mTORC1 Activation Regulates β-Cell Mass and Proliferation by Modulation of Cyclin D2 Synthesis and Stability*

Growth factors, insulin signaling, and nutrients are important regulators of β-cell mass and function. The events linking these signals to the regulation of β-cell mass are not completely understood. The mTOR pathway integrates signals from growth factors and nutrients. Here, we evaluated the role of the mTOR/raptor (mTORC1) signaling in proliferative conditions induced by controlled activation of Akt signaling. These experiments show that the mTORC1 is a major regulator of β-cell cycle progression by modulation of cyclin D2, D3, and Cdk4 activity. The regulation of cell cycle progression by mTORC1 signaling resulted from modulation of the synthesis and stability of cyclin D2, a critical regulator of β-cell cycle, proliferation, and mass. These studies provide novel insights into the regulation of cell cycle by the mTORC1, provide a mechanism for the antiproliferative effects of rapamycin, and imply that the use of rapamycin could negatively impact the success of islet transplantation and the adaptation of β-cells to insulin resistance.

studies have demonstrated that mTOR integrates growth factors and nutrient signals and is essential for cell growth and proliferation (8). One of the major mechanisms by which nutrient and growth factors regulate mTOR activity involves the tuberous sclerosis complex 2 (TSC2) 2 gene product (tuberin) as well as TSC1 (hamartin) and the small G protein Ras homolog enriched in brain. Phosphorylation of TSC2 by the serine-threonine kinase AKT induces mTOR signaling by derepressing the TSC2 GTPase-activating protein activity toward Ras homolog enriched in brain, (9 -13). Recent findings indicate that mTOR is a part of two distinct complexes: mTORC1 and mTORC2 (14,15). The mammalian mTORC1 contains Raptor and the G protein ␤-subunit-like protein (G␤L). mTORC1 activates key regulators of protein translation; ribosomal S6 kinase (S6K), eukaryote initiation factor 4E-binding protein 1, and eukaryote initiation factor 4E (16). The mTORC2 complex includes mTOR and rictor and is insensitive to rapamycin (14,15). This complex is potentially important for the regulation of ␤-cell mass and function, because it is responsible for the phosphorylation/activation of Akt on Ser 473 (17). Evidence for the importance of mTOR signaling on the modulation of ␤-cell mass and proliferation in vivo comes from genetically modified mice. Decreased ␤-cell mass and hyperglycemia in mice deficient for S6K and mutant for ribosomal protein S6 provide evidence for the importance of this pathway in these processes (18 -20). Moreover, activation of mTOR signaling by conditional deletion of TSC2 in ␤-cells induces ␤-cell proliferation and hypertrophy (21,22) The contribution and potential role for mTOR signaling and the mTORC complexes in ␤-cell mass and function have yet to be adequately explored.
The current experiments delineate some of the molecular mechanisms involved in ␤-cell G 1 -S transition by the mTOR arm of Akt signaling. In these studies, the hypothesis that the mTORC1 (mTOR/Raptor) is a major regulator of ␤-cell cycle progression and mass in vivo was tested. To test this hypothesis, we studied the effects of inhibition of the mTORC1 complex under proliferative conditions induced by controlled activation of Akt signaling in ␤-cells. To activate Akt signaling in a controlled fashion, we developed a doxycycline (dox)-inducible mouse model. This animal model allowed us to induce ␤-cell proliferation and mass without disturbing peripheral tissues. These studies showed that the mTORC1 complex mediates the regulation of cell cycle in ␤-cells in vivo and does so by activation of cyclin-dependent kinase-4 (Cdk4). The regulation of cell cycle progression by mTORC1 signaling resulted from modulation of the synthesis and stability of cyclin D2, a critical regulator of ␤-cell cycle, proliferation, and mass. These studies indicate that the mTORC1 is major component relating proliferative signals induced by nutrients and growth factors and uncover the molecular mechanisms implicated in the regulation of ␤-cell cycle by this signaling pathway.

EXPERIMENTAL PROCEDURES
Mice-RIP-rtTA mice express the reverse tetracycline transactivator under the control of the rat insulin II gene and are in C57Bl/6 (B6)/CBA background (23). The tetOAkt1 mice have been previously described (24) and contain the myristoylated AKT 1 gene under the regulation of tetracycline-responsive element. Generation and phenotypic characterization of myr-Akt mice have been previously described elsewhere in detail (24). Double transgenic RIP-rtTA/tetOAkt1 mice (DT) were obtained by crossing RIP-rtTA with tetOAkt1. The single transgenic (ST) was used as control and included RIP-rtTA mice. Experiments were performed in 2-month-old males. Control and experimental animals were on comparably mixed background. Doxycycline treatment was performed by adding 2 mg/ml doxycycline to the drinking water. Mice overexpressing a constitutively active form of Akt under the control of the rat insulin promoter (caAkt RIP ) have been previously described (25). All of the procedures were performed in accordance with the Washington University Animal Studies Committee.
