Coordinated interactions between endothelial cells and macrophages in the islet microenvironment promote beta cell regeneration

Endogenous {beta} cell regeneration could alleviate diabetes, but proliferative stimuli within the islet microenvironment are incompletely understood. We previously found that {beta} cell recovery following hypervascularization-induced {beta} cell loss involves interactions with endothelial cells (ECs) and macrophages (M{Phi}s). Here we show that proliferative ECs modulate M{Phi} infiltration and phenotype during {beta} cell loss, and recruited M{Phi}s are essential for {beta} cell recovery. Furthermore, VEGFR2 inactivation in quiescent ECs accelerates islet vascular regression during {beta} cell recovery and leads to increased {beta} cell proliferation without changes in M{Phi} phenotype or number. Transcriptome analysis of {beta} cells, ECs, and M{Phi}s reveals that {beta} cell proliferation coincides with elevated expression of extracellular matrix remodeling molecules and growth factors likely driving activation of proliferative signaling pathways in {beta} cells. Collectively, these findings suggest a new {beta} cell regeneration paradigm whereby coordinated interactions between intra-islet M{Phi}s, ECs, and extracellular matrix mediate {beta} cell self-renewal.