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The Pdx1-Bound Swi/Snf Chromatin Remodeling Complex Regulates Pancreatic Progenitor Cell Proliferation and Mature Islet β-Cell Function

Transcription factors positively and/or negatively impact gene expression by recruiting coregulatory factors, which interact through protein-protein binding. Here we demonstrate that mouse pancreas size and islet β-cell function are controlled by the ATP-dependent Swi/Snf chromatin remodeling coregulatory complex that physically associates with Pdx1, a diabetes-linked transcription factor essential to pancreatic morphogenesis and adult islet cell function and maintenance. Early embryonic deletion of just the Swi/Snf Brg1 ATPase subunit reduced multipotent pancreatic progenitor cell proliferation and resulted in pancreas hypoplasia. In contrast, removal of both Swi/Snf ATPase subunits, Brg1 and Brm, was necessary to compromise adult islet β-cell activity, which included whole-animal glucose intolerance, hyperglycemia, and impaired insulin secretion. Notably, lineage-tracing analysis revealed Swi/Snf-deficient β-cells lost the ability to produce the mRNAs for Ins and other key metabolic genes without effecting the expression of many essential islet-enriched transcription factors. Swi/Snf was necessary for Pdx1 to bind to the Ins gene enhancer, demonstrating the importance of this association in mediating chromatin accessibility. These results illustrate how fundamental the Pdx1:Swi/Snf coregulator complex is in the pancreas, and we discuss how disrupting their association could influence type 1 and type 2 diabetes susceptibility.

The mammalian pancreas consists of two functionally distinct compartments: the exocrine pancreas containing acinar and ductal cells essential for secreting digestive enzymes, and the endocrine pancreas containing hormone-secreting a-(glucagon), b-(insulin), d-(somatostatin), e-(ghrelin), and pancreatic polypeptide cells of the islets of Langerhans that are essential for regulating glucose homeostasis. All of these pancreatic cells derive from a common pool of progenitor cells at mouse embryonic day (e)8.5 that express the pancreas and duodenum homeobox 1 (Pdx1) transcription factor, a critical regulator of pancreas development, later b-cell formation, and adult islet b-cell function. In fact, pancreas agenesis occurs in mice and humans that lack PDX1 (1,2), whereas heterozygous mutations cause type 2 diabetes (T2D) because of islet b-cell dysfunction (3).
Embryonic Pdx1 + pancreatic progenitor cells rapidly divide and acquire the expression of other transcription factors essential to organ expansion and lineage diversification, including Ptf1a (4) and Sox9 (5). These Pdx1 + Ptf1a + Sox9 + cells form the highly proliferative multipotent pancreatic progenitor cell (MPC) pool that differentiates into the distinct exocrine, ductal, and islet cell types (6). Notably, pancreas mass is restricted in mice by the MPC pool size (7), which is affected by early embryonic genetic removal of Pdx1, Ptf1a, or Sox9 (2,4,5). Because of considerable variations in pancreas mass (and therefore variable b-cell number) between humans (8), understanding how the transcriptional activities of these essential MPC regulators control growth rate and final organ size is of significant importance. It has been proposed that dissimilarities in pancreas mass influence diabetes susceptibility, a proposal supported by the reduced pancreas size of autoantibody-positive individuals with type 1 diabetes (9).
In the postnatal pancreas, Pdx1 is produced at much higher levels in islet b-cells than in other pancreas cell types (10). Conditional removal of Pdx1 from these cells in mice leads to a profound loss of b-cell function and identity, because these cells rapidly transdifferentiate to glucagon + and insulin 2 a-like cells (11). This remarkable control derives not only from the positive actions of Pdx1 on target gene transcription but also from its repression of key a-cell functional genes in b-cells, such as MafB and Gcg. As a result of these novel and fundamental properties, Pdx1 is viewed as one of the most critical pancreasenriched transcription factors (6).
Transcription factors like Pdx1 predominantly control gene expression through the recruitment of coregulators, often operating as large multiprotein complexes. These coregulators affect transcriptional activity positively and/or negatively, for example, by displacing nucleosomes, epigenetically modifying histones/DNA, and affecting recruitment of the RNA polymerase II transcriptional machinery. Because of limited knowledge of the coregulators influencing Pdx1 activity, an unbiased chemical crosslinking, immunoprecipitation, and mass spectrometry analysis was used to identify interacting proteins in rodent b-cell lines. Numerous proteins with an array of cellular functions were found to associate with Pdx1, including the ATP-dependent Swi/Snf chromatin remodeling complex (12). Significantly, Pdx1 was the principal islet b-cell-enriched transcription factor binding to Swi/Snf in mouse b-cell lines (12).
The multisubunit Swi/Snf complex uses the energy of ATP hydrolysis, through the actions of the two mutually exclusive Brg1 (i.e., also referred to as Smarca4) and Brm (i.e., Smarca2) ATPase subunits (13,14) (Fig. 1A), to disrupt DNA-nucleosome contacts and influence DNA accessibility. We previously discovered that in vitro knockdown of Brg1 in rodent b-cell lines negatively affected Pdx1 target gene expression (e.g., Ins, MafA, and Glut2). Moreover, Pdx1:Swi/Snf interactions were not only acutely enhanced in islet b-cells by increased glucose concentrations but were also reduced in human T2D b-cells (12). Here we show that the Pdx1:Brg1/Swi/Snf complex is critical for mouse MPC proliferation, with embryonic conditional deletion of only the Brg1 gene encoding ATPase resulting in a ;50% smaller pancreas. In contrast, removing both Brg1 and Brm was necessary to impact postnatal b-cells, causing severe changes in expression of Ins and other b-cell regulatory genes, a hallmark feature of T2D b-cells. Collectively, our results suggest that Pdx1:Swi/Snf is required for controlling the growth rate of the embryonic pancreas, and thus its final postnatal size, and for maintaining b-cell identity in adult islets.

