Type 1 diabetes

Beyond the loss of beta cells: a quantitative analysis of islet architecture in adults with and without type 1 diabetes

DiabetologiaPublished Mechanistic study

Authors' conclusion

Using a novel analysis pipeline, statistical evidence supports the existence of an M-C structure in human adult islets, irrespective of type 1 diabetes status. The methods presented in the current study offer potential applications in spatial biology, islet immunopathology, transplantation and organoid research, and developmental research.

Study context

Population
Adult human pancreatic sections; >250,000 endocrine cells in >3500 islets from ten individuals>3,500 islets
Participants
10 participants
Comparison
Islet architecture in T1D vs donors without diabetes; observed islets vs randomly arranged digital siblings
Outcome
Association between cell position (mantle/core) and cell type (beta/non-beta)
Methodological detailsquantitative image analysis, automated QuPath pipeline, machine learning
  • Quantitative image analysis
  • Automated QuPath pipeline
  • Machine learning

Main finding

As reported in the abstract

Significant relationship between cell position and type (χ2 test)
p<0.001
OR; non-beta cells more likely at the mantle (and vice versa)
OR <0.8
Earth mover's distance (EMD) between r-value distributions of observed islets and digital siblings (0<emd-1d<1); substantial group of islets with small r, supporting mantle-core (M-C) hypothesis
emd-1d=0.10951

Further findings

OutcomeEMD
Bidimensional distribution (beta cell fraction vs size) of islets, control vs T1D0<emd-2d<20.285

Original publication

Beyond the loss of beta cells: a quantitative analysis of islet architecture in adults with and without type 1 diabetes. Diabetologia. Published 26 February 2025. doi:10.1007/s00125-025-06376-9

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