating the transcriptional corepressor CtBP. Cell 115:177–186PubMedCrossRef Zhang Q, Yoshimatsu Y, Hildebrand J, Frisch SM, Goodman RH (2003) Homeodomain interacting protein kinase 2 promotes apoptosis by downregulating the transcriptional corepressor CtBP. Cell 115:177–186PubMedCrossRef
27.
go back to reference Choi CY, Kim YH, Kim YO et al (2005) Phosphorylation by the DHIPK2 protein kinase modulates the corepressor activity of Groucho. J Biol Chem 280:21427–21436PubMedCrossRef Choi CY, Kim YH, Kim YO et al (2005) Phosphorylation by the DHIPK2 protein kinase modulates the corepressor activity of Groucho. J Biol Chem 280:21427–21436PubMedCrossRef
28.
go back to reference Boucher M, Simoneau ML, Edlund H (2009) The homeodomain-interacting protein kinase 2 regulates insulin promoter factor-1/pancreatic duodenal homeobox-1 transcriptional activity. Endocrinology 150:87–97PubMedCrossRef Boucher M, Simoneau ML, Edlund H (2009) The homeodomain-interacting protein kinase 2 regulates insulin promoter factor-1/pancreatic duodenal homeobox-1 transcriptional activity. Endocrinology 150:87–97PubMedCrossRef
29.
go back to reference Jonsson J, Carlsson L, Edlund T, Edlund H (1994) Insulin-promoter-factor 1 is required for pancreas development in mice. Nature 371:606–609PubMedCrossRef Jonsson J, Carlsson L, Edlund T, Edlund H (1994) Insulin-promoter-factor 1 is required for pancreas development in mice. Nature 371:606–609PubMedCrossRef
30.
go back to reference Offield MF, Jetton TL, Labosky PA et al (1996) PDX-1 is required for pancreatic outgrowth and differentiation of the rostral duodenum. Development 122:983–995PubMed Offield MF, Jetton TL, Labosky PA et al (1996) PDX-1 is required for pancreatic outgrowth and differentiation of the rostral duodenum. Development 122:983–995PubMed
31.
go back to reference Stoffers DA, Zinkin NT, Stanojevic V, Clarke WL, Habener JF (1997) Pancreatic agenesis attributable to a single nucleotide deletion in the human IPF1 gene coding sequence. Nat Genet 15:106–110PubMedCrossRef Stoffers DA, Zinkin NT, Stanojevic V, Clarke WL, Habener JF (1997) Pancreatic agenesis attributable to a single nucleotide deletion in the human IPF1 gene coding sequence. Nat Genet 15:106–110PubMedCrossRef
32.
go back to reference Moilanen AM, Karvonen U, Poukka H, Janne OA, Palvimo JJ (1998) Activation of androgen receptor function by a novel nuclear protein kinase. Mol Biol Cell 9:2527–2543PubMed Moilanen AM, Karvonen U, Poukka H, Janne OA, Palvimo JJ (1998) Activation of androgen receptor function by a novel nuclear protein kinase. Mol Biol Cell 9:2527–2543PubMed
33.
go back to reference Rochat-Steiner V, Becker K, Micheau O, Schneider P, Burns K, Tschopp J (2000) FIST/HIPK3: a Fas/FADD-interacting serine/threonine kinase that induces FADD phosphorylation and inhibits fas-mediated Jun NH(2)-terminal kinase activation. J Exp Med 192:1165–1174PubMedCrossRef Rochat-Steiner V, Becker K, Micheau O, Schneider P, Burns K, Tschopp J (2000) FIST/HIPK3: a Fas/FADD-interacting serine/threonine kinase that induces FADD phosphorylation and inhibits fas-mediated Jun NH(2)-terminal kinase activation. J Exp Med 192:1165–1174PubMedCrossRef
34.
go back to reference Curtin JF, Cotter TG (2004) JNK regulates HIPK3 expression and promotes resistance to Fas-mediated apoptosis in DU 145 prostate carcinoma cells. J Biol Chem 279:17090–17100PubMedCrossRef Curtin JF, Cotter TG (2004) JNK regulates HIPK3 expression and promotes resistance to Fas-mediated apoptosis in DU 145 prostate carcinoma cells. J Biol Chem 279:17090–17100PubMedCrossRef
35.
