DiabetesPub Date : 2025-03-01DOI: 10.2337/dbi24-0042
Ruslan Bohovyk, Alexander Staruschenko
{"title":"Targeting REDD1 in Podocytes: A Promising Strategy for Mitigating Diabetic Kidney Injury.","authors":"Ruslan Bohovyk, Alexander Staruschenko","doi":"10.2337/dbi24-0042","DOIUrl":"10.2337/dbi24-0042","url":null,"abstract":"","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":"74 3","pages":"265-267"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DiabetesPub Date : 2025-03-01DOI: 10.2337/dbi24-0014
Soren Harnois-Leblanc, Marie-France Hivert
{"title":"Stopping the Intergenerational Risk of Diabetes-From Mechanisms to Interventions: A Report on Research Supported by Pathway to Stop Diabetes.","authors":"Soren Harnois-Leblanc, Marie-France Hivert","doi":"10.2337/dbi24-0014","DOIUrl":"10.2337/dbi24-0014","url":null,"abstract":"<p><p>Embedded in the developmental origins of health and disease (DOHaD) hypothesis, maternal hyperglycemia in utero, from preexisting diabetes or gestational diabetes mellitus, predisposes the offspring to excess adiposity and heightened risk of prediabetes and type 2 diabetes development. This transmission creates a vicious cycle increasing the presence of diabetes from one generation to another, leading to the question: How can we interrupt this vicious cycle? In this article, we present the current state of knowledge on the intergenerational transmission of diabetes from epidemiological life course studies. Then, we discuss the potential mechanisms implicated in the intergenerational transmission of diabetes with a focus on epigenetics. We present novel findings stemming from epigenome-wide association studies of offspring DNA methylation in blood and placental tissues, which shed light on potential molecular mechanisms implicated in the mother-offspring transmission of diabetes. Lastly, with a perspective on how to break the cycle, we consider interventions to prevent offspring obesity and diabetes development before puberty, as a critical period of the intergenerational cycle. This article is part of a series of perspectives that report on research funded by the American Diabetes Association Pathway to Stop Diabetes program.</p>","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":" ","pages":"255-264"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Imaging Human Pancreatic Endocrinogenesis During Early Prenatal Life.","authors":"Adrian Villalba, Yorick Gitton, Virginie Aiello, Maryne Toupin, Séverine Mazaud-Guittot, Alain Chédotal, Raphaël Scharfmann","doi":"10.2337/db24-0641","DOIUrl":"10.2337/db24-0641","url":null,"abstract":"<p><p>Murine pancreatic endocrinogenesis has been extensively studied, but human data remain scarce due to limited sample availability. Here, we first built a large collection of human embryonic and fetal pancreases covering the first trimester of pregnancy to explore human endocrinogenesis. Using an experimental pipeline combining in toto staining, tissue clearing, and light-sheet fluorescence microscopy, we show that insulin-, glucagon-, and somatostatin-positive cells appear simultaneously at Carnegie stage (CS) 16. This contrasts with rodents, in which glucagon-positive cells appear first, followed by insulin-positive and, finally, somatostatin-positive cells and highlights interspecies differences. We also detected bihormonal endocrine cells in 7 of 9 human pancreases between CS16 and CS18, which were no longer detected at later stages. We observed that cell distribution within human fetal islets resembles adult mouse islets, with a core of β-cells surrounded by α- and δ-cells, differing from a more complex arrangement in adult human islets. This, in connection with the small size of human fetal islets when compared with adult islets, suggests that adult human islets may form by fusion of preexisting islets, in contrast to the mouse fission model. Together, our study provides a detailed and comprehensive description of the spatiotemporal dynamics of human pancreatic endocrinogenesis.</p><p><strong>Article highlights: </strong>Data on human pancreas development are limited and derived from two-dimensional staining. We overcome this using in toto staining, tissue clearing, and light-sheet imaging. We sought to understand when and where endocrine cells first emerge and how they cluster. First, endocrine cell types appear simultaneously, and early pancreases contain bihormonal cells. There are morphometric differences between fetal and adult islets. We propose a mechanism of adult islet formation by fusion: a new base to reconstitute in vitro islet neogenesis.</p>","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":" ","pages":"368-375"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DiabetesPub Date : 2025-03-01DOI: 10.2337/dbi24-0043
Elisabetta Manduchi, Hélène C Descamps, Jonathan Schug, Tong Da, Deeksha Lahori, Hilana El-Mekkoussi, Michael R Betts, Klaus H Kaestner