Intraperitoneal Glucose Tolerance Test and Serum Insulin Measurements
Mice (n = 5-12) were given intraperitoneal injection of D-glucose (2 mg/g body wt) after a 6-h fast. Blood glucose was measured using a FreeStyle glucometer (Abbott Diabetes Care). Serum insulin was measured by radio immunoassay at the Vanderbilt Hormone Assay and Analytical Services Core.

Glucose-Stimulated Insulin Secretion
Secreted insulin from isolated control and bDKO mice (n = 8-10) islets was performed as described previously (20). The outcome was presented as the fold change between the percentage of secreted insulin (relative to insulin content) at 16.7 mmol/L glucose and the percentage of secreted insulin (relative to insulin content) at 2.8 mmol/L glucose. Islet insulin content was calculated as the concentration of insulin per islet in each reaction (ng/mL/islet).

Tissue Preparation and Immunostaining
Whole embryos and adult pancreata were fixed in 4% (v/v) paraformaldehyde, embedded, and sectioned to 6 mm. Immunofluorescence staining was performed as previously described (21) with the antibodies listed in Supplementary Table 1. Embryos were cut on the transverse (crosssections) plane throughout the pancreatic epithelium, and manual cell counting was performed on antibody-stained sections prepared every 60 mm (e12.5) or 90 mm (e15.5) from the superior to inferior region.

Statistical Analysis
Statistical significance was determined using the twotailed Student t test. Data are presented as the mean 6 SEM. A threshold of P , 0.05 was used to declare significance.

Study Approval
All animal studies were reviewed and approved by the Vanderbilt University Institutional Animal Care and Use Committee. Mice were housed and cared for according to the Vanderbilt Department of Animal Care and the Institutional Animal Care and Use Committee/Office of Animal Welfare Assurance standards and guidelines.
At postnatal day 1 (P1), Brg1 Dpanc mice showed a severe reduction in pancreas size that was not observed in Brm 2/2 mice or exacerbated in DKO Dpanc (Fig. 1B). However, the size of the spleen, liver, and kidneys was unaffected in the Swi/Snf ATPase mutants ( Fig. 1B) (data not shown). The incomplete inactivation of Brg1 within the MPC pool ( Supplementary Fig. 1) led to the presence of nonrecombined escaper cells, with Brg1 absent from most P1 acinar cells (in which Ptf1a expression is enriched and thereby increasing the likelihood of inactivation of Brg1 f/f alleles) but present in islet hormone + Ptf1a 2 cells (4) (Supplementary Fig. 3). The preservation of Brg1 in DKO Dpanc islets presumably allows normal control of blood glucose levels postnatally, because b-cells totally deficient in all Swi/Snf activity have a significant impairment (described below). These observations suggest that the pancreatic hypoplasia reported in the 3-week-old Brg1 Dpanc mutants (26) results from a reduction in embryonic MPC numbers.