Islet and MIN6 Cell Culture-MIN6 cells were stably infected with a lentivirus containing a constitutively active Akt mutant (MIN6-caAkt) or GFP (MIN6-GFP) as control. These lines were maintained as described previously (26). For experiments with rapamycin, MIN6 cells were cultured with rapamycin for 16 h. The in vitro experiments in islets were performed in islets from ST or DT mice treated with vehicle or dox in the drinking water for 3 weeks. After isolation, the islets were cultured in medium with vehicle (ST) or dox (DT) for 40 h. Rapamycin (50 nM) or vehicle was added to the medium for the last 16 h of culture before harvesting. This experimental protocol reproducibly inhibit mTORC1 complex in vitro. These experimental conditions were used for all of the islet experiments except for the studies in Fig. 2C.
Islet Isolation and Western Blot Analysis-Islet isolation was accomplished by collagenase digestion as described previously (25). The following morning after isolation, the islets were hand picked and treated with 2 g/l doxycycline and/or 50 nM rapamycin for 16 h as indicated in the figures and results. Isolated islets were lysed in a buffer containing 0.3% CHAPS, 150 mM NaCl, 5 mM EDTA, 10 mM Tris, pH 8.0, and protease and phosphatase inhibitors (Roche Applied Science). Islet lysates were subjected to immunoblotting using the following antibodies: Akt, pGSK3 ␣/␤, p70S6K (phospho-p70 S6K Thr 389) phospho-S6 ribosomal protein (Ser 235/236 ), cyclin D1, cyclin D3, and p27 were from Cell Signaling (Beverly, MA), and cyclin D2 was obtained from Lab Vision Corporation (Fremont, CA). Cdk4 was from Santa Cruz Biotechnology (Santa Cruz, CA), and ␣-tubulin was from Sigma. Secondary horseradish peroxidase-conjugated anti-rabbit and anti-mouse IgG were from Cell Signaling.
Immunohistochemistry, Islet Morphometry, and Analysis of Proliferation and Apoptosis-Pancreatic tissue was fixed overnight in 3.7% formalin solution and embedded in paraffin using standard techniques. Immunostaining for insulin was done as describe previously (25). Immunofluorescence for phospho-pS6 ribosomal protein (Ser 235/236 ) (Cell Signaling) and insulin was performed as described previously (25). Assessment of ␤-cell mass was performed by point counting morphometry from five insulin-stained sections (4 m) separated by 200-m National Institutes of Health ImageJ software (v1.3.8x) as described previously (27,28). Proliferation was performed in insulin-and Ki67-stained sections (Novocastra, Burlingame, CA) from ST and DT mice. Proliferating cells were identified by co-staining for Ki67 and insulin. Apoptosis was determined in pancreatic sections stained for insulin and cleaved-caspase 3 (Cell Signaling). Co-staining for insulin and cleaved-caspase 3 identified apoptotic cells. At least 1000 insulin-stained cells were counted for each animal.
In Vitro Cdk4 Kinase Assays-In vitro Cdk4 activity were performed as described previously (29). Four-week-old ST and DT mice were placed on vehicle or dox treatment in their drinking water for 3 weeks. After isolation, DT islets were cultured for 40 h in medium containing dox (2 g/ml). Rapamycin (50 nM) or vehicle was added for 16 h before harvesting. Lysates from islets or MIN6 cells were immunoprecipitated using anti-Cdk4 antibody (Santa Cruz Biotechnology) and 50 l of protein G-Sepharose beads (Sigma-Aldrich). The final kinase reaction was carried out in 50 mmol/liter HEPES, pH 7.5, 10 mmol/liter MgCl 2 , 1 mmol/liter dithiothreitol, 2.5 mmol/liter EGTA 10 mmol/liter glycerophosphate, 0.1 mmol/liter Na 2 VO 4 , 1 mmol/ liter NaF, 5 mol/liter ATP, 6 mCi/reaction of [␥-32 P]ATP (Amersham Biosciences), and GST-Rb 769 -921 (Santa Cruz Biotechnology). The samples were incubated at 30°C for 30 min and separated by polyacrylamide gel electrophoresis. The amount of 32 P-labeled GST-Rb was visualized and quantified by autoradiography using a PhosphorImager. The levels of immunoprecipitated Cdk4 were used as loading control.
