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Fig. 6. Model of endocrine subtype specification during pancreatic development. (A) An endocrine precursor cell initially expresses both Arx and Pax4, most probably in an inactive form. In a first round of competitive fate allocation, an unknown factor determines which factor will predominate: if it is Arx, the {alpha}-cell fate will be specified (with Arx inhibiting Pax4 expression), whereas Pax4 will induce ß-/{delta}-cell lineages through the inhibition of Arx transcription (1). In the case of Pax4 prevalence, the resulting ß-/{delta}-cell precursor is poised to undergo a second round of fate allocation (2). In this second event, Pax4 seemingly induces the ß-cell fate at the expense of the {delta}-cell lineage. A hypothetical `factor X' is envisioned to have an opposite function, promoting the {delta}-cell fate to the detriment of ß-cell specification (3). (B-D) Fate changes in the case of Arx (B), Pax4 (C), or combined Arx/Pax4 (D) deficiency. See main text for details. For the purpose of simplification, exocrine cell and PP-cell development are not represented.





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