Pdx1 Binds to Brg1 and Brm1 in MPCs and Not Ptf1a or Sox9
The proximity ligation assay (PLA) was used to evaluate the ability of Pdx1, Ptf1a, and Sox9 to interact with Brg1 and Brm in the developing pancreas, wherein a punctate fluorescent signal is generated if the physical distance between interacting proteins is within 30-40 nm. Pdx1:Brg1 and Pdx1:Brm signals were clearly detectable in e12.5 pancreatic epithelium, but scant binding was found between Ptf1a and Sox9 with either Swi/Snf ATPase subunits (Fig. 2). These results imply that Swi/Snf actions in MPCs are mediated principally through Pdx1.
All Pancreatic Cell Lineages Are Reduced in e15.5 Brg1 Dpanc Mutants To determine whether the absence of Pdx1-recruited Brg1/ Swi/Snf impacted the loss of specific pancreatic cell lineages, we immunostained and quantitated serially cut control and mutant e15.5 sections for cell type markers characteristic of this developmental stage. Expression of Sox9 at e15.5 denotes a population of bipotent progenitor cells (27), and neurogenin 3 (Neurog3) marks the subset of cells destined to become islet endocrine cells (28). We found that the number of cells expressing Sox9 and Neurog3 was reduced by ;50% in Brg1 Dpanc pancreata, which was not decreased further in the DKO Dpanc mutant ( Fig. 3A and B). Moreover, the number of insulin + , glucagon + , and somatostatin + cells, along with carboxypeptidase 1 + (Cpa1) acinar cells, was also reduced by ;50% in the Brg1 Dpanc and DKO Dpanc mutants ( Fig. 3C and D). In addition, ductal branching was less expansive in Brg1 Dpanc than in control embryos, which was expected due to reduced Brg1 Dpanc pancreatic cell numbers ( Supplementary  Fig. 4). Together, these results demonstrate that all pancreatic lineages are negatively influenced by the loss of the embryonic Pdx1:Brg1/Swi/Snf complex.

Brg1-Deficient MPCs Have Reduced Proliferative Capacity
We next investigated whether the reduction in pancreatic cell type formation directly resulted from depletion of the embryonic Brg1 Dpanc MPC pool. In agreement with this prediction, the number of coexpressing Pdx1 and Sox9 cells at e12.5 was reduced by ;40% (Fig. 4A). However, there was no detectable difference in TUNEL + cell numbers in the e12.5 control and Brg1 Dpanc E-cadherin + pancreatic epithelium (data not shown), suggesting that the decreased MPC population was not due to increased cell death. Pregnant dams were then injected with BrdU to assess the proliferation of Brg1-deficient MPCs. Control, Brg1 Dpanc , and DKO Dpanc mutants incorporated BrdU into ;30% of wild-type MPCs at e12.5, whereas incorporation in Brg1-deficient MPCs was only 14.4 6 0.7% and 14.8 6 1.8% in the Brg1 Dpanc and DKO Dpanc mutants, respectively (Fig. 4B). These studies illustrate the novel function for Pdx1:Brg1/Swi/Snf in modulating MPC proliferation in the developing pancreas, which to our knowledge is the first transcriptional coregulator shown to influence MPC number and pancreas mass.
Brg1 Db ;Brm +/2 and Brg1 Db/+ ;Brm 2/2 mice were physiologically normal 2 weeks after the last tamoxifen administration, whereas bDKO animals suffered from fasting hyperglycemia, glucose intolerance, and reduced serum insulin levels ( Fig. 5A and B). Glucose intolerance did not worsen in older mutant animals, and males and females both exhibited similar phenotypes (Supplementary Fig. 6). Glucose-stimulated insulin secretion (GSIS) was also compromised in size-matched islets isolated from bDKO animals, whereas Brg1 Db ;Brm +/2 and Brg1 Db/+ ; Brm 2/2 were unaffected (Fig. 5C). In addition, we observed a severe and specific reduction in bDKO islet insulin content (Fig. 5D), suggesting that their secretion deficiency results, at least in part, from limited hormone content.

