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Event: 2037
Key Event Title
Pancreatic beta cell dysfunction
Short name
Biological Context
Level of Biological Organization |
---|
Cellular |
Cell term
Cell term |
---|
insulin secreting cell |
Organ term
Organ term |
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endocrine pancreas |
Key Event Components
Process | Object | Action |
---|---|---|
insulin secretion | Beta cell | decreased |
Key Event Overview
AOPs Including This Key Event
AOP Name | Role of event in AOP | Point of Contact | Author Status | OECD Status |
---|---|---|---|---|
AhR activation leads to increased diabetes risk | KeyEvent | Arthur Author (send email) | Under development: Not open for comment. Do not cite |
Taxonomic Applicability
Life Stages
Life stage | Evidence |
---|---|
All life stages | Moderate |
Sex Applicability
Term | Evidence |
---|---|
Mixed | High |
Key Event Description
Beta cells are insulin-producing cells in the endocrine pancreas or “islets”. After a meal, beta cells respond to the increase in blood sugar by secreting insulin to stimulate glucose uptake in peripheral tissues. Without sufficient insulin, blood sugar levels remain elevated (Kahn et al., 2021; Walker et al., 2021). Beta cell dysfunction typically manifests as decreased insulin secretion in response to glucose (Cersosimo et al., 2014; Eizirik et al., 2020). Chronic hyperglycemia, one of the hallmarks of diabetes, partly results from the inability of beta cells to produce and secrete enough insulin (Cersosimo et al., 2014; Eizirik et al., 2020). Chronic inflammation, obesity, insulin resistance, and diets high in saturated fat contribute to beta cell dysfunction (Kahn et al., 2021; Kalwat et al., 2021).
How It Is Measured or Detected
Proinsulin-to-insulin ratio. Plasma proinsulin-to-insulin ratio is used to assess beta cell function in human populations. This ratio can provide insights in intracellular insulin processing, and thus is a marker of insulin function (Cersosimo et al., 2014). However, fasting proinsulin-to-insulin ratios do not always correlate with other measures of beta cell function and may have limited applications in assessing beta cell function in non-diabetic individuals (Cersosimo et al., 2014; Egan et al., 2021). Proinsulin and insulin levels can be measured using protein ELISAs (Kim et al., 2000).
Proinsulin-to-c-peptide ratio. When proinsulin is cleaved, insulin and c-peptide are produced in equal amounts, but c-peptide is degraded more slowly in the body than insulin (Karas et al., 2021; Leighton et al., 2017). C-peptide levels are typically measured using radioimmunoassays (Egan et al., 2021; Kim et al., 2000).
Homoeostasis model assessment (HOMA). HOMA is based on population-level human data and is calculated under fasted conditions. HOMA models are used to estimate beta cell dysfunction (HOMA-B), insulin resistance (HOMA-IR), and insulin sensitivity (HOMA-S) (Cersosimo et al., 2014).
Glucose-stimulated insulin secretion (GSIS). GSIS is a common assay used to assess beta cell function in humans and rodent models. In vivo, GSIS is measured by collecting plasma samples during a glucose tolerance test. Meanwhile, ex vivo GSIS involves directly exposing isolated “islets” (endocrine pancreas) to different glucose conditions (e.g., high/low glucose concentrations). Insulin ELISAs are used to measure insulin content in plasma (in vivo GSIS) or in supernatant (ex vivo GSIS) (al Rijjal & Wheeler, 2022).
Domain of Applicability
Pancreatic beta cell dysfunction is one of the main drivers of diabetes, a condition that affects individuals across all life stages (International Diabetes Association, 2021). Beta cell dysfunction and diabetes have been observed in many species, including humans, rodents, cats, dogs, and some wild animals (e.g., non-human primates, birds) (Niaz et al., 2018). However, diabetes is mainly studied in human and rodent models (Niaz et al., 2018; Walker et al., 2021). It is also important to note that there are sex-based differences in beta cell physiology and response to stressors (Gannon et al., 2018).
References
al Rijjal, D., & Wheeler, M. B. (2022). A protocol for studying glucose homeostasis and islet function in mice. STAR Protocols, 3(1). https://doi.org/10.1016/J.XPRO.2022.101171
Cersosimo, E., Solis-Herrera, C., Trautmann, M. E., Malloy, J., & Triplitt, C. L. (2014). Assessment of pancreatic β-Cell function: Review of methods and clinical applications. Current Diabetes Reviews, 10(1), 2. https://doi.org/10.2174/1573399810666140214093600
Egan, A. M., Laurenti, M. C., Hurtado Andrade, M. D., Dalla Man, C., Cobelli, C., Bailey, K. R., & Vella, A. (2021). Limitations of the fasting proinsulin to insulin ratio as a measure of β-cell health in people with and without impaired glucose tolerance. European Journal of Clinical Investigation, 51(6). https://doi.org/10.1111/eci.13469
Eizirik, D. L., Pasquali, L., & Cnop, M. (2020). Pancreatic β-cells in type 1 and type 2 diabetes mellitus: different pathways to failure. Nature Reviews Endocrinology, 16, 349–362. https://doi.org/10.1038/s41574-020-0355-7
Gannon, M., Kulkarni, R. N., Tse, H. M., & Mauvais-Jarvis, F. (2018). Sex differences underlying pancreatic islet biology and its dysfunction. Molecular Metabolism, 15, 82. https://doi.org/10.1016/J.MOLMET.2018.05.017
International Diabetes Association. (2021). IDF Diabetes Atlas, 10th edition. www.diabetesatlas.org
Kahn, S. E., Chen, Y.-C., Esser, N., Taylor, A. J., van Raalte, D. H., Zraika, S., & Verchere, C. B. (2021). The β cell in diabetes: Integrating biomarkers with functional measures. Endocrine Reviews, 42(5), 528–583. https://doi.org/10.1210/endrev/bnab021
Kalwat, M. A., Scheuner, D., Rodrigues-Dos-Santos, K., Eizirik, D. L., & Cobb, M. H. (2021). The pancreatic ß-cell response to secretory demands and adaption to stress. Endocrinology, 162(11), 1–22. https://doi.org/10.1210/endocr/bqab173
Karas, J. A., Wade, J. D., & Hossain, M. A. (2021). The chemical synthesis of insulin: An enduring challenge. In Chemical Reviews (Vol. 121, Issue 8, pp. 4531–4560). American Chemical Society. https://doi.org/10.1021/acs.chemrev.0c01251
Kim, N. H., Kim, D. L., Choi, K. M., Baik, S. H., & Choi, D. S. (2000). Serum insulin, proinsulin and proinsulin/insulin ratio in Type 2 diabetic patients: As an index of β-cell function or insulin resistance. The Korean Journal of Internal Medicine, 15(3), 195. https://doi.org/10.3904/KJIM.2000.15.3.195
Leighton, E., Sainsbury, C. A., & Jones, G. C. (2017). A practical review of c-peptide testing in diabetes. Diabetes Therapy, 8(3), 475. https://doi.org/10.1007/S13300-017-0265-4
Niaz, K., Maqbool, F., Khan, F., Hassan, F. I., Momtaz, S., & Abdollahi, M. (2018). Comparative occurrence of diabetes in canine, feline, and few wild animals and their association with pancreatic diseases and ketoacidosis with therapeutic approach. Veterinary World, 11(4), 410. https://doi.org/10.14202/VETWORLD.2018.410-422
Walker, J. T., Saunders, D. C., Brissova, M., & Powers, A. C. (2021). The human islet: Mini-organ with mega-impact. Endocrine Reviews, 42(5), 605–657. https://doi.org/10.1210/endrev/bnab010