Evidence map›Paper›PMID 32312960›Full record

ArticleNature communications2020

Paracrine control of α-cell glucagon exocytosis is compromised in human type-2 diabetes.

Muhmmad Omar-Hmeadi, Per-Eric Lund, Nikhil R Gandasi, Anders Tengholm, Sebastian Barg

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 99 citations in OpenAlex.

  1. Article
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  4. Review
  5. Peripheral GABA Signaling in Metabolic Adaptation and Maladaptation.International journal of molecular sciences · 2026
    Review
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  9. Transient fetal hyperglycemia reprograms adipogenesis, lipogenesis, and insulin signaling in zebrafish.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2026
    Article
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  11. Review
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  17. Review
  18. Dehydration-induced AVP stimulates glucagon release and ketogenesis.American journal of physiology. Endocrinology and metabolism · 2025
    Article
  19. Article
  20. Article

12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Muhmmad Omar-HmeadiMedical Cell Biology, Uppsala University, Box 571, BMC, 751 23, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-8893-7348
Per-Eric LundMedical Cell Biology, Uppsala University, Box 571, BMC, 751 23, Uppsala, Sweden.
Nikhil R GandasiMedical Cell Biology, Uppsala University, Box 571, BMC, 751 23, Uppsala, Sweden.ORCID http://orcid.org/0000-0001-9400-6494
Anders TengholmMedical Cell Biology, Uppsala University, Box 571, BMC, 751 23, Uppsala, Sweden.ORCID http://orcid.org/0000-0003-4508-0836
Sebastian BargMedical Cell Biology, Uppsala University, Box 571, BMC, 751 23, Uppsala, Sweden. sebastian.barg@mcb.uu.se.ORCID http://orcid.org/0000-0003-4661-5724
Uppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucagon is released from pancreatic α-cells to activate pathways that raise blood glucose. Its secretion is regulated by α-cell-intrinsic glucose sensing and paracrine control through insulin and somatostatin. To understand the inadequately high glucagon levels that contribute to hyperglycemia in type-2 diabetes (T2D), we analyzed granule behavior, exocytosis and membrane excitability in α-cells of 68 non-diabetic and 21 T2D human donors. We report that exocytosis is moderately reduced in α-cells of T2D donors, without changes in voltage-dependent ion currents or granule trafficking. Dispersed α-cells have a non-physiological V-shaped dose response to glucose, with maximal exocytosis at hyperglycemia. Within intact islets, hyperglycemia instead inhibits α-cell exocytosis, but not in T2D or when paracrine inhibition by insulin or somatostatin is blocked. Surface expression of somatostatin-receptor-2 is reduced in T2D, suggesting a mechanism for the observed somatostatin resistance. Thus, elevated glucagon in human T2D may reflect α-cell insensitivity to paracrine inhibition at hyperglycemia.

Indexed as

Diabetes Mellitus, Type 2ExocytosisGlucagonGlucagon-Secreting CellsGlucoseHumansHyperglycemiaInsulinOptical ImagingReceptors, SomatostatinSomatostatinGlucagonGlucoseInsulinReceptors, SomatostatinSomatostatinSSTR2 protein, human

Identifiers

PMID32312960
PMCPMC7171169
OpenAlexW3016802199

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 Socratic graph.