In Vitro Kinase Assay for Akt-Akt kinase activity was measured using the Akt kinase assay kit from Cell Signaling. Fourweek-old ST and DT mice were placed on vehicle or dox treatment in their drinking water for 3 weeks. After isolation, ST and DT islets were cultured for 40 h with vehicle or dox (2 g/ml), respectively. Rapamycin (50 nM) or vehicle was added for the last 16 h before harvesting. Resuspended immobilized Akt anti-body slurry (20 l) was added to 100 g of lysates to selectively immunoprecipitate Akt by gentle rocking 2 h at 4°C. The pellet was washed twice with 500 l of 1ϫ lysis buffer and twice with 500 l of 1ϫ kinase buffer (25 mM Tris, pH 7.5, 5 mM ␤-glycerol phosphate, 2 mM dithiothreitol, 0.1 mM Na 3 VO 4 , and 10 mM MgCl 2 ). The immunoprecipitated pellet was then incubated with 40 l of 1ϫ kinase buffer supplemented with 200 M ATP and 1 g of GSK-3 fusion protein for 30 min at 30°C allowing immunoprecipitated Akt to phosphorylate GSK-3. The reaction was terminated with 20 l of 3ϫ SDS sample buffer. The samples were boiled for 5 min and loaded on 12% SDS-PAGE gel. Band intensity was quantified using National Institutes of Health ImageJ software (v1.3.8x). Input protein was used as control for quantification of the Akt activity levels. Akt-induced phosphorylation of GSK-3 was detected by Western blotting using phospho-GSK-3/ (Ser 21/9 ) antibody.
Pulse-Chase Analysis-Islets from four ST and four DT mice/ time point were washed in Dulbecco's modified Eagle's medium without methionine and cysteine for 30 min at 37°C. The islets were pulse-labeled for 30 min with [ 35 S]Protein labeling mix (PerkinElmer Life Sciences) at 280 Ci total/reaction and then washed with warm phosphate-buffered saline before being placed in complete Dulbecco's modified Eagle's medium containing a 100-fold excess of unlabeled methionine for 30 and 60 min (chase). For the rapamycin experiments, the islets were preincubated with 50 nM rapamycin for 90 min before the pulse, and the treatment was continued during the pulse for 30 min. Islet lysates from the pulse and the chase conditions were immunoprecipitated using anti-cyclin D2 antibody. The immunoprecipitates from all the conditions were washed and separated by SDS-PAGE and subsequently transferred to a polyvinylidene difluoride membrane. Immunoprecipitated proteins were visualized by autoradiography using a PhosphorImager (Amersham Biosciences). The pulse-label experiments in MIN6 cells were performed essentially using the same conditions described for the islet experiment. Immunoblotting for cyclin D2 was used as loading control. Quantitation of band intensity was performed as described for immunoblotting experiments.
Metabolic Studies-Fasting blood samples were obtained after overnight fasting from the tail vein. Glucose was measured on whole blood using AccuChek II glucometer (Roche Applied Science). Glucose tolerance tests were performed in 18-h fasted animals by injecting glucose (2 mg/g) intraperitoneally as described previously (25).
Statistical Analysis-The quantitative data are presented as the means Ϯ S.E. from at least three independent experiments, five mice, or 100 islets, unless indicated. We used the Student's t test to compare independent means. A p value of Ͻ0.05 was considered statistically significant.

Development of an Inducible System to Activate Akt/mTOR
Signaling in ␤-Cell-To determine the molecular mechanisms involved in ␤-cell G 1 -S transition by the mTOR arm of Akt signaling, we developed a dox-inducible system. DT mice were generated by crossing mice expressing the tetracycline reverse transactivator under the control of the rat insulin promoter (RIP-rTTA) with mice expressing constitutive active Akt under the control of the tetracycline operator (tetOcaAkt) (23,24). The control group for these experiments included mice containing the RIP-rTTA transgene only, but similar results were observed when compared with tetOcaAkt (ST). Immunoblotting for Akt showed that islets from DT mice treated with dox for 6 h exhibited a slight increase in Akt levels and activity assessed by phosphorylation of GSK3␤ on Ser 9 (Fig. 1A). Akt expression and levels of phospho-GSK3␤ were significantly increased in islets from DT mice treated with dox for 24 h (Fig.  1A). These results indicated that the expression of Akt1 transgene in ␤-cells is regulated in a DOX-dependent manner.
