The Impact of Pancreatic Beta Cell Heterogeneity on Type 1 Diabetes Pathogenesis

被引:21
作者
Benninger, Richard K. P. [1 ,2 ]
Dorrell, Craig [3 ]
Hodson, David J. [4 ,5 ,6 ,7 ]
Rutter, Guy A. [8 ]
机构
[1] Univ Colorado, Dept Bioengn, Anschutz Med Campus, Aurora, CO 80045 USA
[2] Univ Colorado, Barbara Davis Ctr Childhood Diabet, Anschutz Med Campus, Aurora, CO 80045 USA
[3] Oregon Hlth & Sci Univ, Dept Pediat, Oregon Stem Cell Ctr, Pape Family Pediat Res Inst, 3181 SW Sam Jackson Pk Rd, Portland, OR 97239 USA
[4] Univ Birmingham, Inst Metab & Syst Res IMSR, Birmingham B15 2TT, W Midlands, England
[5] Birmingham Hlth Partners, Ctr Endocrinol Diabet & Metab, Birmingham B15 2TH, W Midlands, England
[6] Univ Birmingham, COMPARE, Nottingham, England
[7] Univ Nottingham Midlands, Nottingham, England
[8] Imperial Coll London, Dept Med, Sect Cell Biol & Funct Genom, London W12 0NN, England
关键词
Beta cell; Type; 1; diabetes; Insulin; Heterogeneity; Transcriptomics; Imaging; ENDOPLASMIC-RETICULUM STRESS; INSULIN-SECRETION; INTERCELLULAR DIFFERENCES; GLUCOSE-TOLERANCE; T-CELLS; B-CELLS; ISLETS; PROTEIN; ONSET; MASS;
D O I
10.1007/s11892-018-1085-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Purpose of ReviewTo discuss advances in our understanding of beta-cell heterogeneity and the ramifications of this for type 1 diabetes (T1D) and its therapy.Recent FindingsA number of studies have challenged the long-standing dogma that the majority of beta cells are eliminated in T1D. As many as 80% are present in some T1D subjects. Why don't these cells function properly to release insulin in response to high glucose? Other findings deploying single-cell omics to study both healthy and diseased cellsfrom patients with both T1D and type 2 diabetes (T2D)have revealed cell subpopulations and heterogeneity at the transcriptomic/protein level between individual cells. Finally, our own and others' findings have demonstrated the importance of functional beta-cell subpopulations for insulin secretion.SummaryHeterogeneity may endow beta cells with molecular features that predispose them to failure/death during T1D.
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页数:9
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