Evidence map›Paper›PMID 24225943›Full record

ArticleScience translational medicine2013

Restoration of the unfolded protein response in pancreatic β cells protects mice against type 1 diabetes.

Feyza Engin, Alena Yermalovich, Truc Nguyen, Truc Ngyuen, Sarah Hummasti, Wenxian Fu, Decio L Eizirik, Diane Mathis, Gökhan S Hotamisligil

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 215 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
215citing papers in PubMed, 2 pooled it
21.2field-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.

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

215 citing papers in PubMed, 2 syntheses or guidelines pooled it, 305 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Deletion of the T1D risk geneBiochemistry and biophysics reports · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. New and emerging therapies in type 1 diabetes mellitus.The Journal of clinical investigation · 2026
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. bioRxiv : the preprint server for biology · 2026
    Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Feyza EnginDepartment of Genetics and Complex Diseases, Harvard School of Public Health, Boston, MA 02115, USA.
Alena Yermalovich
Truc Nguyen
Truc Ngyuen
Sarah Hummasti
Wenxian Fu
Decio L Eizirik
Diane Mathis
Gökhan S Hotamisligil
Harvard University · USBroad Institute · US

Funding

SPECIAL ASSAY COREP30DK036836 · NIDDK · JOSLIN DIABETES CENTER · PI JEAN E. SCHAFFER · 1986 to 2026
$50.5M
Visualzing Lymphocyte Attack on Pancreas B CellsP01AI054904 · NIAID · JOSLIN DIABETES CENTER · PI MATHIS, DIANE J · 2003 to 2013
$16.0M
NIAID NIH HHS P01 AI054904NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

Perturbations in endoplasmic reticulum (ER) homeostasis can evoke stress responses leading to aberrant glucose and lipid metabolism. ER dysfunction is linked to inflammatory disorders, but its role in the pathogenesis of autoimmune type 1 diabetes (T1D) remains unknown. We identified defects in the expression of unfolded protein response (UPR) mediators ATF6 (activating transcription factor 6) and XBP1 (X-box binding protein 1) in β cells from two different T1D mouse models and then demonstrated similar defects in pancreatic β cells from T1D patients. Administration of a chemical ER stress mitigator, tauroursodeoxycholic acid (TUDCA), at the prediabetic stage resulted in a marked reduction of diabetes incidence in the T1D mouse models. This reduction was accompanied by (i) a significant decrease in aggressive lymphocytic infiltration in the pancreas, (ii) improved survival and morphology of β cells, (iii) reduced β cell apoptosis, (iv) preserved insulin secretion, and (v) restored expression of UPR mediators. TUDCA's actions were dependent on ATF6 and were lost in mice with β cell-specific deletion of ATF6. These data indicate that proper maintenance of the UPR is essential for the preservation of β cells and that defects in this process can be chemically restored for preventive or therapeutic interventions in T1D.

Indexed as

Unfolded Protein ResponseAnimalsDiabetes Mellitus, Type 1FemaleHumansIslets of LangerhansMaleMiceMice, Inbred NOD

Identifiers

PMID24225943
PMCPMC4169117
OpenAlexW2060351580

What OpenQuestion holds

Textmetadata
LicenceTDM
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.