Evidence map›Paper›PMID 26389675›Full record

ArticleThe Journal of clinical investigation2015

Insulin demand regulates β cell number via the unfolded protein response.

Rohit B Sharma, Amy C O'Donnell, Rachel E Stamateris, Binh Ha, Karen M McCloskey, Paul R Reynolds, Peter Arvan, Laura C Alonso

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 152 papers.

0numbers the graph read from it
0cells of the map it votes in
152citing papers in PubMed
16.5field-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

152 citing papers in PubMed, 211 citations in OpenAlex.

  1. Review
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  11. Genetic recording of pancreatic beta cell proliferation.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  12. Review
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92 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Rohit B Sharma
Amy C O'Donnell
Rachel E Stamateris
Binh Ha
Karen M McCloskey
Paul R Reynolds
Peter Arvan
Laura C Alonso
University of Massachusetts Chan Medical School · USUniversity of Pittsburgh · USDiabetes Australia · AUUniversity of Colorado Denver · US

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Martin G Myers · 2013 to 2026
$24.3M
Proinsulin Trafficking for Insulin BiosynthesisR01DK048280 · NIDDK · YESHIVA UNIVERSITY · PI ARVAN, PETER · 1994 to 2024
$10.5M
UMass Mouse Metabolic Phenotyping CenterU24DK093000 · NIDDK · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI KIM, JASON K · 2011 to 2015
$2.1M
Free Fatty Acids, p16 and Pancreatic Beta Cell ProliferationR01DK095140 · NIDDK · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ALONSO, LAURA C · 2012 to 2016
$1.9M
Mechanisms of Glucose-Induced Proliferation in Murine Pancreatic beta CellsK08DK076562 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALONSO, LAURA C · 2006 to 2010
$632k
NIDDK NIH HHS DK076562NIDDK NIH HHS DK095140NIDDK NIH HHS DK48280NIDDK NIH HHS K08 DK076562NIDDK NIH HHS P30 DK020572NIDDK NIH HHS R01 DK048280NIDDK NIH HHS R01 DK095140NIDDK NIH HHS U24 DK093000NIDDK NIH HHS U24-DK093000
6 · The paper itself

Abstract

Although stem cell populations mediate regeneration of rapid turnover tissues, such as skin, blood, and gut, a stem cell reservoir has not been identified for some slower turnover tissues, such as the pancreatic islet. Despite lacking identifiable stem cells, murine pancreatic β cell number expands in response to an increase in insulin demand. Lineage tracing shows that new β cells are generated from proliferation of mature, differentiated β cells; however, the mechanism by which these mature cells sense systemic insulin demand and initiate a proliferative response remains unknown. Here, we identified the β cell unfolded protein response (UPR), which senses insulin production, as a regulator of β cell proliferation. Using genetic and physiologic models, we determined that among the population of β cells, those with an active UPR are more likely to proliferate. Moreover, subthreshold endoplasmic reticulum stress (ER stress) drove insulin demand-induced β cell proliferation, through activation of ATF6. We also confirmed that the UPR regulates proliferation of human β cells, suggesting that therapeutic UPR modulation has potential to expand β cell mass in people at risk for diabetes. Together, this work defines a stem cell-independent model of tissue homeostasis, in which differentiated secretory cells use the UPR sensor to adapt organ size to meet demand.

Indexed as

Activating Transcription Factor 6Adaptation, PhysiologicalAnimalsBiomarkersCalcium SignalingCell DivisionCells, CulturedEndoplasmic Reticulum, RoughEndoplasmic Reticulum StressGene Expression RegulationGlycosylationHumansHyperglycemiaInsulinInsulin-Secreting CellsMaleActivating Transcription Factor 6ATF6 protein, humanAtf6 protein, mouseBiomarkersInsulinleptin receptor, mouseProinsulinReceptors, LeptinRecombinant Fusion Proteins

Identifiers

PMID26389675
PMCPMC4607122
OpenAlexW1960734071

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.