Evidence map›Paper›PMID 41381473›Full record

ArticleNature communications2025

3D imaging of human pancreas suggests islet size and endocrine composition influence their loss in type 1 diabetes.

Alexandra Rippa, Amanda L Posgai, Seth Currlin, Maigan Brusko, MacKenzie D Williams, John S Kaddis, Irina Kusmartseva, Clive H Wasserfall, Martha Campbell-Thompson, Mark A Atkinson

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Alexandra RippaDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0001-7300-8466
Amanda L PosgaiDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-9491-0958
Seth CurrlinDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.
Maigan BruskoDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-4331-2202
MacKenzie D WilliamsDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0003-3473-2747
John S KaddisDepartment of Diabetes and Cancer Discovery Science, Arthur Riggs Diabetes and Metabolism Research Institute, Beckman Research Institute, City of Hope, Duarte, CA, USA.ORCID http://orcid.org/0000-0002-6752-7670
Irina KusmartsevaDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0003-2614-0813
Clive H WasserfallDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.
Martha Campbell-ThompsonDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.
Mark A AtkinsonDepartment of Pathology, Immunology, and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA. atkinson@ufl.edu.ORCID http://orcid.org/0000-0001-8489-4782

Funding

Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 1997 to 2026
$32.9M
Renewal of the Human Islet Research Enhancement Center (HIREC) for the Type-1-Diabetes-Focused Human Islet Research Network (HIRN).U24DK104162 · NIDDK · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI John S. Kaddis, Joyce Carol Niland · 2019 to 2026
$12.3M
Survival and potential of insulin-deficient beta cells in type 1 diabetesU01DK135001 · NIDDK · UNIVERSITY OF FLORIDA · PI SCHATZ, DESMOND ARTHUR · 2022 to 2025
$2.8M
Understanding pancreatic endocrine and exocrine loss in pre-type 1 diabetesR01DK123329 · NIDDK · UNIVERSITY OF FLORIDA · PI CAMPBELL-THOMPSON, MARTHA, HALLER, MICHAEL JAMES · 2020 to 2024
$2.6M
Co-registration of Cell Organization, Phenotype and Function in the Human Pancreas During Type 1 DiabetesR01DK131059 · NIDDK · UNIVERSITY OF FLORIDA · PI ATKINSON, MARK A. · 2021 to 2025
$2.5M
Regional and lobular heterogeneity of human pancreas morphology and function in type 1 diabetes pathogenesisR01DK123292 · NIDDK · UNIVERSITY OF FLORIDA · PI ATKINSON, MARK A., SPEIER, STEPHAN · 2020 to 2023
$1.7M
Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) P01AI042288Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) R01DK123292Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) R01DK131059NIAID NIH HHS P01 AI042288NIDDK NIH HHS R01 DK123292NIDDK NIH HHS R01 DK123329NIDDK NIH HHS R01 DK131059NIDDK NIH HHS U01 DK135001NIDDK NIH HHS U24 DK104162
6 · The paper itself

Abstract

A high-definition description of pancreatic islets would prove beneficial for understanding the pathophysiology of type 1 diabetes (T1D), yet significant knowledge gaps exist in terms of their size, endocrine cell composition, and number in both health and disease. Here, 3-dimensional (3D) analyses of pancreata from control persons without diabetes (ND) demonstrate approximately 50% of islets are insulin-positive (INS + ) glucagon-negative (GCG-). Non-diabetic individuals positive for a single Glutamic acid decarboxylase autoantibody (GADA + ) yet at increased risk for disease consistently demonstrate endocrine features, including islet volume and cell composition, closely resembling the age-matched ND controls. In contrast, pancreata from individuals with short-duration T1D demonstrate significantly reduced islet density and a dramatic loss of INS + GCG- islets with preservation of large INS + GCG+ islets. The size and cellular composition of pancreatic islets may, therefore, represent influential factors that impact β-cell loss during T1D disease progression.

Indexed as

Diabetes Mellitus, Type 1Imaging, Three-DimensionalIslets of LangerhansPancreasAdolescentAdultAutoantibodiesCase-Control StudiesFemaleGlucagonGlucagon-Secreting CellsGlutamate DecarboxylaseHumansInsulinInsulin-Secreting CellsMaleAutoantibodiesGlucagonGlutamate DecarboxylaseInsulin

Identifiers

PMID41381473
PMCPMC12727770

What OpenQuestion holds

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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.