{"title":"Response to Comment on Manduchi et al. No Evidence for Persistent Enteroviral B Infection of Pancreatic Islets in Patients With Type 1 Diabetes and Prediabetes From RNA Sequencing Data. Diabetes 2024;73:1697-1704.","authors":"Elisabetta Manduchi, Hélène C Descamps, Jonathan Schug, Tong Da, Deeksha Lahori, Hilana El-Mekkoussi, Michael R Betts, Klaus H Kaestner","doi":"10.2337/dbi24-0043","DOIUrl":"10.2337/dbi24-0043","url":null,"abstract":"","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":"74 3","pages":"e5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143470376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DiabetesPub Date : 2025-02-01DOI: 10.2337/db24-0485
Amber M Luckett, Gareth Hawkes, Harry D Green, Elisa De Franco, William A Hagopian, Bart O Roep, Michael N Weedon, Richard A Oram, Matthew B Johnson
{"title":"Type 1 Diabetes Genetic Risk Contributes to Phenotypic Presentation in Monogenic Autoimmune Diabetes.","authors":"Amber M Luckett, Gareth Hawkes, Harry D Green, Elisa De Franco, William A Hagopian, Bart O Roep, Michael N Weedon, Richard A Oram, Matthew B Johnson","doi":"10.2337/db24-0485","DOIUrl":"10.2337/db24-0485","url":null,"abstract":"<p><strong>Article highlights: </strong>There is variability in early-onset autoimmune diabetes presentation in individuals with monogenic autoimmunity; the mechanism(s) underlying this is unclear. We examined whether type 1 diabetes (T1D) polygenic risk contributes to clinical phenotype in monogenic autoimmune diabetes. Individuals with monogenic autoimmune diabetes had higher T1D genetic risk scores compared with control cohorts, driven largely by increased presence of T1D-risk DR3-DQ2 haplotype. Established T1D polygenic risk alleles, particularly class II HLA genes, contribute to clinical presentation in monogenic autoimmunity.</p>","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":" ","pages":"243-248"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142634038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DiabetesPub Date : 2025-02-01DOI: 10.2337/db24-0515
Jean-Pierre Chanoine, David M Thompson, Anna Lehman
{"title":"Diabetes Associated With Maternally Inherited Diabetes and Deafness (MIDD): From Pathogenic Variant to Phenotype.","authors":"Jean-Pierre Chanoine, David M Thompson, Anna Lehman","doi":"10.2337/db24-0515","DOIUrl":"10.2337/db24-0515","url":null,"abstract":"<p><strong>Article highlights: </strong>Maternally inherited diabetes and deafness (MIDD) is a mitochondrial disorder characterized primarily by hearing impairment and diabetes. m.3243A>G, the most common phenotypic variant, causes a complex rewiring of the cell with discontinuous remodeling of both mitochondrial and nuclear genome expressions. We propose that MIDD depends on a combination of insulin resistance and impaired β-cell function that occurs in the presence of high skeletal muscle heteroplasmy (approximately ≥60%) and more moderate cell heteroplasmy (∼25%-72%) for m.3243A>G. Understanding the complex mechanisms of MIDD is necessary to develop disease-specific management guidelines that are presently lacking.</p>","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":" ","pages":"153-163"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DiabetesPub Date : 2025-02-01DOI: 10.2337/db23-0798
Minji Kang, Kumhee Son, You-Cheol Hwang, Sihoon Lee, Hyunji Sang, Sunyoung Kim, Dong Keon Yon, Sang Youl Rhee, Hyunjung Lim
{"title":"Identification of Metabolic Patterns in Korean Patients With Type 2 Diabetes and Their Association With Diabetes-Related Complications.","authors":"Minji Kang, Kumhee Son, You-Cheol Hwang, Sihoon Lee, Hyunji Sang, Sunyoung Kim, Dong Keon Yon, Sang Youl Rhee, Hyunjung Lim","doi":"10.2337/db23-0798","DOIUrl":"10.2337/db23-0798","url":null,"abstract":"<p><strong>Article highlights: </strong>Identifying patterns of metabolic heterogeneity in type 2 diabetes (T2D) can help in the development of optimal treatment strategies. We aimed to identify metabolic patterns in patients with T2D in the Republic of Korea and analyze the risk of developing diabetes-related complications according to patterns. We identified three distinct metabolic patterns and observed that each pattern was associated with a heightened risk of developing various cardiovascular diseases. These findings highlight the necessity of devising treatment strategies based on these patterns to prevent diabetes-related complications.</p>","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":" ","pages":"199-211"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DiabetesPub Date : 2025-02-01DOI: 10.2337/db24-0301
Xiangchen Kong, Dan Yan, Lianqi Shao, Bingfeng Li, Simian Lv, Yifan Tu, Yingqi Zhang, Xingsheng Shu, Ying Ying, Xiaosong Ma
