Type 1 diabetes

Increased inflammation as well as decreased endoplasmic reticulum stress and translation differentiate pancreatic islets from donors with pre-symptomatic stage 1 type 1 diabetes and non-diabetic donors

DiabetologiaPublished Mechanistic study

Authors' conclusion

In situ human islet proteome alterations in stage 1 type 1 diabetes centred around several major functional categories, including an expected increase in immune response genes (elevated antigen presentation/HLA), with decreases in protein synthesis and ER stress response, as well as compensatory metabolic response. The dataset serves as a proteomics resource for future studies on beta cell changes during type 1 diabetes progression and pathogenesis.

Study context

Population
Organ donors from nPOD; frozen pancreatic tissuefinal analysis: mAAb+ n=3 vs non-diabetic (ND) n=3
Participants
5 vs 5
Comparison
Islet-autoantibody-positive vs non-diabetic donor islets
  • AAb+n = 5
  • NDn = 5reference
Outcome
Islet proteome, mAAb+ vs ND
Methodological detailslaser microdissection, MS-based proteomics, label-free quantification, age- and sex-matched controls, Data deposited in MassIVE, accession no. MSV000090212
  • Laser microdissection
  • MS-based proteomics
  • Label-free quantification
  • Age- and sex-matched controls
  • Data deposited in MassIVE, accession no. MSV000090212

Main finding

As reported in the abstract

Proteins identified (false discovery rate <1%)

≈4500

Proteins reliably quantified in every islet sample

2165

Proteins significantly different, mAAb+ vs ND (unadjusted p<0.025, q<0.15)

202

≈10%

Further findings

Support from independent datasets

Proteome changes supported by independent published datasets, incl. cytokine-treated human islet proteomics and single-cell RNA-seq from AAb+ individuals

Original publication

Increased inflammation as well as decreased endoplasmic reticulum stress and translation differentiate pancreatic islets from donors with pre-symptomatic stage 1 type 1 diabetes and non-diabetic donors. Diabetologia. Published 2 June 2025. doi:10.1007/s00125-025-06417-3

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