go back to reference Lan HC, Li HJ, Lin G, Lai PY, Chung BC (2007) Cyclic AMP stimulates SF-1-dependent CYP11A1 expression through homeodomain-interacting protein kinase 3-mediated Jun N-terminal kinase and c-Jun phosphorylation. Mol Cell Biol 27:2027–2036PubMedCrossRef Lan HC, Li HJ, Lin G, Lai PY, Chung BC (2007) Cyclic AMP stimulates SF-1-dependent CYP11A1 expression through homeodomain-interacting protein kinase 3-mediated Jun N-terminal kinase and c-Jun phosphorylation. Mol Cell Biol 27:2027–2036PubMedCrossRef
36.
go back to reference Sierra OL, Towler DA (2010) Runx2 trans-activation mediated by the MSX2-interacting nuclear target requires homeodomain interacting protein kinase-3. Mol Endocrinol 24:1478–1497PubMedCrossRef Sierra OL, Towler DA (2010) Runx2 trans-activation mediated by the MSX2-interacting nuclear target requires homeodomain interacting protein kinase-3. Mol Endocrinol 24:1478–1497PubMedCrossRef
37.
go back to reference Inoue T, Kagawa T, Inoue-Mochita M et al (2010) Involvement of the Hipk family in regulation of eyeball size, lens formation and retinal morphogenesis. FEBS Lett 584:3233–3238PubMedCrossRef Inoue T, Kagawa T, Inoue-Mochita M et al (2010) Involvement of the Hipk family in regulation of eyeball size, lens formation and retinal morphogenesis. FEBS Lett 584:3233–3238PubMedCrossRef
38.
go back to reference Scopsi L, Wang BL, Larsson LI (1986) Nonspecific immunocytochemical reactions with certain neurohormonal peptides and basic peptide Sequences. J Histochem Cytochem 34:1469–1475PubMedCrossRef Scopsi L, Wang BL, Larsson LI (1986) Nonspecific immunocytochemical reactions with certain neurohormonal peptides and basic peptide Sequences. J Histochem Cytochem 34:1469–1475PubMedCrossRef
39.
go back to reference Noda M, Yamashita S, Takahashi N et al (2002) Switch to anaerobic glucose metabolism with NADH accumulation in the beta-cell model of mitochondrial diabetes. Characteristics of betaHC9 cells deficient in mitochondrial DNA transcription. J Biol Chem 277:41817–41826PubMedCrossRef Noda M, Yamashita S, Takahashi N et al (2002) Switch to anaerobic glucose metabolism with NADH accumulation in the beta-cell model of mitochondrial diabetes. Characteristics of betaHC9 cells deficient in mitochondrial DNA transcription. J Biol Chem 277:41817–41826PubMedCrossRef
40.
go back to reference Takahashi N, Hatakeyama H, Okado H et al (2004) Sequential exocytosis of insulin granules is associated with redistribution of SNAP25. J Cell Biol 165:255–262PubMedCrossRef Takahashi N, Hatakeyama H, Okado H et al (2004) Sequential exocytosis of insulin granules is associated with redistribution of SNAP25. J Cell Biol 165:255–262PubMedCrossRef
41.
go back to reference Isono K, Nemoto K, Li Y et al (2006) Overlapping roles for homeodomain-interacting protein kinases hipk1 and hipk2 in the mediation of cell growth in response to morphogenetic and genotoxic signals. Mol Cell Biol 26:2758–2771PubMedCrossRef Isono K, Nemoto K, Li Y et al (2006) Overlapping roles for homeodomain-interacting protein kinases hipk1 and hipk2 in the mediation of cell growth in response to morphogenetic and genotoxic signals. Mol Cell Biol 26:2758–2771PubMedCrossRef
42.
go back to reference An R, da Silva Xavier G, Semplici F et al (2010) Pancreatic and duodenal homeobox 1 (PDX1) phosphorylation at serine-269 is HIPK2-dependent and affects PDX1 subnuclear localization. Biochem Biophys Res Commun 399:155–161PubMedCrossRef An R, da Silva Xavier G, Semplici F et al (2010) Pancreatic and duodenal homeobox 1 (PDX1) phosphorylation at serine-269 is HIPK2-dependent and affects PDX1 subnuclear localization. Biochem Biophys Res Commun 399:155–161PubMedCrossRef
43.
