Evidence map›Paper›PMID 31176671›Full record

ArticleMolecular cell2019

Cells Deploy a Two-Pronged Strategy to Rectify Misfolded Proinsulin Aggregates.

Corey N Cunningham, Jeffrey M Williams, Jeffrey Knupp, Anoop Arunagiri, Peter Arvan, Billy Tsai

Open access · bronzeAbstract read
In one paragraph

Article in Molecular cell, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

69 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Guideline
  2. Review
  3. [Nan fang yi ke da xue xue bao = Journal of Southern Medical University · 2026
    Article
  4. Coordinated expression and assembly of BiP, p58Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  5. Review
  6. XIAP Stabilizes DDRGK1 to Promote ER-Phagy and Protects Against Noise-Induced Hearing Loss.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
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9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Corey N CunninghamDepartment of Cell & Developmental Biology, University of Michigan Medical School, 109 Zina Pitcher Place, BSRB 3043, Ann Arbor, MI 48109, USA; Cellular and Molecular Biology Program, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Jeffrey M WilliamsDepartment of Cell & Developmental Biology, University of Michigan Medical School, 109 Zina Pitcher Place, BSRB 3043, Ann Arbor, MI 48109, USA.
Jeffrey KnuppDepartment of Cell & Developmental Biology, University of Michigan Medical School, 109 Zina Pitcher Place, BSRB 3043, Ann Arbor, MI 48109, USA; Cellular and Molecular Biology Program, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Anoop ArunagiriDivision of Metabolism Endocrinology & Diabetes, Comprehensive Diabetes Center, University of Michigan Medical School, Ann Arbor, MI 48109, USA.
Peter ArvanCellular and Molecular Biology Program, University of Michigan Medical School, Ann Arbor, MI 48109, USA; Division of Metabolism Endocrinology & Diabetes, Comprehensive Diabetes Center, University of Michigan Medical School, Ann Arbor, MI 48109, USA. Electronic address: parvan@med.umich.edu.
Billy TsaiDepartment of Cell & Developmental Biology, University of Michigan Medical School, 109 Zina Pitcher Place, BSRB 3043, Ann Arbor, MI 48109, USA; Cellular and Molecular Biology Program, University of Michigan Medical School, Ann Arbor, MI 48109, USA. Electronic address: btsai@umich.edu.
University of Michigan–Ann Arbor · USMichigan Center for Translational Pathology · US

Funding

CELLULAR AND MOLECULAR BIOLOGY AT MICHIGANT32GM007315 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PUTHENVEEDU, MANOJKUMAR A · 1985 to 2021
$12.8M
Secretory Pathway Protein Degradation Maintains Insulin Biogenesis + SecretionR01DK111174 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ARVAN, PETER, QI, LING · 2016 to 2024
$5.5M
Clarifying pathogenesis of MIDY - a new form of diabetes mellitusF31DK113653 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CUNNINGHAM, COREY NATHANIEL · 2017 to 2018
$71k
NIDDK NIH HHS F31 DK113653NIDDK NIH HHS R01 DK111174NIGMS NIH HHS T32 GM007315
6 · The paper itself

Abstract

Insulin gene coding sequence mutations are known to cause mutant INS-gene-induced diabetes of youth (MIDY), yet the cellular pathways needed to prevent misfolded proinsulin accumulation remain incompletely understood. Here, we report that Akita mutant proinsulin forms detergent-insoluble aggregates that entrap wild-type (WT) proinsulin in the endoplasmic reticulum (ER), thereby blocking insulin production. Two distinct quality-control mechanisms operate together to combat this insult: the ER luminal chaperone Grp170 prevents proinsulin aggregation, while the ER membrane morphogenic protein reticulon-3 (RTN3) disposes of aggregates via ER-coupled autophagy (ER-phagy). We show that enhanced RTN-dependent clearance of aggregated Akita proinsulin helps to restore ER export of WT proinsulin, which can promote WT insulin production, potentially alleviating MIDY. We also find that RTN3 participates in the clearance of other mutant prohormone aggregates. Together, these results identify a series of substrates of RTN3-mediated ER-phagy, highlighting RTN3 in the disposal of pathogenic prohormone aggregates.

Indexed as

AutophagyCarrier ProteinsDiabetes MellitusEndoplasmic ReticulumHEK293 CellsHSP70 Heat-Shock ProteinsHumansInsulinMembrane ProteinsMutationNerve Tissue ProteinsProinsulinProtein AggregatesProtein FoldingRNA, Small InterferingCarrier ProteinsHSP70 Heat-Shock ProteinsInsulinMembrane ProteinsNerve Tissue Proteinsoxygen-regulated proteinsProinsulinProtein AggregatesRNA, Small InterferingRTN3 protein, humanaggregatesendoplasmic reticulumER-phagymutant proinsulinprotein quality controlreticulon

Identifiers

PMID31176671
PMCPMC6688957
OpenAlexW2948668785

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.