RT Journal Article SR Electronic T1 Mesenchymal Igf2 is a major paracrine regulator of pancreatic growth and function JF bioRxiv FD Cold Spring Harbor Laboratory SP 714121 DO 10.1101/714121 A1 Constanze M. Hammerle A1 Ionel Sandovici A1 Gemma V. Brierley A1 Nicola M. Smith A1 Warren E. Zimmer A1 Ilona Zvetkova A1 Haydn M. Prosser A1 Yoichi Sekita A1 Brian Y.H. Lam A1 Marcella Ma A1 Wendy N. Cooper A1 Antonio Vidal-Puig A1 Susan E. Ozanne A1 Gema Medina-Gómez A1 Miguel Constância YR 2019 UL http://biorxiv.org/content/early/2019/07/31/714121.abstract AB The genetic mechanisms that determine the size of the adult pancreas are poorly understood. Here we demonstrate that many imprinted genes are highly expressed in the pancreatic mesenchyme, and explore the role of Igf2 in-vivo. Mesenchyme-specific Igf2 deletion results in acinar and beta-cell hypoplasia, postnatal whole-body growth restriction and maternal glucose intolerance during pregnancy. Surprisingly, mesenchymal mass is unaffected, suggesting that the mesenchyme is a developmental reservoir of IGF2 used for paracrine signalling. The unique actions of mesenchymal IGF2 are demonstrated by the absence of phenotypes upon Igf2 deletion in the developing pancreatic epithelium. Furthermore, increased IGF2 activity specifically in the mesenchyme, through Igf2 loss-of-imprinting or Igf2r deletion, leads to pancreatic acinar overgrowth. Ex-vivo exposure of primary acinar cells to exogenous IGF2 increases cell proliferation and amylase production through AKT signalling. We propose that mesenchymal Igf2, and perhaps other imprinted genes, are key developmental regulators of adult pancreas size and function.