Evidence map›Paper›PMID 42928193›Full record

ArticleCell communication and signaling : CCS2026

β-cell adaptation to increased insulin demand is a swift and dynamic process orchestrated by unfolded protein response.

Laura Maria Daian, Andrei Mircea Vacaru, Gabriela Tanko, Elena Mirela Lamba, Oana-Ana-Maria Mardare, Luiza Ghila, Simona Chera, Ana-Maria Vacaru

Abstract read
In one paragraph

Article in Cell communication and signaling : CCS, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Laura Maria DaianTranslational Research Laboratory of Cellular Stress and Adaptation, Institute of Cellular Biology and Pathology "Nicolae Simionescu", Bucharest, Romania.
Andrei Mircea VacaruTranslational Research Laboratory of Cellular Stress and Adaptation, Institute of Cellular Biology and Pathology "Nicolae Simionescu", Bucharest, Romania.
Gabriela TankoTranslational Research Laboratory of Cellular Stress and Adaptation, Institute of Cellular Biology and Pathology "Nicolae Simionescu", Bucharest, Romania.
Elena Mirela LambaTranslational Research Laboratory of Cellular Stress and Adaptation, Institute of Cellular Biology and Pathology "Nicolae Simionescu", Bucharest, Romania.
Oana-Ana-Maria MardareTranslational Research Laboratory of Cellular Stress and Adaptation, Institute of Cellular Biology and Pathology "Nicolae Simionescu", Bucharest, Romania.
Luiza GhilaMohn Research Center for Diabetes Precision Medicine, Department of Clinical Science, University of Bergen, Bergen, Norway.
Simona CheraMohn Research Center for Diabetes Precision Medicine, Department of Clinical Science, University of Bergen, Bergen, Norway.
Ana-Maria VacaruTranslational Research Laboratory of Cellular Stress and Adaptation, Institute of Cellular Biology and Pathology "Nicolae Simionescu", Bucharest, Romania. ana.vacaru@icbp.ro.

Funding

NO Grants 2014-2021 RO-NO-2019-0544; BETAUPREGNO Grants 2014-2021; PN-IV-P7-7.1-PED-2024-1926/Unitatea Executiva Pentru Finantarea Invatamantului Superior a Cercetarii Dezvoltarii si Inovarii RO-NO-2019-0544; BETAUPREG, PED47/2025
6 · The paper itself

Abstract

Pancreatic β-cells adapt to increased insulin demand through coordinated functional and molecular responses. However, in diabetes, these adaptive pathways eventually fail, driving β-cell dysfunction and demise. One of these pathways is unfolded protein response (UPR), a complex network of sensors and effectors that cooperate to restore endoplasmic reticulum (ER) function under stress. To define the early UPR programs engaged during β-cell adaptation, we employed a murine model of partial β-cell ablation that preserves normoglycemia while imposing an increased secretory workload on the remaining β-cells. Integrating bulk islet transcriptomics with imaging, ultrastructural and physiological analyses, we identified dynamic molecular and functional adaptations during the compensatory phase. The initial transcriptional response was characterised by induction of apoptosis genes and a stress response. This was later replaced by activation of adaptive UPR pathways accompanied by increased insulin processing. Nuclear Atf4 and Xbp1 increased transiently, consistent with engagement of multiple UPR branches through different mechanisms to restore homeostasis. Functionally, partially ablated islets displayed enhanced secretory competence during an acute secondary ER stress challenge, although this adaptive advantage was lost during prolonged stress. Together, these findings define a transient adaptive UPR program that sustains β-cell function during the early response to β-cell loss and provide insight into mechanisms that may be leveraged to enhance β-cell resilience in diabetes.

Indexed as

Adaptation, PhysiologicalInsulinInsulin-Secreting CellsUnfolded Protein ResponseActivating Transcription Factor 4AnimalsApoptosisEndoplasmic Reticulum StressMiceActivating Transcription Factor 4InsulinER stressInsulinRIP-DTRUnfolded protein responseβ-cells adaptation

Identifiers

PMID42928193
PMCPMC13700390

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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.