Loss of Swi/Snf Activity in bDKO Islet b-Cells Severely Reduces Insulin Production Despite Retention of Many Important Enriched Transcription Factors
To gain insight into the cause of the significant decrease in insulin content in bDKO islets, we first took a candidate approach to monitor for the presence of various b-cell markers in control and bDKO pancreata. Most strikingly, nearly every Tomato-labeled cell in bDKO islets had little to no insulin immunoreactivity (Fig. 6A). There was also no overt change in islet cell mass or apoptosis in mutant islets, contrasting with the reduced pancreas mass of Brg1 Dpanc mice caused by the developmental loss of this ATPase. As expected, Tomato-labeled Brg1 Db ;Brm +/2 and Brg1 Db/+ ; Brm 2/2 b-cells had no obvious defects in insulin production ( Supplementary Fig. 7).

Expression of Pdx1-Regulated Genes Involved in Cell Maturation, Insulin Production, and Insulin Secretion Is Affected in bDKO b-Cells
To more comprehensively define the molecular influence Swi/Snf has on b-cells, RNA sequencing was performed on FACS Tomato + cells from control and bDKO islets. Using a 6 twofold cutoff and false discovery rate of ,0.05, there were 1,789 downregulated and 1,273 upregulated genes in bDKO b-cells (Fig. 7A). Gene ontology analysis (35,36) of these differentially expressed bDKO genes using Database for Annotation, Visualization and Integrated Discovery (DAVID) led to the identification of a very diverse array of biological pathways associated with Swi/Snf control, including cell adhesion, ion transport, cell differentiation, cell migration, cell proliferation, and carbohydrate metabolism (Supplementary Table 3). Expression of some of the most upregulated genes, including Creg1, Scg3, Gucy1a3, and Gucy1b3, was confirmed by qPCR analysis (Fig. 7B); however, the impact of these genes on b-cells is unclear.
Greater insight into how Pdx1:Swi/Snf regulated gene expression was obtained upon comparing genes bound by Pdx1 in ChIP-sequencing analysis of mouse islets (37) to those upregulated or downregulated in bDKO b-cells.   Table 4). Consequently, we concluded that Pdx1:Swi/Snf represents an essential positive regulator of b-cell function. Supportive evidence of these changes came from immunofluorescence and qPCR analysis of independently derived flow-sorted bDKO b-cells. These genes included those strongly linked to mature cell identity, such as Ins1, Ins2, Slc2a2 (Glut2), MafA, Slc30A8, and Ucn3 ( Fig. 8B and Supplementary  Fig. 9). However, their production was unaffected in Brg1 Db ;Brm +/2 and Brg1 Db/+ ;Brm 2/2 islets (Supplementary Figs. 7 and 10). Collectively, our analyses revealed that Swi/Snf-deficient b-cells have reduced expression of numerous Pdx1-regulated genes that are essential for sustaining b-cell identity.

Pdx1 Binding to the Ins Enhancer Is Compromised in bDKO b-Cells
Rodent Ins1 and Ins2 gene expression is largely mediated by transcription factors that bind within cis-acting enhancer sequences found roughly between 2340 and 290 bp upstream of the transcription start site (38), a region well conserved in the human INS gene (39). In addition to Pdx1 binding at the A3/A4 (2201 to 2195 bp in Ins2) and proximal A1 (263 to 259 bp) elements (40), enhancer activity is mediated by several islet-enriched transcription factors with vital roles in developing and adult b-cells, including Pax6 (2317 to 2311 bp) (41), Nkx2.2 (2128 to 2122 bp) (42), and MafA (2126 to 2101 bp) (43).
We compared Pdx1 binding to the Ins2 and Nkx6.1 enhancers in ChIP experiments performed on control and bDKO islets, noting that Nkx6.1 was viewed as an internal control because expression was unaffected in bDKO islets (Fig. 8B). Nkx2.2 binding to both enhancers was also evaluated, with the Nkx2.2 and Pdx1 elements found roughly 2807 to 2796 bp upstream of the Nkx6.1 transcription start site (44)). Pdx1 binding was selectively reduced on the Ins2 gene in bDKO islets, whereas Nkx2.2 binding was unchanged, as was Pdx1 and Nkx2.2 to the Nkx6.1 enhancer (Fig. 8C). These data reveal that the presence of the Brg1/Brm-associated Swi/Snf complex was necessary for Pdx1 binding to the Ins gene enhancer.