To induce Akt in ␤-cells from adult mice, 12-week-old mice were given doxycycline in their drinking water for 20 weeks. Intraperitoneal glucose tolerance tests before dox treatment showed no difference in glucose tolerance between ST and DT mice (Fig. 1B). Improved glucose tolerance in DT mice was observed as early as after 6 weeks of dox treatment (supplemen-  S1). The improved glucose tolerance in DT mice was maintained after 20 weeks of dox treatment (Fig. 1C). Assessment of 6-h fasting glucose levels in ST and DT mice at different time points during dox treatment demonstrated that glucose levels in DT mice during doxycycline treatment were not different from those obtained from ST mice (Fig. 1D). Serum concentrations of insulin in DT mice increased after 2 weeks of dox administration (Fig. 1E). Compared with ST mice, insulin levels in DT mice remained elevated after 16 weeks of dox administration (Fig. 1E).
The histology of the pancreas and quantitation of ␤-cell mass were assessed by islet morphometry. After 20 weeks of doxycicline treatment, ␤-cell mass was augmented more than 5-fold in DT mice compared with ST mice (Fig. 1F). ␤-Cell proliferation by determined Ki67 immunostaining in insulin-stained pancreatic sections showed a 3-fold increased in proliferative rate in DT mice (Fig. 1G). These results showed that the inducible system could be used as a powerful tool to study the molecular mechanisms involved in cell cycle progression and ␤-cell mass under proliferative conditions induced by Akt.
Rapamycin Treatment Inhibits the Activation mTORC1 Signaling by Akt-The importance of the mTORC1 in the metabolic and morphologic phenotype observed in DT mice was assessed using the following experimental design ( Fig. 2A): 1) 4-week-old ST and DT mice were placed on vehicle or dox treatment in their drinking water for 3 weeks. 2) After 3 weeks of dox treatment, rapamycin was injected intraperitoneally for 2 weeks in half of the ST and DT mice. The other half of the ST and DT mice continued vehicle and dox treatment ( Fig. 2A). To assess the inhibition of mTOR signaling by rapamycin treatment in ST and DT mice, we performed immunofluorescence staining using anti-phospho-S6 ribosomal protein (Ser 235/236 ) antibody (pS6rp) (Fig. 2B). DT mice exhibited a significant increase in pS6rp staining when compared with ST mice (Fig.  2B). Staining for pS6rp in the pancreas from rapamycin-treated ST and DT mice was completely absent, suggesting that the dose of rapamycin was effective in inhibiting mTOR activation by Akt (Fig. 2B). To complement these studies, we performed immunoblotting in islet lysates from these mice. After dox administration, Akt levels were higher in DT compared with ST mice (Fig. 2C). Rapamycin treatment had no effect on Akt levels from ST or DT mice (Fig. 2C). Similar to the results shown on Fig. 2B, levels for pS6rp were higher in DT than ST mice. Rapamycin treatment of ST and DT mice completely abolished the phosphorylation of S6rp (Fig. 2C).
Rapamycin Treatment Partially Reverses the Akt-mediated Improvement in Carbohydrate Metabolism-Assessment of carbohydrate metabolism in ST and DT mice treated with vehicle or rapamycin was then performed. Before administration of dox, glucose tolerance in 4-week-old ST and DT mice was comparable (Fig. 3A). In contrast to ST mice, DT mice treated with dox for 3 weeks exhibited lower glucose levels at 30, 60, and 120 min after glucose injection (Fig. 3B). Glucose tolerance after rapamycin treatment showed impaired glucose tolerance in STϩRap mice when compared with ST mice (Fig. 3C). Glucose levels at 30, 60, and 120 min in DTϩRap mice were higher than those of DT mice treated with vehicle (Fig. 3C). Glucose tolerance in DTϩRap mice showed that glucose levels at 30 and 60 min were comparable with those of STϩRap (Fig. 3C). The metabolic alterations induced by rapamycin treatment reversed after discontinuation of treatment (supplemental Fig.  S2). These results indicate that the improvement in carbohydrate metabolism observed by activation of Akt in ␤-cells was partially reversed by the inhibition of the mTORC1.
Assessment of islet morphometry at the end of the experimental protocol showed that the ␤-cell mass in ST and STϩRap mice was comparable (Fig. 3D). In contrast, the ␤-cell mass in DT mice was higher than that of ST mice ( Fig. 3D; p Ͻ 0.05). Rapamycin treatment of DT mice reduced ␤-cell mass to the levels found in ST and STϩRap (Fig. 3D). Proliferation assessed by Ki67 staining demonstrated that ST and STϩRap exhibited similar rates of proliferation (Fig. 3E). The proliferative rate observed in DT mice was 2-fold greater than that of ST mice (p Ͻ 0.05; Fig. 3E). The increased proliferative rate observed in DT mice was completely inhibited by rapamycin treatment (Fig. 3E). Assessment of apoptosis by cleaved caspase 3 staining demonstrated that the apoptotic rate was increased in DT mice when compared with ST mice (p Ͻ 0.05; Fig. 3F). The apoptotic rate in DT mice was reduced by rapamycin treatment (Fig. 3F). Rapamycin treatment had no effect on apoptosis in ST mice (Fig. 3F). Taken together, these experiments suggest that overexpression of Akt in ␤-cells induces ␤-cell mass by increased proliferation in an mTORC1-dependent mechanism.
