Cited by 444Pancreatic function and diabetesEndoplasmic Reticulum Stress and DiseaseDiabetes Treatment and Management

Mechanisms of β-Cell Death in Type 2 Diabetes

Open access
Donath, Marc Y., Ehses, Jan A., Maedler, Kathrin, Schumann, Desiree M., Ellingsgaard, Helga, Eppler, Elisabeth, Reinecke, Manfred·2005·Diabetes

Abstract

A decrease in the number of functional insulin-producing β-cells contributes to the pathophysiology of type 2 diabetes. Opinions diverge regarding the relative contribution of a decrease in β-cell mass versus an intrinsic defect in the secretory machinery. Here we review the evidence that glucose, dyslipidemia, cytokines, leptin, autoimmunity, and some sulfonylureas may contribute to the maladaptation of β-cells. With respect to these causal factors, we focus on Fas, the ATP-sensitive K+ channel, insulin receptor substrate 2, oxidative stress, nuclear factor-κB, endoplasmic reticulum stress, and mitochondrial dysfunction as their respective mechanisms of action. Interestingly, most of these factors are involved in inflammatory processes in addition to playing a role in both the regulation of β-cell secretory function and cell turnover. Thus, the mechanisms regulating β-cell proliferation, apoptosis, and function are inseparable processes.

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Registry

Crossref · 10.2337/diabetes.54.suppl_2.s108

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  • The proinflammatory cytokines, such as IL-1β, IFN-γ, and TNF-α, inhibit glucose-stimulated insulin secretion and proliferation of beta-cells.

    “The proinflammatory cytokines, such as interleukin-1 beta (IL-1β), interferon gamma (IFN-γ), and tumor necrosis factor alpha (TNF-α), inhibit glucose-stimulated insulin secretion and proliferation of beta-cells [40–42].”

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Authors
Donath, M. Y., Ehses, J. A., Maedler, K., Schumann, D. M., Ellingsgaard, H., Eppler, E., & Reinecke, M.
Affiliations
  • University Hospital Zurich (CH)
  • Division of Endocrinology and Diabetes, University Hospital Zurich, Zurich, Switzerland
  • University of Zurich (CH)
Venue
Diabetes
Published
2005-12-01
Volume
54
Issue
suppl_2
Pages
S108-S113
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
OpenAlex
W2099529905
Cited by
444
References
7
Citations by year
2026: 6 · 2025: 7 · 2024: 7 · 2023: 15 · 2022: 18 · 2021: 29 · 2020: 22 · 2019: 24 · 2018: 24 · 2017: 21 · 2016: 23 · 2015: 33 · 2014: 31 · 2013: 34 · 2012: 36
FWCI
3.79
Type
journal article
Language
en
Open access
Locations
  • Diabetes (publishedVersion)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
Funders
  • National Science Foundation
  • National Research Foundation
  • Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (68874)
  • National Institutes of Health
Topics
  • Health Sciences › Medicine › Surgery › Pancreatic function and diabetes
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Endoplasmic Reticulum Stress and Disease
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
Keywords
beta-cell death, type 2 diabetes, beta-cell mass, beta-cell apoptosis, beta-cell proliferation, beta-cell dysfunction, Fas, ATP-sensitive potassium channels, insulin receptor substrate 2, oxidative stress, NF-κB, endoplasmic reticulum stress, mitochondrial dysfunction, dyslipidemia, cytokines, leptin, autoimmunity, sulfonylureas, inflammation, insulin secretion
MeSH terms
Animals, Diabetes Mellitus, Type 2, Disease Models, Animal, Humans, Immunity, Innate, Inflammation, Risk Factors, Cell Death, Leptin, Dyslipidemias, Insulin-Secreting Cells

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