DISCUSSION
The binding of transcription factors to cis-acting DNA control elements is by itself not sufficient to regulate target gene expression (45). Accordingly, their associated coregulators serve as an essential layer of control by, for example, influencing chromatin structure, enabling interactions among transcription factors, and recruitment of other effectors of RNA polymerase II. Among the hundreds Figure 5-Severe defects in adult islet b-cell function are only produced in bDKO mice. Control, Brg1 Db/+ ;Brm 2/2 , Brg1 Db ;Brm +/2 , and bDKO mice were subjected to testing 2 weeks after the last tamoxifen treatment. All statistical comparisons are to controls. A: Fasting blood glucose and glucose tolerance were specifically compromised in bDKO mice during the intraperitoneal glucose tolerance test. B: Serum insulin levels were also only reduced in ad libitum (ad lib) fed or fasted bDKO animals. n = 5-9. *P , 0.05; **P , 0.01. C: GSIS was reduced in bDKO islets and not in Brg1 Db/+ ;Brm 2/2 or Brg1 Db ;Brm +/2 . n = 3-6. D: Islet insulin content was only decreased in the bDKO mutant (n = 4-8).
of positive-and negative-acting transcriptional coregulators, very few have been directly linked to b-cell-enriched transcription factor activity, despite strong evidence that Pdx1 (1,2,11), Nkx2.2 (31), Mnx1 (33), and Nkx6.1 (30) are essential to core programs of pancreas formation and b-cell activity. Here we evaluated the significance of Pdx1 recruitment of the Swi/Snf chromatin remodeling complex to pancreas formation developmentally and in islet b-cells. Conditional and constitutive mutants of the core ATPase subunits in mice were used to modulate Swi/Snf activity in vivo. Our results revealed that the Brg1 ATPase subunit regulates pancreas size by stimulating Pdx1:Swi/Snfmediated MPC proliferation, while both Brg1 and Brm regulate expression of Pdx1-driven genes required for islet b-cell identity, including Ins.
Adult pancreas mass is limited by the size of the embryonic MPC pool (7). Here our data demonstrated that the inability of Pdx1 to recruit Brg1/Swi/Snf in Brg1 Dpanc mice reduced acinar, ductal, and islet cell numbers and pancreas mass by ;50%, without affecting formation of other organs. Moreover, we showed that this resulted from reduced proliferation of the MPC pool. Notably, only Pdx1 was found in the PLA to bind to Brg1 and Brm in MPCs, whereas no interactions were observed with the MPC-enriched and functionally important Ptf1a (4) or Sox9 (5) transcription factors. This evidence indicated that Swi/Snf regulation of MPC expansion was principally through Pdx1.
Interestingly, pancreas mass was only affected in Brg1 Dpanc mice and not further in the double-ATPase DKO Dpanc mutant. This may simply mean that the Brm ATPase, which has a much less impactful global regulatory phenotype in relation to Brg1 (19,46), has no influence on pancreatogenesis. This possibility is supported by a recent report that found BRM transcript levels increased (;17fold) during directed differentiation of human embryonic stem cells from stage 5 MPC-like cells to stage 6 b-like cells in vitro (Supplementary Table 5, data mined from reference [47]). Further, this increase in BRM provides a plausible explanation about why eliminating both Brg1 and Brm in adult islet bDKO b-cells had such a penetrant effect. Alternatively, Pdx1 may be recruiting a distinct Swi/ Snf-related complex, termed PBAF (polybromo-associated BAF), that is only regulated by Brg1 (48). Although many subunits are shared between PBAF and the Brg1-and Brmregulated BAF (Brg1-/Brm-associated factor) complex, each were shown to possess unique regulatory properties in controlling vitamin D receptor-driven anti-inflammatory and prosurvival responses in islet b-cells (49).
