Evidence map›Paper›PMID 29209740›Full record

ArticleDiabetologia2018

Early deficits in insulin secretion, beta cell mass and islet blood perfusion precede onset of autoimmune type 1 diabetes in BioBreeding rats.

Anya Medina, Saba Parween, Sara Ullsten, Neelanjan Vishnu, Yuk Ting Siu, My Quach, Hedvig Bennet, Alexander Balhuizen, Lina Åkesson, Nils Wierup and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 18 citations in OpenAlex.

  1. Quantitative temporal analysis of pancreatic islet T lymphocyte and macrophage infiltration heralded by serum IgE in congenic BioBreeding (BB) Gimap5Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
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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

14 authors at 2 institutions in 1 country.

Anya MedinaLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden. anya_medina.benavente@med.lu.se.ORCID 0000-0003-1608-1581
Saba ParweenUmeå Centre for Molecular Medicine, Umeå University, Umeå, Sweden.
Sara UllstenMedical Cell Biology, Uppsala Biomedical Centre, Uppsala, Sweden.
Neelanjan VishnuLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden.
Yuk Ting SiuLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden.
My QuachMedical Cell Biology, Uppsala Biomedical Centre, Uppsala, Sweden.
Hedvig BennetLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden.
Alexander BalhuizenLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden.
Lina ÅkessonLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden.
Nils WierupLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden.
Per Ola CarlssonMedical Cell Biology, Uppsala Biomedical Centre, Uppsala, Sweden.
Ulf AhlgrenUmeå Centre for Molecular Medicine, Umeå University, Umeå, Sweden.
Åke LernmarkLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden.
Malin FexLund University Diabetes Centre, Clinical Research Centre, Skåne University Hospital (SUS), Jan Waldentrömsgata 35, SE-20502, Malmö, Sweden.
Lund University · SEUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisGenetic studies show coupling of genes affecting beta cell function to type 1 diabetes, but hitherto no studies on whether beta cell dysfunction could precede insulitis and clinical onset of type 1 diabetes are available.

methodsWe used 40-day-old BioBreeding (BB) DRLyp/Lyp rats (a model of spontaneous autoimmune type 1 diabetes) and diabetes-resistant DRLyp/+ and DR+/+ littermates (controls) to investigate beta cell function in vivo, and insulin and glucagon secretion in vitro. Beta cell mass was assessed by optical projection tomography (OPT) and morphometry. Additionally, measurements of intra-islet blood flow were performed using microsphere injections. We also assessed immune cell infiltration, cytokine expression in islets (by immunohistochemistry and qPCR), as well as islet Glut2 expression and ATP/ADP ratio to determine effects on glucose uptake and metabolism in beta cells.

resultsDRLyp/Lyp rats were normoglycaemic and without traces of immune cell infiltrates. However, IVGTTs revealed a significant decrease in the acute insulin response to glucose compared with control rats (1685.3 ± 121.3 vs 633.3 ± 148.7; p < 0.0001). In agreement, insulin secretion was severely perturbed in isolated islets, and both first- and second-phase insulin release were lowered compared with control rats, while glucagon secretion was similar in both groups. Interestingly, after 5-7 days of culture of islets from DRLyp/Lyp rats in normal media, glucose-stimulated insulin secretion (GSIS) was improved; although, a significant decrease in GSIS was still evident compared with islets from control rats at this time (7393.9 ± 1593.7 vs 4416.8 ± 1230.5 pg islet CONCLUSIONS/

interpretationThe present study identifies a deterioration of beta cell function and mass, and intra-islet blood flow that precedes insulitis and diabetes development in animals prone to autoimmune type 1 diabetes. These underlying changes in islet function may be previously unrecognised factors of importance in type 1 diabetes development.

Indexed as

Disease Models, AnimalAdenosine DiphosphateAdenosine TriphosphateAnimalsBlood GlucoseDiabetes Mellitus, Type 1FemaleGenotypeGlucoseInsulinInsulin-Secreting CellsIslets of LangerhansLangerhans CellsMalePancreasPerfusionAdenosine DiphosphateAdenosine TriphosphateBlood GlucoseGlucoseInsulinBeta cell dysfunctionBeta cell massInsulin secretionIslet blood flowType 1 diabetes

Identifiers

PMID29209740
PMCPMC6448977
OpenAlexW2771806805

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.