Evidence map›Paper›PMID 26248647›Full record

ReviewDiabetologia2015

The new biology of diabetes.

Utpal B Pajvani, Domenico Accili

Erratum issuedOpen access · bronzeAbstract readReview
In one paragraph

Review in Diabetologia, 2015. 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 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
10.3field-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.

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

57 citing papers in PubMed, 90 citations in OpenAlex.

  1. Review
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  9. British journal of biomedical science · 2023
    Article
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  12. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Utpal B PajvaniDepartment of Medicine and Naomi Berrie Diabetes Center, Columbia University Medical Center, 1150 St Nicholas Av., New York, NY, 10032, USA. up2104@columbia.edu.
Domenico AcciliDepartment of Medicine and Naomi Berrie Diabetes Center, Columbia University Medical Center, 1150 St Nicholas Av., New York, NY, 10032, USA. da230@columbia.edu.
Columbia University Irving Medical Center · US

Funding

Translational Biomarker Analytical Core (TBAC)P30DK063608 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Anthony W Ferrante · 2003 to 2026
$36.7M
TTC39B in obesity and atherosclerosisP01HL087123 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2007 to 2022
$31.2M
ROLE OF FORKHEAD PROTEINS IN INSULIN ACTIONR01DK057539 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2001 to 2024
$10.7M
MECHANISMS OF BETA CELL FAILURER01DK064819 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2003 to 2025
$10.5M
MOUSE MODELS OF INSULIN RESISTANCER01DK058282 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2000 to 2023
$6.2M
MOUSE MODELS OF INSULIN RESISTANCER37DK058282 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ACCILI, DOMENICO · 2010 to 2019
$4.4M
Notch, Type 2 Diabetes and NAFLDR01DK103818 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PAJVANI, UTPAL · 2015 to 2023
$4.1M
Notch and Regulators of Notch Signaling Impact Both Glucose and Lipid MetabolismK08DK093604 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PAJVANI, UTPAL · 2011 to 2015
$776k
NHLBI NIH HHS HL87123NHLBI NIH HHS P01 HL087123NIDDK NIH HHS DK57539NIDDK NIH HHS DK58282NIDDK NIH HHS DK64819NIDDK NIH HHS K08 DK093604NIDDK NIH HHS P30 DK063608NIDDK NIH HHS R01 DK057539NIDDK NIH HHS R01 DK058282NIDDK NIH HHS R01 DK064819NIDDK NIH HHS R01 DK103818NIDDK NIH HHS R37 DK058282
6 · The paper itself

Abstract

Until recently, type 2 diabetes was seen as a disease caused by an impaired ability of insulin to promote the uptake and utilisation of glucose. Work on forkhead box protein O (FOXO) transcription factors revealed new aspects of insulin action that have led us to articulate a liver- and beta cell-centric narrative of diabetes pathophysiology and treatment. FOXO integrate a surprisingly diverse subset of biological functions to promote metabolic flexibility. In the liver, they controls the glucokinase/glucose-6-phosphatase switch and bile acid pool composition, directing carbons to glucose or lipid utilisation, thus providing a unifying mechanism for the two abnormalities of the diabetic liver: excessive glucose production and increased lipid synthesis and secretion. Moreover, FOXO are necessary to maintain beta cell differentiation, and diabetes development is associated with a gradual loss of FOXO function that brings about beta cell dedifferentiation. We proposed that dedifferentiation is the main cause of beta cell failure and conversion into non-beta endocrine cells, and that treatment should restore beta cell differentiation. Our studies investigating these proposals have revealed new dimensions to the pathophysiology of diabetes that can be leveraged to design new therapies.

Indexed as

AnimalsDiabetes Mellitus, Type 2Forkhead Transcription FactorsGlucoseGlucose-6-PhosphataseHumansInsulinInsulin-Secreting CellsLiverForkhead Transcription FactorsGlucoseGlucose-6-PhosphataseInsulinBeta cell failureBile acidCholesterolDedifferentiationDiabetes outcomeFOXOHeart diseaseHepatic glucose productionLipoproteinNotch 1Review

Identifiers

PMID26248647
PMCPMC4591190
OpenAlexW1086165218

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.