Evidence map›Paper›PMID 36204103›Full record

ArticleFrontiers in endocrinology2022

Lipid droplet accumulation in β cells in patients with type 2 diabetes is associated with insulin resistance, hyperglycemia and β cell dysfunction involving decreased insulin granules.

Tomomi Horii, Junji Kozawa, Yukari Fujita, Satoshi Kawata, Harutoshi Ozawa, Chisaki Ishibashi, Sho Yoneda, Takao Nammo, Jun-Ichiro Miyagawa, Hidetoshi Eguchi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.8field-weighted citation impact, top 2% 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

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Article
  2. Mitigation of Hepatic and Pancreatic Injury byFood science & nutrition · 2026
    Article
  3. Article
  4. Review
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  6. Review
  7. Antidiabetic Effect ofScientifica · 2026
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
  19. Pathophysiological Mechanisms and Clinical Associations of Non-Alcoholic Fatty Pancreas Disease.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review
  20. Review
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

11 authors at 2 institutions in 1 country.

Tomomi HoriiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Junji KozawaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Yukari FujitaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Satoshi KawataDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Harutoshi OzawaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Chisaki IshibashiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Sho YonedaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Takao NammoDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Jun-Ichiro MiyagawaKeiseikai Medical Corporation, Osaka, Japan.
Hidetoshi EguchiDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Iichiro ShimomuraDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Osaka University · JPKishokai Medical Corporation · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective: Pancreatic fat is a form of ectopic fat. Lipid droplets (LDs) are also observed in β cells; however, the pathophysiological significance, especially for β cell function, has not been elucidated. Our aim was to assess LD accumulation in β cells in various stages of glucose intolerance and to clarify its relationship with clinical and histological parameters. Methods: We examined 42 Japanese patients who underwent pancreatectomy. The BODIPY493/503-positive (BODIPY-positive) area in β cells was measured in pancreatic sections from 32 patients. The insulin granule numbers were counted in an additional 10 patients using electron microscopy. Results: The BODIPY-positive area in β cells in preexisting type 2 diabetes patients was higher than that in normal glucose tolerance patients (p = 0.031). The BODIPY-positive area in β cells was positively correlated with age (r = 0.45, p = 0.0097), HbA1c (r = 0.38, p = 0.0302), fasting plasma glucose (r = 0.37, p = 0.045), and homeostasis model assessment insulin resistance (r = 0.41, p = 0.049) and negatively correlated with an increase in the C-peptide immunoreactivity level by the glucagon test (r = -0.59, p = 0.018). The ratio of mature insulin granule number to total insulin granule number was reduced in the patients with rich LD accumulation in β cells (p = 0.039). Conclusions: Type 2 diabetes patients had high LD accumulation in β cells, which was associated with insulin resistance, hyperglycemia, aging and β cell dysfunction involving decreased mature insulin granules.

Indexed as

Diabetes Mellitus, Type 2HyperglycemiaInsulin ResistanceBlood GlucoseBoron CompoundsC-PeptideGlucagonGlucose Tolerance TestGlycated HemoglobinHumansInsulinLipid Droplets4,4-difluoro-4-bora-3a,4a-diaza-s-indaceneBlood GlucoseBoron CompoundsC-PeptideGlucagonGlycated HemoglobinInsulinectopic fatlipid dropletsPancreatic fatType 2 diabetesβ cell

Identifiers

PMID36204103
PMCPMC9530467
OpenAlexW4297905797

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.