Evidence map›Paper›PMID 19720788›Full record

ArticleDiabetes2009

Glucagon-like peptide-1 agonists protect pancreatic beta-cells from lipotoxic endoplasmic reticulum stress through upregulation of BiP and JunB.

Daniel A Cunha, Laurence Ladrière, Fernanda Ortis, Mariana Igoillo-Esteve, Esteban N Gurzov, Roberto Lupi, Piero Marchetti, Décio L Eizirik, Miriam Cnop

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02882477 (Treatment of Wolfram Syndrome Type 2 With the Chelator Deferiprone, and Incretin Based Therapy), which is not on this map. Cited by 112 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 1 pooled it
20.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02882477 phase2 / phase3unknown statusstarted 2016, after this paper: background citation

Treatment of Wolfram Syndrome Type 2 With the Chelator Deferiprone, and Incretin Based Therapy

Ran2016Enrolled20Registered outcomes6Posted comparisons0ConditionsDiabetes Mellitus, Gastroduodenal Ulcer, Iron Metabolism Disorders, Optic AtrophyArmsacetylcysteine, Deferiprone, Sitagliptin and Metformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 1 synthesis or guideline pooled it, 218 citations in OpenAlex.

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52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 2 countries.

Daniel A CunhaLaboratory of Experimental Medicine, Université Libre de Bruxelles, Brussels, Belgium.
Laurence Ladrière
Fernanda Ortis
Mariana Igoillo-Esteve
Esteban N Gurzov
Roberto Lupi
Piero Marchetti
Décio L Eizirik
Miriam Cnop
Université Libre de Bruxelles · BEUniversity of Pisa · ITErasmus Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronic exposure of pancreatic beta-cells to saturated free fatty acids (FFAs) causes endoplasmic reticulum (ER) stress and apoptosis and may contribute to beta-cell loss in type 2 diabetes. Here, we evaluated the molecular mechanisms involved in the protection of beta-cells from lipotoxic ER stress by glucagon-like peptide (GLP)-1 agonists utilized in the treatment of type 2 diabetes. RESEARCH DESIGN AND

methodsINS-1E or fluorescence-activated cell sorter-purified primary rat beta-cells were exposed to oleate or palmitate with or without the GLP-1 agonist exendin-4 or forskolin. Cyclopiazonic acid was used as a synthetic ER stressor, while the activating transcription factor 4-C/EBP homologous protein branch was selectively activated with salubrinal. The ER stress signaling pathways modulated by GLP-1 agonists were studied by real-time PCR and Western blot. Knockdown by RNA interference was used to identify mediators of the antiapoptotic GLP-1 effects in the ER stress response and downstream mitochondrial cell death mechanisms.

resultsExendin-4 and forskolin protected beta-cells against FFAs via the induction of the ER chaperone BiP and the antiapoptotic protein JunB that mediate beta-cell survival under lipotoxic conditions. On the other hand, exendin-4 and forskolin protected against synthetic ER stressors by inactivating caspase 12 and upregulating Bcl-2 and X-chromosome-linked inhibitor of apoptosis protein that inhibit mitochondrial apoptosis.

conclusionsThese observations suggest that GLP-1 agonists increase in a context-dependent way the beta-cell defense mechanisms against different pathways involved in ER stress-induced apoptosis. The identification of the pathways modulated by GLP-1 agonists allows for targeted approaches to alleviate beta-cell ER stress in diabetes.

Indexed as

Lipid MetabolismAnimalsAntigens, DifferentiationApoptosisBlotting, WesternCell SurvivalColforsinDiabetes Mellitus, Type 2DNA-Binding ProteinsEndoplasmic ReticulumEndoplasmic Reticulum Chaperone BiPExenatideGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorHeat-Shock ProteinsHypoglycemic AgentsAntigens, DifferentiationColforsinDNA-Binding ProteinsEndoplasmic Reticulum Chaperone BiPExenatideGlp1r protein, ratGlucagon-Like Peptide 1Glucagon-Like Peptide-1 ReceptorGRP78 protein, ratHeat-Shock ProteinsHypoglycemic AgentsPeptidesPpp1r15a protein, ratProto-Oncogene ProteinsProto-Oncogene Proteins c-junReceptors, GlucagonRegulatory Factor X Transcription FactorsTranscription FactorsVenoms

Identifiers

PMID19720788
PMCPMC2780890
OpenAlexW2132600402

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.