Evidence map›Paper›PMID 42032109›Full record

ArticleNature metabolism2026

Cell-specific DNA methylation in human alpha and beta cells regulates gene expression in type 2 diabetes.

Jones K Ofori, Sabrina Ruhrmann, Axel Lindström, Alexander Perfilyev, Melina Martin, Alexandros Karagiannopoulos, Lucia Scisciola, Katja Kost, Josefine Jönsson, Åsa Nilsson and 8 more

Erratum issuedAbstract read
In one paragraph

Article in Nature metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Good things come in twos.Nature metabolism · 2026
    Article
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Jones K Ofori *Epigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden.ORCID http://orcid.org/0000-0001-6484-1544
Sabrina Ruhrmann *Epigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden.
Axel LindströmEpigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden.ORCID http://orcid.org/0009-0008-1641-0406
Alexander PerfilyevCenter for Evolutionary Hologenomics, Globe Institute, University of Copenhagen, Copenhagen, Denmark.
Melina MartinEpigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden.
Alexandros KaragiannopoulosExodiab, Lund University Diabetes Centre, Lund University, Malmö, Sweden.ORCID http://orcid.org/0000-0001-8458-1065
Lucia ScisciolaDepartment of Advanced Medical and Surgical Sciences, University of Campania 'Luigi Vanvitelli', Naples, Italy.ORCID http://orcid.org/0000-0003-3636-4298
Katja KostEpigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden.
Josefine JönssonEpigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden.ORCID http://orcid.org/0000-0003-0709-2828
Åsa NilssonExodiab, Lund University Diabetes Centre, Lund University, Malmö, Sweden.
Boris KantorInstitute of Pediatric Rare Diseases, Florida State University, Tallahassee, FL, USA.
Monika Dudenhöffer-PfeiferExodiab, Lund University Diabetes Centre, Lund University, Malmö, Sweden.
Marianne G RotsUniversity of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
Anna WendtIslet Cell Exocytosis Unit, Department of Clinical Sciences in Malmö, Lund University Diabetes Centre, Lund University, Malmö, Sweden.
Tina RönnEpigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden.
Lena EliassonSciLifeLab, Lund University, Lund, Sweden.ORCID http://orcid.org/0000-0002-6467-5029
Karl BacosEpigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden.ORCID http://orcid.org/0000-0002-2461-9073
Charlotte LingEpigenetics and Diabetes Unit, Department of Clinical Sciences in Malmö, Lund University, Scania University Hospital, Malmö, Sweden. charlotte.ling@med.lu.se.ORCID http://orcid.org/0000-0003-0587-7154

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epigenome-wide studies of pancreatic islets provide valuable insights into type 2 diabetes (T2D) but lack methylomes from individual cell types. Here we show changes to alpha and beta cell-specific methylomes and transcriptomes from people with or without T2D, using whole-genome bisulfite sequencing and RNA sequencing. We discover 22,544 differentially methylated regions annotated to 7,975 genes in alpha versus beta cells, such as INS, GCG, PDX1 and PCSK1, with ~50% showing differential expression. CRISPR-dCas9-DNMT3A-based epigenetic editing increases INS and TH DNA methylation, while CRISPR-dCas9-TET1-based editing decreases GCG methylation, each altering INS, TH or GCG expression and content in beta cells. Pre-T2D/T2D-associated differentially methylated regions in alpha and beta cells overlap 12-18% of T2D-associated genome-wide association study candidates. Additionally, ONECUT2 is epigenetically upregulated in beta cells from people with pre-T2D/T2D and elevated in male Goto-Kakizaki rat islets. ONECUT2 overexpression in beta cells/islets downregulates gene sets impacting insulin secretion and glucose homeostasis, and reduces mitochondrial activity, ATP/ADP ratio and insulin secretion. We also provide 'alpha-beta-methylome' ( https://alpha-beta-methylome.serve.scilifelab.se/app/alpha-beta-methylome/ ), a resource exploring T2D, age and sex associations on methylation, highlighting cell-specific epigenetic regulation and dysfunctions contributing to T2D.

Indexed as

Diabetes Mellitus, Type 2DNA MethylationGene Expression RegulationGlucagon-Secreting CellsInsulin-Secreting CellsAnimalsEpigenesis, GeneticHumansMaleRats

Identifiers

PMID42032109
PMCPMC13121032

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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.