Evidence map›Paper›PMID 22974359›Full record

ReviewCurrent diabetes reviews2013

Regulation of insulin synthesis and secretion and pancreatic Beta-cell dysfunction in diabetes.

Zhuo Fu, Elizabeth R Gilbert, Dongmin Liu

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Current diabetes reviews, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06299800 (Type 2 Diabetes Mellitus and Cancer), which is not on this map. Cited by 360 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
360citing papers in PubMed, 3 pooled it
27.0field-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.

NCT06299800 unknown statusnot on this mapstarted 2024, after this paper: background citation

Type 2 Diabetes Mellitus and Cancer: Phenotyping of Patients at a Third-level Diabetes Centre

TypeobservationalSponsorAzienda Ospedaliero Universitaria Maggiore della CaritaRan2024 to 2025Enrolled779ConditionsDiabetes Mellitus, Type 2, CancerArmsphenotyping of patients followed at a third-level diabetes centre with cancer
3 · Its place in the literature

Who cites it

360 citing papers in PubMed, 3 syntheses or guidelines pooled it, 609 citations in OpenAlex.

  1. Pooled it
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  14. Hypothalamus-liver talks: whispers in the language of metabolism.Reviews in endocrine & metabolic disorders · 2026
    Review
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  18. Association between an anti-inflammatory low-carbohydrate diet and gingivitis in women with obesity.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2026
    Article
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  20. Review

300 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

3 authors at 1 institution in 1 country.

Zhuo FuDepartment of Human Nutrition, Foods and Exercise, Virginia Tech, Blacksburg, VA 24061, USA.
Elizabeth R Gilbert
Dongmin Liu
Virginia Tech · US

Funding

Identification and molecular characterization of anti-diabetic flavonoidsR01AT007077 · NCCIH · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI LIU, DONGMIN · 2012 to 2016
$1.9M
NCCIH NIH HHS 1R01AT007077-01NCCIH NIH HHS R01 AT007077
6 · The paper itself

Abstract

Pancreatic β-cell dysfunction plays an important role in the pathogenesis of both type 1 and type 2 diabetes. Insulin, which is produced in β-cells, is a critical regulator of metabolism. Insulin is synthesized as preproinsulin and processed to proinsulin. Proinsulin is then converted to insulin and C-peptide and stored in secretary granules awaiting release on demand. Insulin synthesis is regulated at both the transcriptional and translational level. The cis-acting sequences within the 5' flanking region and trans-activators including paired box gene 6 (PAX6), pancreatic and duodenal homeobox- 1(PDX-1), MafA, and β-2/Neurogenic differentiation 1 (NeuroD1) regulate insulin transcription, while the stability of preproinsulin mRNA and its untranslated regions control protein translation. Insulin secretion involves a sequence of events in β-cells that lead to fusion of secretory granules with the plasma membrane. Insulin is secreted primarily in response to glucose, while other nutrients such as free fatty acids and amino acids can augment glucose-induced insulin secretion. In addition, various hormones, such as melatonin, estrogen, leptin, growth hormone, and glucagon like peptide-1 also regulate insulin secretion. Thus, the β-cell is a metabolic hub in the body, connecting nutrient metabolism and the endocrine system. Although an increase in intracellular [Ca2+] is the primary insulin secretary signal, cAMP signaling- dependent mechanisms are also critical in the regulation of insulin secretion. This article reviews current knowledge on how β-cells synthesize and secrete insulin. In addition, this review presents evidence that genetic and environmental factors can lead to hyperglycemia, dyslipidemia, inflammation, and autoimmunity, resulting in β-cell dysfunction, thereby triggering the pathogenesis of diabetes.

Indexed as

Basic Helix-Loop-Helix ProteinsC-PeptideDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Eye ProteinsFemaleGene Expression RegulationHomeodomain ProteinsHumansInsulinInsulin-Secreting CellsInsulin SecretionMaf Transcription Factors, LargeMalePaired Box Transcription FactorsPAX6 Transcription FactorBasic Helix-Loop-Helix ProteinsC-PeptideEye ProteinsHomeodomain ProteinsInsulinMAFA protein, humanMaf Transcription Factors, LargeNEUROD1 protein, humanPaired Box Transcription Factorspancreatic and duodenal homeobox 1 proteinPAX6 protein, humanPAX6 Transcription FactorpreproinsulinProtein PrecursorsRepressor ProteinsRNA, MessengerTrans-Activators

Identifiers

PMID22974359
PMCPMC3934755
OpenAlexW2113846596

What OpenQuestion holds

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LicenceTDM
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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.