go back to reference Gerrish K, Gannon M, Shih D et al (2000) Pancreatic beta cell-specific transcription of the pdx-1 gene. The role of conserved upstream control regions and their hepatic nuclear factor 3beta sites. J Biol Chem 275:3485–3492PubMedCrossRef Gerrish K, Gannon M, Shih D et al (2000) Pancreatic beta cell-specific transcription of the pdx-1 gene. The role of conserved upstream control regions and their hepatic nuclear factor 3beta sites. J Biol Chem 275:3485–3492PubMedCrossRef
44.
go back to reference Gerrish K, van Velkinburgh JC, Stein R (2004) Conserved transcriptional regulatory domains of the pdx-1 gene. Mol Endocrinol 18:533–548PubMedCrossRef Gerrish K, van Velkinburgh JC, Stein R (2004) Conserved transcriptional regulatory domains of the pdx-1 gene. Mol Endocrinol 18:533–548PubMedCrossRef
45.
go back to reference van Velkinburgh JC, Samaras SE, Gerrish K, Artner I, Stein R (2005) Interactions between areas I and II direct pdx-1 expression specifically to islet cell types of the mature and developing pancreas. J Biol Chem 280:38438–38444PubMedCrossRef van Velkinburgh JC, Samaras SE, Gerrish K, Artner I, Stein R (2005) Interactions between areas I and II direct pdx-1 expression specifically to islet cell types of the mature and developing pancreas. J Biol Chem 280:38438–38444PubMedCrossRef
46.
go back to reference Fujino T, Asaba H, Kang MJ et al (2003) Low-density lipoprotein receptor-related protein 5 (LRP5) is essential for normal cholesterol metabolism and glucose-induced insulin secretion. Proc Natl Acad Sci USA 100:229–234PubMedCrossRef Fujino T, Asaba H, Kang MJ et al (2003) Low-density lipoprotein receptor-related protein 5 (LRP5) is essential for normal cholesterol metabolism and glucose-induced insulin secretion. Proc Natl Acad Sci USA 100:229–234PubMedCrossRef
47.
go back to reference Murtaugh LC, Law AC, Dor Y, Melton DA (2005) Beta-catenin is essential for pancreatic acinar but not islet development. Development 132:4663–4674PubMedCrossRef Murtaugh LC, Law AC, Dor Y, Melton DA (2005) Beta-catenin is essential for pancreatic acinar but not islet development. Development 132:4663–4674PubMedCrossRef
48.
go back to reference Yi F, Brubaker PL, Jin T (2005) TCF-4 mediates cell type-specific regulation of proglucagon gene expression by beta-catenin and glycogen synthase kinase-3beta. J Biol Chem 280:1457–1464PubMedCrossRef Yi F, Brubaker PL, Jin T (2005) TCF-4 mediates cell type-specific regulation of proglucagon gene expression by beta-catenin and glycogen synthase kinase-3beta. J Biol Chem 280:1457–1464PubMedCrossRef
49.
go back to reference Ni Z, Anini Y, Fang X, Mills G, Brubaker PL, Jin T (2003) Transcriptional activation of the proglucagon gene by lithium and beta-catenin in intestinal endocrine L cells. J Biol Chem 278:1380–1387PubMedCrossRef Ni Z, Anini Y, Fang X, Mills G, Brubaker PL, Jin T (2003) Transcriptional activation of the proglucagon gene by lithium and beta-catenin in intestinal endocrine L cells. J Biol Chem 278:1380–1387PubMedCrossRef
Metadata
Title
Depletion of homeodomain-interacting protein kinase 3 impairs insulin secretion and glucose tolerance in mice
Authors
N. Shojima
K. Hara
H. Fujita
M. Horikoshi
N. Takahashi
I. Takamoto
M. Ohsugi
H. Aburatani
M. Noda
N. Kubota
T. Yamauchi
K. Ueki
T. Kadowaki
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
Diabetologia / Issue 12/2012
Print ISSN: 0012-186X
Electronic ISSN: 1432-0428
DOI
https://doi.org/10.1007/s00125-012-2711-1

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