Rapamycin Treatment Had No Effect on mTORC2 and Akt Activity-Recent experiments suggest that the mTORC2 complex phosphorylates Akt on Ser 473 (17). Although the mTORC2 complex was initially described as rapamycin-insensitive, recent evidence suggests that rapamycin treatment can modulate mTORC2 activity in some systems (30,31). To test whether the effects of rapamycin treatment in ␤-cell mass and proliferation resulted from inhibition of mTORC2/Akt signaling, we assessed the phosphorylation status of Akt and Akt kinase activity in islets from ST and DT mice treated with vehicle or rapamycin. Phosphorylation of Akt on Thr 308 was increased in islets from DT mice (Fig. 4A). Rapamycin treatment had no effect on phosphorylation of Akt on Thr 308 in islets lysates from ST and DT mice (Fig. 4A). Similarly, Akt phosphorylation on  Fig. 2A. E, frequency of ␤-cell proliferation assessed by Ki67 staining in insulin-stained sections from ST and DT mice treated with vehicle or Rap (5 mg/kg) daily for 2 weeks as indicated in Fig. 2A. Co-staining for insulin and Ki67 defined proliferating cells. F, apoptosis measured by cleaved-caspase 3 staining in insulin-stained sections from ST and DT mice at the end of the experimental protocol described for Fig. 2A. Apoptotic cells were determined as cells that were co-stained for insulin and cleaved-caspase 3. The data are presented as the means Ϯ S.E. (n ϭ 5). *, p Ͻ 0.05; #, p Ͻ 0.05 DT ϩ Rap versus DT.

mTORC1 Regulates Cyclin D2 and ␤-Cell Proliferation
Ser 473 was increased in DT mice compared with ST mice, and these changes were not affected by rapamycin (Fig. 4A). In vitro Akt kinase activity in islets from ST and DT mice showed increased Akt kinase activity in DT mice (Fig. 4B). Akt activity in ST or DT mice was not altered by rapamycin (Fig. 4B). Similar to islets from ST and DT mice, in vitro Akt kinase activity was increased in MIN6 cells stably transfected with a constitutively active mutant of Akt (MIN6-caAkt), and this activity was not altered by rapamycin treatment (Fig. 4C). Phosphorylation of endogenous GSK3␣/␤ on Ser 21/9 was increased in islet lysates from DT mice when compared with ST mice (4.2 Ϯ 1.0, p Ͻ 0.05). In contrast to the in vitro Akt kinase activity, rapamycin treatment of DT islets inhibited the phosphorylation of GSK3␣/␤ on Ser 21/9 , suggesting that a downstream target of mTOR could phosphorylate GSK3␣/␤ on the same residue as Akt ( Fig. 4D; p Ͻ 0.05). These experiments suggest that rapamycin treatment did not alter the phosphorylation status or activity of Akt in islets or cell lines overexpressing a constitutively active form of Akt.
Rapamycin Treatment Inhibited Cdk4 Activity by Reducing Cyclin D2 and D3 Levels-The effect of rapamycin in ␤-cell proliferation in DT islets was further investigated by analysis of the cyclin D-Cdk4 complex. In vitro kinase activity assays were conducted using recombinant GST-Rb (amino acids 769 -921) as substrate. This exogenous substrate contains the phosphorylation site for Cdk4. The incorporation of radioactive phosphate to this substrate is proportional to Cdk4 activity in the immunoprecipitate. The activity of Cdk4 in islets from DT mice was increased when compared with that of ST mice (Fig. 5C). The activation of Cdk4 observed in islets from DT mice was inhibited by rapamycin treatment (Fig. 5C; 1.4 ϩ 0.1 versus 0.8 ϩ 0.07, p Ͻ 0.005). Rapamycin also inhibited Cdk4 activity in islets from ST mice (Fig.  5C). No differences in the amount of immunoprecipitated Cdk4 among the different experimental conditions were observed (Fig. 5C, lower  panel). The increased Cdk4 activity observed in islets from mice expressing a constitutively active form of Akt under the control of the insulin promoter (caAkt) was also inhibited by rapamycin (Fig. 5A). Similar inhibition of Cdk4 activity was obtained when MIN6 cells stably transfected with a caAkt mutant or GFP control were exposed to rapamycin treatment (Fig. 5B). Assessment of the cyclin D-Cdk4 complex components involved in regulation of Cdk4 activity showed that cyclin D2 and D3 but not D1 protein levels were increased in DT mice (3.1 Ϯ 0.7 and 1.5 Ϯ 0.1, respectively, p Ͻ 0.05) (Fig.  5D). Rapamycin treatment inhibited the induction of cyclin D2 and D3 in DT islets ( Fig. 5D; p Ͻ 0.05). In contrast, cyclin D1 levels were not affected by rapamycin treatment of ST or DT islets (Fig. 5D). The levels of Cdk4 were no different among all the conditions (Fig. 5D). P27 levels in islets from DT mice were decreased when compared with those of ST mice (0.6 Ϯ 0.1, p Ͻ 0.05). Rapamycin treatment had not effect on p27 levels in islets from both ST and DT mice (Fig. 5D). To assess cyclin D2 levels in vivo, we performed immunofluorescence staining in ST and DT mice treated and not treated with rapamycin (Fig. 5E). DT mice exhibited a significant increase in nuclear cyclin D2 staining when compared with ST mice (Fig. 5E). Staining for cyclin D2 in the pancreas from rapamycin-treated DT mice was absent, suggesting that mTORC1 regulates cyclin D2 protein levels.