More broadly, our results suggest that coregulators of Pdx1, Ptf1a, and Sox9 influence pancreas size, a global physical determinant linked to type 1 diabetes and T2D susceptibility (9,50). Future efforts should involve not only identifying coregulators affecting transcription factor activity but also the processes and factors that influence their recruitment to target loci. These would be expected to include posttranslational modification mechanisms that positively or negatively affect transcription factor:coregulator interactions. For example, phosphorylation of the p53 transcription factor increases CBP/p300 histone acetyltransferase association, amplifying transcriptional activity (51).
T2D is ultimately caused by the inability of islet b-cells to produce sufficient amounts of insulin to cause transport of blood glucose into insulin-resistant tissues to maintain normoglycemia. A hallmark of this disease is an increase in the number of "empty" b-cells, defined by their lack of insulin immunoreactivity (52). This was also a novel characteristic of bDKO b-cells (Fig. 6) and associated with a lack of Pdx1 binding to the endogenous Ins2 gene enhancer. These results are consistent with a recent report showing that DNA binding by the REST transcription factor relies on the remodeling activity of SWI/SNF in embryonic stem cells (53). In contrast to Pdx1, there was no apparent change in Nkx2.2 transcription factor binding to the Ins2 gene or in Pdx1, Nkx2.2, and Nkx6.1 nuclear protein levels. In fact, MafA was the only other core Ins regulator apparently absent in bDKO b-cells (Fig. 7). Because loss of MafA alone does not abolish Ins production in MafA Dpanc (34) or MafA Db (54) mice, insulin deficiencies in bDKO "empty" b-cells likely reflect the combined loss of the MafA protein and inability of Pdx1 to bind to the Ins enhancer. This proposal is supported by the ability of Pdx1 + MafA to reprogram human islet a-cells to b-like cells (55), or in transgenic mice, when combined with the embryonic islet cell determination factor, Neurog3, to produce b-like cells in the intestine of mice (56).
Circularized Chromosome Conformation Capture (i.e., 4C) and PDX1-binding enhancer elements were used as anchor bait sites in the human EndoC-bH1 pancreatic b-cell line (57,58), and the human INS locus was found to physically contact many distinct genes affecting b-cell secretory processes. Knockdown of INS mRNA levels in EndoC-bH1 cells demonstrated that expression of 259 genes was affected, with 45 residing in 4C contact regions and ;40% associated with metabolic pathways. Moreover, these investigators proposed that the chromosomal interactions with the INS locus were conjoined with the transcriptional machinery at the various loci. If The most significant biological pathways identified by gene ontology (GO) analysis. Swi/Snf contributed to very divergent regulatory processes, varying from cell adhesion (most significant) to ion transport, cell migration, and carbohydrate metabolism (least significant). Expression of Swi/Snf subunits BAF250A (Arid1a), BAF53B (Actl6b), and BAF60C (Smarcd3) was increased in bDKO b-cells by 2.11-, 2.08-, and 10.3-fold, respectively. FDR, false discovery rate. B: qPCR analysis from FACS-purified Tomato + b-cells of various bDKO genes upregulated in the RNA sequencing. n = 3. *P , 0.05; **P , 0.01. PDX1:Swi/Snf contributed to such control, we predicted some overlap between the bDKO-regulated genes and those identified in the human 4C INS knockdown analysis. However, not one of their 45 genes was differentially expressed in bDKO b-cells. Possible explanations for this difference could involve the unique variable number of tandem repeats regions upstream of the human INS enhancer (39) and/or simply the experimental context (i.e., human EndoC-bH1 cells vs. the mouse bDKO model). Alternatively, our ability to detect Nkx2.2 binding to the Ins2 enhancer in bDKO islets raises the possibility that 4C-detected interactions persist because they are regulated by transcription factors binding independently of Pdx1.
