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Genetic predisposition for beta cell fragility underlies type 1 and type 2 diabetes
Genetic predisposition for beta cell fragility underlies type 1 and type 2 diabetes
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Genetic predisposition for beta cell fragility underlies type 1 and type 2 diabetes
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Genetic predisposition for beta cell fragility underlies type 1 and type 2 diabetes
Genetic predisposition for beta cell fragility underlies type 1 and type 2 diabetes
Journal Article

Genetic predisposition for beta cell fragility underlies type 1 and type 2 diabetes

2016
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Overview
Adrian Liston and colleagues use a transgenic mouse model to demonstrate that beta cell failure is a mechanistic commonality in type 1 and type 2 diabetes. They find that the changes in the molecular pathways identified as contributing to beta cell loss are paralleled in human islets from patients with type 2 diabetes. Type 1 (T1D) and type 2 (T2D) diabetes share pathophysiological characteristics, yet mechanistic links have remained elusive. T1D results from autoimmune destruction of pancreatic beta cells, whereas beta cell failure in T2D is delayed and progressive. Here we find a new genetic component of diabetes susceptibility in T1D non-obese diabetic (NOD) mice, identifying immune-independent beta cell fragility. Genetic variation in Xrcc4 and Glis3 alters the response of NOD beta cells to unfolded protein stress, enhancing the apoptotic and senescent fates. The same transcriptional relationships were observed in human islets, demonstrating the role of beta cell fragility in genetic predisposition to diabetes.

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