{"title":"Increased COX6A2 Promotes Pancreatic β-Cell Apoptosis and Is Suppressed in Diabetic GK Rats After Roux-en-Y Gastric Bypass.","authors":"Xiangchen Kong, Dan Yan, Lianqi Shao, Bingfeng Li, Simian Lv, Yifan Tu, Yingqi Zhang, Xingsheng Shu, Ying Ying, Xiaosong Ma","doi":"10.2337/db24-0301","DOIUrl":"10.2337/db24-0301","url":null,"abstract":"<p><strong>Article highlights: </strong>Cytochrome c oxidase subunit 6A2 (COX6A2) expression is increased in diabetic islets. Increased COX6A2 promotes β-cell apoptosis via modulation of cyclophilin D-mediated cytochrome c release from mitochondria to the cytoplasm. Carbohydrate-responsive element-binding protein epigenetically regulates COX6A2 expression in β-cells. Roux-en-Y gastric bypass reduces COX6A2 expression by regulating the glucagon-like peptide 1/cAMP-dependent protein kinase/carbohydrate-responsive element-binding protein signaling pathway.</p>","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":" ","pages":"175-187"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DiabetesPub Date : 2025-02-01DOI: 10.2337/db24-0340
Delnaz Roshandel, Athina Spiliopoulou, Stuart J McGurnaghan, Andrii Iakovliev, Debby Lipschutz, Caroline Hayward, Shelley B Bull, Barbara E K Klein, Kristine E Lee, Gregory L Kinney, Marian Rewers, Tina Costacou, Rachel G Miller, Paul M McKeigue, Andrew D Paterson, Helen M Colhoun
{"title":"Genetics of C-Peptide and Age at Diagnosis in Type 1 Diabetes.","authors":"Delnaz Roshandel, Athina Spiliopoulou, Stuart J McGurnaghan, Andrii Iakovliev, Debby Lipschutz, Caroline Hayward, Shelley B Bull, Barbara E K Klein, Kristine E Lee, Gregory L Kinney, Marian Rewers, Tina Costacou, Rachel G Miller, Paul M McKeigue, Andrew D Paterson, Helen M Colhoun","doi":"10.2337/db24-0340","DOIUrl":"10.2337/db24-0340","url":null,"abstract":"<p><strong>Article highlights: </strong>Identified genetic loci for C-peptide and type 1 diabetes (T1D) age at diagnosis (AAD) explain only a small proportion of their variation. We aimed to identify additional genetic loci associated with C-peptide and AAD. Some HLA allele/haplotypes associated with T1D also contributed to variability of C-peptide and AAD, whereas outside the HLA region, T1D loci were mostly not associated with C-peptide or AAD. Genetic variation within CTSH can affect AAD. There is still residual heritability of C-peptide and AAD outside of HLA that could benefit from larger meta-genome-wide association studies.</p>","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":" ","pages":"223-233"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11755686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142666708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
DiabetesPub Date : 2025-01-01DOI: 10.2337/db23-0809
Alexander Hamilton, Quan Zhang, Rui Gao, Thomas G Hill, Albert Salehi, Jakob G Knudsen, Matthew B Draper, Paul R V Johnson, Patrik Rorsman, Andrei I Tarasov
{"title":"Nicotinic Signaling Stimulates Glucagon Secretion in Mouse and Human Pancreatic α-Cells.","authors":"Alexander Hamilton, Quan Zhang, Rui Gao, Thomas G Hill, Albert Salehi, Jakob G Knudsen, Matthew B Draper, Paul R V Johnson, Patrik Rorsman, Andrei I Tarasov","doi":"10.2337/db23-0809","DOIUrl":"10.2337/db23-0809","url":null,"abstract":"<p><p>Smoking is widely regarded as a risk factor for type 2 diabetes because nicotine contributes to insulin resistance by desensitizing the insulin receptors in muscle, liver, or fat. Little is known, however, about the immediate regulation of islet hormonal output by nicotine, an agonist of ionotropic cholinergic receptors. We investigated this by imaging cytosolic Ca2+ dynamics in mouse and human islets using confocal microscopy and measuring glucagon secretion in response to the alkaloid from isolated mouse islets. Nicotine acutely stimulated cytosolic Ca2+ in glucagon-secreting α-cells but not in insulin-secreting β-cells. The 2.8- ± 0.5-fold (P < 0.05) increase in Ca2+, observed in >70% of α-cells, correlated well with a 2.5- ± 0.3-fold stimulation of glucagon secretion. Nicotine-induced elevation of cytosolic Ca2+ relied on influx from the extracellular compartment rather than release of the cation from intracellular depots. Metabotropic cholinergic signaling, monitored at the level of intracellular diacylglycerol, was limited to 69% of α-cells versus 94% of β-cells. We conclude that parasympathetic regulation of pancreatic islet hormone release uses different signaling pathways in β-cells (metabotropic) and α-cells (metabotropic and ionotropic), resulting in the fine-tuning of acetylcholine-induced glucagon exocytosis. Sustained nicotinic stimulation is, therefore, likely to attenuate insulin sensitivity by increasing glucagon release.</p><p><strong>Article highlights: </strong></p>","PeriodicalId":93977,"journal":{"name":"Diabetes","volume":" ","pages":"53-64"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}