Genome-wide association studies have found numerous genomic loci linked to T2D (59), but the Swi/Snf subunits have not been associated directly to diabetes pathogenesis. Notably, our results suggest that only genetic variants leading to a complete loss of Swi/Snf activity would yield a bDKO diabetic phenotype. However, a recent study found that genomic deletions and rearrangements in Swi/Snf subunits exist in approximately one-third of pancreatic cancers containing alterations in known tumor-associated genes (e.g., MYC, KRAS, CDKN2A, TGFBR2, MAP2K4, and SMAD4) (60). Specifically in regards to the ATPase subunits, heterozygous and homozygous mutations in the BRG1 or BRM genes occur in 9.6% and 2.6%, respectively, of human pancreatic cancer samples. Moreover, combined mutations in BRG1 and BRM were found in several pancreatic cancer cell lines, but double mutations were absent from primary tumor samples, although the latter involved a limited sample number (60). Notably, ;80% of individuals with pancreatic cancer often present with new-onset T2D or impaired glucose tolerance at diagnosis (61). Although these studies do not directly link the prevalence of Swi/Snf subunit mutations to pancreatic cancer-associated diabetes, loss-of-function mutations in BRG1 and BRM provide a potential intersection for pancreatic cancer and T2D, especially given the influence Swi/Snf has on mature b-cell function.
Functional heterogeneity within the b-cell population was first described more than two decades ago (62,63), with recent observations identifying distinct normal and T2D b-cell populations that differ in their molecular composition and glucose-stimulated insulin secretion properties (64). Interestingly, Pdx1, MafA, and Nkx6.1  (37). Right: Most of the pathways identified by gene ontology (GO) analysis of the 507 genes that were Pdx1 bound and upregulated in bDKO b-cells were associated with cell adhesion (adh.) and neuromuscular functions, whereas the 917 genes that were Pdx1 bound and downregulated in bDKO b-cells were associated with b-cell function, such as glucose homeostasis and insulin secretion. B: Expression of a key subset of islet b-cell regulators identified in bDKO RNA sequencing and Pdx1 ChIP studies was confirmed upon qPCR of FACS-purified Tomato + b-cells. *P , 0.05; **P , 0.01; ***P , 0.001. C: Pdx1 ChIP binding to the Ins2 enhancer was decreased in bDKO compared with control islets, whereas there was no impact on binding to the Nkx6.1 enhancer. Nkx2.2 binding to the Ins2 and Nkx6.1 enhancer was unchanged between bDKO and control islets. The dashed line represents IgG enrichment on the target gene after normalization to b-actin. n = 3. *P , 0.05. levels appear similar between these b-cell subtypes, raising an intriguing possibility that variations in transcription factor:coregulator interactions could be affecting activity. This possibility is supported by our previous findings that Pdx1:Swi/Snf interactions were not observed in all healthy human islet b-cells in the PLA (12), which adds another level of heterogeneity to a subpopulation of human b-cells. Such observations emphasize the importance of investigating how coregulator recruitment by endocrine cellenriched transcription factors contribute to human b-cell functional heterogeneity under normal physiological conditions.
Collectively, our study provides fundamental insight into the role of Pdx1:Swi/Snf complexes in pancreas organogenesis and in maintaining principal features of the mature b-cell state. The translational significance of our findings is underscored by the knowledge that in humans, a subset of T2D b-cells lose their ability to produce insulin and that overall pancreas size, with otherwise normal cell-type proportional allocations, is a risk factor in the development of diabetes. Furthermore, our findings that Swi/Snf activity is crucial for driving Ins expression and that Pdx1:Swi/Snf interactions are negatively affected in human T2D (12) indicate that therapies that enhance such interactions are an attractive target in T2D. Upon broader consideration, we propose that transcriptional coregulator recruitment is essential to the formation and function of the other islet cell types (a, b, d, e, and pancreatic polypeptide). In this context, our studies are currently focused on additional Pdx1-interacting proteins, such as the multisubunit nucleosome remodeler and deacetylase (NuRD) complex, the Myst2 histone acetyltransferase, and the Tif1b corepressor.