Evidence map›Paper›PMID 21784842›Full record

ArticleThe Journal of biological chemistry2011

Diabetes and pancreatic exocrine dysfunction due to mutations in the carboxyl ester lipase gene-maturity onset diabetes of the young (CEL-MODY): a protein misfolding disease.

Bente B Johansson, Janniche Torsvik, Lise Bjørkhaug, Mette Vesterhus, Anja Ragvin, Erling Tjora, Karianne Fjeld, Dag Hoem, Stefan Johansson, Helge Ræder and 7 more

Open access · hybridAbstract read
In one paragraph

Article in The Journal of biological chemistry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 6% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Novel variation in theFrontiers in endocrinology · 2026
    Review
  4. RareBiomedicines · 2025
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  5. Article
  6. Review
  7. Article
  8. Article
  9. Modelling human diabetesFrontiers in endocrinology · 2024
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. The genetic risk factor CEL-HYB1 causes proteotoxicity and chronic pancreatitis in mice.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Article
  15. Endoplasmic stress-inducing variants in carboxyl ester lipase and pancreatic cancer risk.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

17 authors at 4 institutions in 3 countries.

Bente B JohanssonDepartment of Clinical Medicine, University of Bergen, N-5020 Bergen, Norway.
Janniche Torsvik
Lise Bjørkhaug
Mette Vesterhus
Anja Ragvin
Erling Tjora
Karianne Fjeld
Dag Hoem
Stefan Johansson
Helge Ræder
Susanne Lindquist
Olle Hernell
Miriam Cnop
Jaakko Saraste
Torgeir Flatmark
Anders Molven
Pål R Njølstad
University of Bergen · NOHaukeland University Hospital · NOUmeå University · SEErasmus Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CEL-maturity onset diabetes of the young (MODY), diabetes with pancreatic lipomatosis and exocrine dysfunction, is due to dominant frameshift mutations in the acinar cell carboxyl ester lipase gene (CEL). As Cel knock-out mice do not express the phenotype and the mutant protein has an altered and intrinsically disordered tandem repeat domain, we hypothesized that the disease mechanism might involve a negative effect of the mutant protein. In silico analysis showed that the pI of the tandem repeat was markedly increased from pH 3.3 in wild-type (WT) to 11.8 in mutant (MUT) human CEL. By stably overexpressing CEL-WT and CEL-MUT in HEK293 cells, we found similar glycosylation, ubiquitination, constitutive secretion, and quality control of the two proteins. The CEL-MUT protein demonstrated, however, a high propensity to form aggregates found intracellularly and extracellularly. Different physicochemical properties of the intrinsically disordered tandem repeat domains of WT and MUT proteins may contribute to different short and long range interactions with the globular core domain and other macromolecules, including cell membranes. Thus, we propose that CEL-MODY is a protein misfolding disease caused by a negative gain-of-function effect of the mutant proteins in pancreatic tissues.

Indexed as

MutationAmino Acid SequenceAnimalsCarboxylesteraseDiabetes Mellitus, Type 2Endoplasmic ReticulumHumansMiceMice, KnockoutMolecular Sequence DataPancreas, ExocrinePolylysineProtein BindingProtein FoldingProtein Structure, TertiarySequence Homology, Amino AcidCarboxylesterasePolylysine

Identifiers

PMID21784842
PMCPMC3186416
OpenAlexW2145420708

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.