Assessment of mRNA Levels of Cyclin D-Cdk4 Complex Components-Rapamycin treatment induced down-regulation of cyclin D2 and D3 in islets from DT mice (Fig. 5D). To determine whether the decrease in protein levels resulted from alterations in transcription, we performed real time PCR in islets from ST and DT mice treated with vehicle or rapamycin. Cyclin  MARCH 20, 2009 • VOLUME 284 • NUMBER 12 JOURNAL OF BIOLOGICAL CHEMISTRY 7837 D1 and D2 mRNA levels were reduced in islets from DT mice (Fig. 6). Rapamycin treatment of ST and DT islets resulted in induction of cyclin D1 and D2 levels when compared with those obtained from ST and DT islets. In contrast to cyclin D1 and D2, no changes among the different groups were observed for cyclin D3 (Fig. 6). Cdk4 mRNA levels were increased in DT mice compared with ST mice. Rapamycin treatment inhibited Cdk4 mRNA levels in DT mice (Fig. 6). p21 mRNA levels were no different between ST, STϩRap, and DT islets. Islets from DTϩRap exhibited lower p21 mRNA levels when compared with those of DT islets (Fig. 6). Compared with islets from ST mice, p27 mRNA levels were decreased in islets from DT mice, and rapamycin had no effect (Fig. 6). These observations suggest that the increases in cyclin D2 and cyclin D3 levels observed in islets from DT mice occurred primarily by translational regulation and/or by an effect on protein stability.

mTORC1 Regulates Cyclin D2 and ␤-Cell Proliferation
Rapamycin Inhibits Cyclin D2 Synthesis-The reduction in cyclin D2 protein could be caused by a decrease in protein synthesis, a decrease in protein stability, or both. We therefore designed pulse-chase experiments to determine the rate of incorporation of radiolabeled methionine into cyclin D2 in the presence or absence of rapamycin treatment for 30 min (Fig.  7A). The pulse-labeling was followed by wash out (chase) for 1 h and subsequent immunoprecipitation with cyclin D2 antibodies. The rate of synthesis of cyclin D2 was elevated in islets from DT mice when compared with ST mice (Fig. 7A). Rapamycin treatment of DT islets inhibited the synthesis of cyclin D2 (Fig.  7A). The levels of cyclin D2 after 1 h of the chase were higher in FIGURE 5. Cdk4 activity and assessment of cell cycle components. A, in vitro Cdk4 kinase activity in islets from control and transgenic mice overexpressing a constitutively active Akt under the rat insulin promoter (caAkt). The islets were cultured for 40 h after isolation, and Rap (50 nM) was included in the culture medium for the last 16 h of the culture. B, in vitro Cdk4 kinase activity in stable MIN6 cells overexpressing constitutively active Akt. MIN6-GFP and MIN6-caAkt were cultured in regular medium for 16 h in the presence of vehicle or rapamycin (50 nM). C, in vitro Cdk4 kinase activity in islets from ST and DT mice. The islets were obtained from ST or DT mice treated with vehicle or dox in the drinking water for 3 weeks. After isolation, the islets were cultured in medium with vehicle (ST) or dox (DT) for 40 h. Rapamycin (50 nM) or vehicle was added to the medium for the last 16 h of culture before harvesting. D, immunoblotting for cyclin D1, cyclin D2, cyclin D3, Cdk4, and p27 in islets from ST and DT mice treated and nontreated with rapamycin. These experiments were performed using the experimental protocol described for C. E, immunostaining for insulin (green) and cyclin D2 (red) in islets from ST and DT mice, treated, and nontreated with rapamycin using the experimental protocol described for Fig. 2A. The data are presented as the means Ϯ S.E. (n ϭ 3). *, p Ͻ 0.05.

