Genetic predisposition for beta cell fragility underlies type 1 and type 2 diabetes
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Dooley, James
Tian, Lei
Schonefeldt, Susann
Delghingaro-Augusto, Viviane
Garcia-Perez, Josselyn E
Pasciuto, Emanuela
Di Marino, Daniele
Carr, Edward J
Oskolkov, Nikolay
Lyssenko, Valeriya
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Nature Publishing Group
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Type 1 (T1D) and type 2 (T2D) diabetes share pathophysiological characteristics, yet mechanistic links have remained elusive. T1D results from autoimmune destruction of pancreatic beta cells, whereas beta cell failure in T2D is delayed and progressive. Here we find a new genetic component of diabetes susceptibility in T1D non-obese diabetic (NOD) mice, identifying immune-independent beta cell fragility. Genetic variation in Xrcc4 and Glis3 alters the response of NOD beta cells to unfolded protein stress, enhancing the apoptotic and senescent fates. The same transcriptional relationships were observed in human islets, demonstrating the role of beta cell fragility in genetic predisposition to diabetes.
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Nature Genetics
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Open Access
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