Evidence map›Paper›PMID 32894313›Full record

ReviewDiabetologia2020

A tale of two pancreases: exocrine pathology and endocrine dysfunction.

Michael R Rickels, Andrew W Norris, Rebecca L Hull

Open access · bronzeAbstract readReview
In one paragraph

Review in Diabetologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.9field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Approach to the Patient With Pancreatogenic Diabetes.The Journal of clinical endocrinology and metabolism · 2026
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. The Pivotal Role of Macrophages in the Pathogenesis of Pancreatic Diseases.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Article
  19. Development of the Pancreatic Ducts and Their Contribution to Organogenesis.Advances in anatomy, embryology, and cell biology · 2024
    Review
  20. Review
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

3 authors at 3 institutions in 1 country.

Michael R RickelsDepartment of Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0002-9253-838X
Andrew W NorrisDepartment of Pediatrics, University of Iowa, Iowa City, IA, USA.ORCID 0000-0001-8396-9543
Rebecca L HullVA Puget Sound Health Care System (151), 1660 S. Columbian Way, Seattle, WA, 98108, USA. rhull@uw.edu.ORCID 0000-0001-9690-4087
Hospital of the University of Pennsylvania · USUniversity of Iowa · USUniversity of Washington · US

Funding

Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Sakeneh Zraika · 1986 to 2026
$41.4M
Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Amy Leanne Ryan · 1998 to 2026
$30.5M
Translational Research Center to Expedite Novel Therapies in Cystic FibrosisP30DK089507 · NIDDK · SEATTLE CHILDREN'S HOSPITAL · PI Christopher Hooper Goss · 2010 to 2026
$21.4M
Evaluation of the entero-insular (incretin) axis in cystic fibrosis-competitive renewal.R01DK097830 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI KELLY, ANDREA BRIDGET, RICKELS, MICHAEL R · 2012 to 2024
$5.7M
Islet Endothelial Dysfunction in DiabetesR01DK088082 · NIDDK · SEATTLE INST FOR BIOMEDICAL/CLINICAL RES · PI HULL-MEICHLE, REBECCA LUCY · 2010 to 2020
$2.8M
Splanchno-Hormonal Mechanisms of Cystic Fibrosis Related DiabetesR01DK115791 · NIDDK · UNIVERSITY OF IOWA · PI ENGELHARDT, JOHN F, NORRIS, ANDREW W · 2018 to 2021
$1.9M
Evaluation of the entero-insular (incretin) axis in cystic fibrosis-competitive renewal.R56DK097830 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI KELLY, ANDREA BRIDGET, RICKELS, MICHAEL R · 2019 to 2019
$147k
The role of hyaluronan in hIAPP-induced beta cell toxicityI01BX004063 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI WILLIAM A BANKS, REBECCA LUCY HULL-MEICHLE · 2019 to 2026
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BLRD VA I01 BX004063NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK054759NIDDK NIH HHS P30 DK089507NIDDK NIH HHS R01 DK088082NIDDK NIH HHS R01 DK097830NIDDK NIH HHS R01 DK115791NIDDK NIH HHS R56 DK097830
6 · The paper itself

Abstract

The islets of Langerhans are well embedded within the exocrine pancreas (the latter comprised of ducts and acini), but the nature of interactions between these pancreatic compartments and their role in determining normal islet function and survival are poorly understood. However, these interactions appear to be critical, as when pancreatic exocrine disease occurs, islet function and insulin secretion frequently decline to the point that diabetes ensues, termed pancreatogenic diabetes. The most common forms of pancreatogenic diabetes involve sustained exocrine disease leading to ductal obstruction, acinar inflammation, and fibro-fatty replacement of the exocrine pancreas that predates the development of dysfunction of the endocrine pancreas, as seen in chronic pancreatitis-associated diabetes and cystic fibrosis-related diabetes and, more rarely, MODY type 8. Intriguingly, a form of tumour-induced diabetes has been described that is associated with pancreatic ductal adenocarcinoma. Here, we review the similarities and differences among these forms of pancreatogenic diabetes, with the goal of highlighting the importance of exocrine/ductal homeostasis for the maintenance of pancreatic islet function and survival and to highlight the need for a better understanding of the mechanisms underlying these diverse conditions. Graphical abstract.

Indexed as

AnimalsCarcinoma, Pancreatic DuctalCystic FibrosisDiabetes MellitusHumansIslets of LangerhansPancreas, ExocrinePancreatic DiseasesPancreatic NeoplasmsPancreatitis, ChronicCystic fibrosisDiabetesExocrineIsletPancreasPancreatitisReview

Identifiers

PMID32894313
PMCPMC7646259
OpenAlexW3083828582

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.