Evidence map›Paper›PMID 41587315›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

A structural model of toxic amyloid oligomers involved in type 2 diabetes.

Shivani T Shivani, Brynn E LeMasters, Thirupathi Ravula, Harrison J Esterly, Nikhil Maroli, Kacie L Rich, Caitlyn R Fields, Sidney S Dicke, Owen A Warmuth, Donald S Stapleton and 6 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Amylin: A Multi-Functional Pancreatic Hormone-A Review.Diabetes, obesity & metabolism · 2026
    Review
  2. Mammals that can develop type 2 diabetes have a similarly structured β-sheet amyloid oligomer.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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

16 authors.

Shivani T Shivani *Department of Chemistry, University of Wisconsin, Madison, WI 53706.
Brynn E LeMasters *Department of Chemistry, University of Wisconsin, Madison, WI 53706.ORCID 0000-0001-9910-6953
Thirupathi Ravula *Department of Biochemistry, University of Wisconsin, Madison, WI 53706.
Harrison J Esterly *Department of Chemistry, University of Wisconsin, Madison, WI 53706.ORCID 0000-0001-9734-1474
Nikhil MaroliDepartment of Physics and Astronomy, University of Delaware, Newark, DE 19716.
Kacie L RichDepartment of Chemistry, University of Wisconsin, Madison, WI 53706.
Caitlyn R FieldsDepartment of Chemistry, University of Wisconsin, Madison, WI 53706.
Sidney S DickeDepartment of Chemistry, University of Wisconsin, Madison, WI 53706.
Owen A WarmuthDepartment of Biochemistry, University of Wisconsin, Madison, WI 53706.
Donald S StapletonDepartment of Biochemistry, University of Wisconsin, Madison, WI 53706.
Mark P KellerDepartment of Biochemistry, University of Wisconsin, Madison, WI 53706.
Alan D AttieDepartment of Biochemistry, University of Wisconsin, Madison, WI 53706.
Alexei A KananenkaDepartment of Physics and Astronomy, University of Delaware, Newark, DE 19716.
Katherine A Henzler-WildmanDepartment of Biochemistry, University of Wisconsin, Madison, WI 53706.ORCID 0000-0002-5295-2121
Chad M RienstraDepartment of Biochemistry, University of Wisconsin, Madison, WI 53706.
Martin T ZanniDepartment of Chemistry, University of Wisconsin, Madison, WI 53706.

Funding

Genetic Control of Metabolic Flux in Response to DietRC2DK125961 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI ATTIE, ALAN D · 2020 to 2024
$8.1M
Structural mechanism of diabetic amyloid formationR01DK079895 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI Martin T Zanni · 2008 to 2026
$7.7M
Technologies for Solid-State NMR Data CollectionP41GM136463 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI WESTLER, WILLIAM MILO · 2021 to 2025
$6.4M
NMR User Program at NMRFAMR24GM141526 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Katherine Anne Henzler-Wildman · 2021 to 2026
$6.4M
The Diversity Outbred Diabetes ProjectR01DK101573 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI Alan D Attie · 2014 to 2026
$5.3M
Structural Biology of Alpha-Synuclein in Lewy Body DementiaRF1NS110436 · NINDS · WASHINGTON UNIVERSITY · PI KOTZBAUER, PAUL T, RIENSTRA, CHAD M · 2023 to 2023
$4.2M
Molecular Mechanisms of Channels and TransportersR35GM141748 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Katherine Anne Henzler-Wildman · 2021 to 2026
$2.7M
Predoctoral Training in Molecular BiophysicsT32GM130550 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI SENES, ALESSANDRO · 2019 to 2023
$1.5M
Predoctoral Training in Molecular BiophysicsT32GM158463 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI Silvia Cavagnero, Alessandro Senes · 2025 to 2026
$1.3M
PowerEdge XE8640 GPU cluster for molecular dynamics simulations and machine learning computational vibrational spectroscopy of ion channelsR35GM150963 · NIGMS · UNIVERSITY OF DELAWARE · PI Alexei Kananenka · 2023 to 2026
$1.3M
HHS | National Institutes of Health (NIH) P41GM136463HHS | National Institutes of Health (NIH) R01DK079895HHS | National Institutes of Health (NIH) R24GM141526HHS | National Institutes of Health (NIH) R35GM141748HHS | National Institutes of Health (NIH) R35GM150963HHS | National Institutes of Health (NIH) RC2DK125961HHS | National Institutes of Health (NIH) RF1NS110436National Science Foundation (NSF) NSF1946970NIDDK NIH HHS R01 DK079895NIDDK NIH HHS R01 DK101573NIDDK NIH HHS RC2 DK125961NIGMS NIH HHS P41 GM136463NIGMS NIH HHS R24 GM141526NIGMS NIH HHS R35 GM141748NIGMS NIH HHS R35 GM150963NIGMS NIH HHS T32 GM130550NIGMS NIH HHS T32 GM158463NINDS NIH HHS RF1 NS110436
6 · The paper itself

Abstract

Amyloid oligomers of the human islet amyloid polypeptide (hIAPP) are a likely cytotoxic species driving β-cell death in type 2 diabetes, but their transient nature has precluded atomic-level structural characterization. We obtained a high-resolution structure of a physiologically relevant hIAPP oligomer. Using 2D IR spectroscopy, we identified three substitutions that slowed aggregation sufficiently for comprehensive 2D/3D NMR analysis while retaining the key wild-type structural features and cytotoxicity. The structural model reveals a dimeric assembly with N-terminal helices and a kink that facilitates an intermolecular β-sheet. The β-sheet spans the famous FGAILS portion of the sequence, helping to explain species-specific diabetes susceptibility and the origin of early-onset familial mutations. The integrated 2D IR/NMR strategy provides a unique approach to obtaining high-resolution structures of amyloid oligomers.

Indexed as

AmyloidDiabetes Mellitus, Type 2Islet Amyloid PolypeptideHumansModels, MolecularProtein MultimerizationAmyloidIslet Amyloid Polypeptide2D IRamylindiabeteshIAPPoligomer

Identifiers

PMID41587315
PMCPMC12867623

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.