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Cited by 583

The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.

Islet Amyloid: A Critical Entity in the Pathogenesis of Type 2 Diabetes

Hull, Rebecca L., Westermark, Gunilla T., Westermark, Per, Kahn, Steven E.·2004·The Journal of Clinical Endocrinology & Metabolism

Abstract

Islet amyloid deposition is a pathogenic feature of type 2 diabetes, and these deposits contain the unique amyloidogenic peptide islet amyloid polypeptide. Autopsy studies in humans have demonstrated that islet amyloid is associated with loss of beta-cell mass, but a direct role for amyloid in the pathogenesis of type 2 diabetes cannot be inferred from such studies. Animal studies in both spontaneous and transgenic models of islet amyloid formation have shown that amyloid forms in islets before fasting hyperglycemia and therefore does not arise merely as a result of the diabetic state. Furthermore, the extent of amyloid deposition is associated with both loss of beta-cell mass and impairment in insulin secretion and glucose metabolism, suggesting a causative role for islet amyloid in the islet lesion of type 2 diabetes. These animal studies have also shown that beta-cell dysfunction seems to be an important prerequisite for islet amyloid formation, with increased secretory demand from obesity and/or insulin resistance acting to further increase islet amyloid deposition. Recent in vitro studies suggest that the cytotoxic species responsible for islet amyloid-induced beta-cell death are formed during the very early stages of islet amyloid formation, when islet amyloid polypeptide aggregation commences. Interventions to prevent islet amyloid formation are emerging, with peptide and small molecule inhibitors being developed. These agents could thus lead to a preservation of beta-cell mass and amelioration of the islet lesion in type 2 diabetes.

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Metadata

Authors
Hull, R. L., Westermark, G. T., Westermark, P., & Kahn, S. E.
Venue
The Journal of Clinical Endocrinology & Metabolism
Published
2004-08
Volume
89
Issue
8
Pages
3629-3643
ISSN
  • 0021-972X (ISSN-L)
  • 1945-7197
OpenAlex
W2136989779
Cited by
583
References
37
FWCI
16.36
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: Islet Amyloid: A Critical Entity in the Pathogenesis of Type 2 Diabetes. https://app.cochat.ai/papers/10.1210/jc.2004-0405
The paper
Hull, R. L., Westermark, G. T., Westermark, P., & Kahn, S. E. (2004). Islet Amyloid: A Critical Entity in the Pathogenesis of Type 2 Diabetes. The Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/jc.2004-0405

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.