β-cell dedifferentiation in diabetes is important, but what is it?

Abstract:

:This commentary discusses the concept of β-cell dedifferentiation in diabetes, which is important but not well defined. A broad interpretation is that a state of differentiation has been lost, which means changes in gene expression as well as in structural and functional elements. Thus, a fully mature healthy β cell will have its unique differentiation characteristics, but maturing cells and old β cells will have different patterns of gene expression and might therefore be considered as dedifferentiated. The meaning of dedifferentiation is now being debated because β cells in the diabetic state lose components of their differentiated state, which results in severe dysfunction of insulin secretion. The major cause of this change is thought to be glucose toxicity (glucotoxicity) and that lowering glucose levels with treatment results in some restoration of function. An issue to be discussed is whether dedifferentiated β cells return to a multipotent precursor cell phenotype or whether they follow a different pathway of dedifferentiation.

journal_name

Islets

journal_title

Islets

authors

Weir GC,Aguayo-Mazzucato C,Bonner-Weir S

doi

10.4161/isl.27494

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

233-7

issue

5

eissn

1938-2014

issn

1938-2022

pii

27494

journal_volume

5

pub_type

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