mTORC1 Regulates Cyclin D2 and ␤-Cell Proliferation
DT mice when compared with ST mice (Fig. 7A). Pulse-label experiments in MIN6 cells were performed to corroborate the islet data (Fig. 7, B and C). Rapamycin treatment inhibited cyclin D2 synthesis in control (MIN6-GFP) and in MIN6 cells expressing a constitutively active Akt (MIN6-caAkt) (p Ͻ 0.05). To confirm that activation of Akt signaling in DT islets regulates the stability of cyclin D2, we pulse-labeled islets from ST and DT mice for 1 h and performed a 30-min chase in the presence of cyclohexamide (Fig. 7D). Cyclin D2 levels in DT mice were higher after 30 min of culture with cyclohexamide, indicating that Akt regulates cyclin D2 stability (Fig. 7D).
Rapamycin Affects the Stability of Cyclin D2 and D3 Protein-The previous experiments indicated that activation of Akt signaling increases cyclin D2 stability. To assess whether the mTORC1 mediated the augmented cyclin D2 stability induced by Akt, the stability of this cyclin in islets from DT mice treated  . Effect of rapamycin on cyclin D2 synthesis and stability. A, pulse-chase experiment in islets from ST and DT mice. Protein lysates were precipitated with monoclonal antibody to Cyclin D2. Islets were treated with Rap (50 nM) as indicated under "Experimental Procedures." Immunoblotting for cyclin D2 was used as loading control. The blot is representative of two independent experiments. B, pulse-label experiment in control (MIN6-GFP) and MIN6 cells expressing a constitutively active Akt (MIN6-caAkt). MIN6 cells were preincubated with 50 nM rapamycin for 90 min before the pulse, and the treatment was continued during the pulse for 30 min. Immunoblotting for cyclin D2 was used as loading control. C, quantitation and statistical analysis of the pulse-label experiment performed in MIN6 cells (B). D, islets from ST and DT mice were treated with 12.5 g/ml cycloheximide (CHX) for 30 min, and the levels of cyclin D2 were determined by immunoblotting. Protein bands for cyclin D2 were quantified and normalized to the levels in islets treated with vehicle control. E, islets from DT mice were treated with Me 2 SO or 50 nM rapamycin for 2, 4, 6, and 8 h, and the levels of cyclin D2 were determined by immunoblotting. Protein bands for cyclin D2 were quantified, normalized to levels in DT mice treated with Me 2 SO, and represented as the average of three separate experiments. F, islets from DT mice were treated with cycloheximide (lanes C) in the presence or absence of rapamycin (lanes R) for the indicated times. The levels of cyclin D2 were determined by immunoblotting. Protein bands for cyclin D2 were quantified, normalized to levels in DT mice before treatment, and represented as the average of three separate experiments. The data are presented as the means Ϯ S.E. (n ϭ 3). *, p Ͻ 0.05. mTORC1 Regulates Cyclin D2 and ␤-Cell Proliferation MARCH 20, 2009 • VOLUME 284 • NUMBER 12 with control vehicle or rapamycin was determined (Fig. 7E). Compared with vehicle control, the levels of cyclin D2 were lower after 6 h of treatment with rapamycin (Fig. 7E). The decreased in cyclin D2 levels induced by rapamycin could be explained by reduction in protein synthesis or by decreased stability. To determine the effect of rapamycin treatment on cyclin D2 stability, we determined the half-life of cyclin D2 by treating islets from DT mice with cycloheximide for different times in the presence or absence of rapamycin (Fig. 7F). Similar to the results shown on Fig. 7C, cyclin D2 levels were not altered during the first 4 h of rapamycin treatment (Fig. 7F). In contrast, cyclin D2 was not detected after 4 h of treatment with cyclohexamide (Fig. 7F). Treatment with cycloheximide and rapamycin further decreased the cyclin D2 levels. Decrease in steady state levels of cyclin D3 were observed only after 6 h of rapamycin treatment (supplemental Fig. S3). In contrast to cyclin D2, cyclin D3 expression was not affected by cycloheximide treatment (supplemental Fig. S3). Treatment with cycloheximide and rapamycin further decreased the half-life of cyclin D3 protein. These results indicate that rapamycin affected cyclin D2 and D3 stability.

