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Table 1 NKX6.1 expression and function during pancreas development in rodents and humans

From: NKX6.1 transcription factor: a crucial regulator of pancreatic β cell development, identity, and proliferation

Developmental stage/specific role

NKX6.1 expression and function

Rodents

Human

Expression in the pancreatic epithelium

- At E9.5, Nkx6.1 starts to be expressed in the pancreatic epithelium [28].

- At G6.5w, NKX6.1 is first detected in dorsal buds [19].

- At E10.5, Nkx6.1 and Ptf1a are co-expressed in the majority of MPCs.

- At E12.5, Nkx6.1 becomes exclusively confined in the trunk cells [28].

- At ~G7w, the NKX6.1 is co-localized with the early acinar marker, GATA4 in the MPCs giving rise to acinar cells [19].

- At ~G9w, NKX6.1 is detected in the tip cells before losing the expression a week later and becoming confined to the trunk area [19].

Expression in endocrine cells

- At E13.5, the appearance of the first Ins+ cells co-expressing Nkx6.1 [30].

- In adult islets, the NKX6.1 is exclusively expressed in β cells [19].

- Ngn3 and Nkx6.1 co-expression at the endocrine progenitor stage is crucial for their commitment to β cell lineage [38].

- hESC-derived β cells arise from NKX6.1+ endocrine progenitors co-expressing NGN3 [33, 72,73,74].

- Nkx6.1 is exclusively expressed in mature β cells [30].

Expression in ductal cells

- Ductal cells mature from NKX6.1+ progenitors [41].

- hESC-derived MPCs expressing NKX6.1+/SOX9++ represent ductal progenitors [24].

Role in β cell maturation and function

- Nkx6.1 directly controls the expression of β cells and insulin processing genes (Glut2, G6pc2, Pcx, Ero1lb, and Slc30a8) and controls the expression of TFs of β cell development, including Rfx6, MafA, Mnx1, and Tle3 [46].

- In human islets, NKX6.1 overexpression does not improve on GSIS [54].

- hPSC-derived MPCs co-expressing PDX1 and NKX6.1 differentiate into functional β cells in vitro and in vivo [18, 33, 72,73,74].

- Nkx6.1 expression is required for GSIS [45, 46].

- hPSC-derived pancreatic progenitors lacking PDX1 (PDX1/NKX6.1+) generate mature β cells [75].

Role in β cell identity

- Nkx6.1 suppresses Ngn3 in adult β cells to their main identity and prevents their conversion into Sst-expressing δ cells [45].

- NKX6.1 expression does not co-localize with SST, PP, or amylase during early or adult pancreas development [19].

- Nkx6.1 suppresses Gcg expression by targeting PAX6 [52].

- ARX and GCG genes are completely absent in hiPSC-derived β cells that express NKX6.1 [76].

Role in β cell proliferation

- Nkx6.1 controls the expression of Nr4a1, Nr4a3, and c-Fos, which are crucial for β cell proliferation [59, 60].

- In human islets, overexpression of NKX6.1 enhances β cell proliferation [54].

- Nkx6.1 controls the expression of AURKA, which suppresses p53 [63].

- Nkx6.1 controls the expression of Glut2 and Glp1r, which are crucial for β cell proliferation [46].

  1. CS13 Carnegie stage 13 of embryology (~ 6.5 weeks of gestation), CS19 Carnegie stage 19 of embryology (~ 9 weeks of gestation), E9.5 embryonic day 9.5, G6.5W 6.5 weeks of gestation, G9W 9 weeks of gestation, GSIS glucose-stimulated insulin secretion, hESCs human embryonic stem cells, hiPSCs human induced pluripotent stem cells, MPCs multipotent progenitor cells, TF transcription factor