DISCUSSION
The current studies provide new insights into the molecular mechanisms that govern cell cycle and ␤-cell proliferation, a critical component for maintenance of ␤-cell mass. Here, we present evidence showing that mTORC1 signaling is a major modulator of ␤-cell expansion and cell cycle progression by regulating cyclin D2 and D3 levels and Cdk4 activity. These studies show for the first time that the mTORC1 modulates cyclin D2 synthesis and stability and suggest that the mTORC1 is an important component in post-transcriptional regulation of cell cycle components in ␤-cells. These observations are clinically relevant because they suggest that rapamycin has deleterious effects on ␤-cells. Rapamycin treatment may attenuate the adaptive responses of ␤-cells in patients with insulin resistance and in other states that require the expansion of ␤-cells. This work can positively affect treatment of human diabetes, because it uncovers potential targets to develop new pharmacologic agents designed to augment proliferation of ␤-cells in vivo and in vitro. In addition, the fundamental knowledge obtained on the role of the mTORC1 pathway in ␤-cell cycle progression provides a better understanding of the effects of immunosuppressant medications used in islet transplantation protocols and suggests that the use of rapamycin could negatively impact the success of islet transplantation.
The serine-threonine kinase Akt has been demonstrated to be an important mediator of growth signals in ␤-cells. Induction of Akt by dox administration resulted in progressive improvement in glucose tolerance and hyperinsulinemia as a result of increased ␤-cell mass and proliferation. The inhibition of mTORC1 signaling by rapamycin partially reverted the improved glucose tolerance induced by activation of Akt in ␤-cells. Interestingly, the effect of rapamycin in glucose tolerance was also observed in ST mice, suggesting that rapamycin alters insulin secretion and/or insulin sensitivity. We cannot discard the possibility of decreased glucose-stimulated insulin secretion by rapamycin in our model, but insulin levels in the fed state were comparable among the groups (data not shown). Insulin tolerance test demonstrated that rapamycin induced insulin resistance in ST mice (supplemental Fig. S4). The alterations of insulin sensitivity in DT mice were less apparent, because DT mice showed some degree of insulin resistance, perhaps as a response of chronic hyperinsulinemia (supplemental Fig. S4). Therefore, we can conclude that the reversal of the metabolic phenotype in rapamycin-treated DT mice could be explained in part by a combination of development of insulin resistance, inhibition of ␤-cell expansion, and possibly a component of altered insulin secretion. However, the expected adaptive response to insulin resistance would be an expansion of ␤-cell mass. In contrast, we observed a reduction in ␤-cell mass in rapamycin-treated DT mice for 15 days as a result of decreased proliferation, suggesting that the effect of rapamycin on ␤-cells is a major component of the phenotype. Rapamycin treatment was not associated to increased in apoptotic rate. Interestingly, DT mice exhibited augmented apoptosis most likely associated to increased proliferation and enhanced turnover. The changes in ␤-cell mass after of rapamycin could be explained by reduced cell size, because 15 days of treatment is a short time to observe an effect from inhibition of proliferation. It is also possible that the impaired glucose phenotype observed in rapamycin-treated ST and DT mice could be caused by alterations in ␤-cell function because rapamycin treatment has been shown to reduce mitochondrial potential and affect insulin secretion (32,33).
Akt signaling regulates several downstream targets that regulate multiple biological processes. In these experiments, we used rapamycin to assess the role of mTORC1 in Akt signaling. Rapamycin has been used extensively in the literature as specific inhibitor of the mTORC1 complex. However, recent evidence suggests that rapamycin can also disturb the mTORC2 complex (31). Therefore, it was plausible that the rapamycin effect resulted solely from inhibition of Akt signaling. However, rapamycin treatment of islets from DT mice had no effect on phosphorylation of Akt in Ser 473 and Thr 308 and Akt activity. These observations suggest that in our in vitro experimental conditions, mTORC2 activity in ␤-cells was not altered by rapamycin treatment and that alterations in mTORC2 activity were not responsible for the rapamycin effects. These results are consistent with the concept that the mTORC1 is the major regulator of ␤-cell mass and proliferation in this system. The importance of the mTORC1 in ␤-cell proliferation and mass has also been demonstrated recently in mice conditionally deficient for Tsc2 in ␤-cells (␤Tsc2). In these mice, activation of mTOR signaling by deletion of Tsc2 in ␤-cells resulted in increased ␤-cell mass and proliferation, and these changes were completely suppressed by rapamycin treatment (22). Experiments using rapamycin in pancreatectomy models and pregnancy provide further evidence for a role of the mTORC1 in adaptive responses of ␤-cells to stress conditions. The results of the current experiments provide new insights into the importance of mTORC1 in proliferative conditions and unravel the mechanisms whereby inhibition of the mTORC1 regulates the cell cycle and mass in ␤-cells. The novel findings on the regulation of cyclin D2 synthesis and stability by the mTORC1 also provides critical information for the use of rapamycin in malig-mTORC1 Regulates Cyclin D2 and ␤-Cell Proliferation