PMID- 32398822 OWN - NLM STAT- MEDLINE DCOM- 20200914 LR - 20210213 IS - 1759-5037 (Electronic) IS - 1759-5029 (Linking) VI - 16 IP - 7 DP - 2020 Jul TI - Pancreatic beta-cells in type 1 and type 2 diabetes mellitus: different pathways to failure. PG - 349-362 LID - 10.1038/s41574-020-0355-7 [doi] AB - Loss of functional beta-cell mass is the key mechanism leading to the two main forms of diabetes mellitus - type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM). Understanding the mechanisms behind beta-cell failure is critical to prevent or revert disease. Basic pathogenic differences exist in the two forms of diabetes mellitus; T1DM is immune mediated and T2DM is mediated by metabolic mechanisms. These mechanisms differentially affect early beta-cell dysfunction and eventual fate. Over the past decade, major advances have been made in the field, mostly delivered by studies on beta-cells in human disease. These advances include studies of islet morphology and human beta-cell gene expression in T1DM and T2DM, the identification and characterization of the role of T1DM and T2DM candidate genes at the beta-cell level and the endoplasmic reticulum stress signalling that contributes to beta-cell failure in T1DM (mostly IRE1 driven) and T2DM (mostly PERK-eIF2alpha dependent). Here, we review these new findings, focusing on studies performed on human beta-cells or on samples obtained from patients with diabetes mellitus. FAU - Eizirik, Decio L AU - Eizirik DL AUID- ORCID: 0000-0003-2453-5889 AD - ULB Center for Diabetes Research, Welbio Investigator, Medical Faculty, Universite Libre de Bruxelles, Brussels, Belgium. deizirik@ulb.ac.be. AD - Indiana Biosciences Research Institute (IBRI), Indianapolis, IN, USA. deizirik@ulb.ac.be. FAU - Pasquali, Lorenzo AU - Pasquali L AUID- ORCID: 0000-0003-2423-1826 AD - Endocrine Regulatory Genomics, Department of Experimental & Health Sciences, University Pompeu Fabra, Barcelona, Spain. lorenzo.pasquali@upf.edu. AD - Germans Trias i Pujol University Hospital and Research Institute, Badalona, Spain. lorenzo.pasquali@upf.edu. AD - Josep Carreras Leukaemia Research Institute, Barcelona, Spain. lorenzo.pasquali@upf.edu. FAU - Cnop, Miriam AU - Cnop M AUID- ORCID: 0000-0002-5112-1692 AD - ULB Center for Diabetes Research, Universite Libre de Bruxelles, Brussels, Belgium. mcnop@ulb.ac.be. AD - Division of Endocrinology, Erasmus Hospital, Universite Libre de Bruxelles, Brussels, Belgium. mcnop@ulb.ac.be. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200512 PL - England TA - Nat Rev Endocrinol JT - Nature reviews. Endocrinology JID - 101500078 SB - IM MH - Animals MH - Diabetes Mellitus, Type 1/etiology/pathology/*physiopathology MH - Diabetes Mellitus, Type 2/etiology/pathology/*physiopathology MH - Exocrine Pancreatic Insufficiency/*etiology/physiopathology MH - Humans MH - Insulin-Secreting Cells/pathology/*physiology MH - Signal Transduction/physiology EDAT- 2020/05/14 06:00 MHDA- 2020/09/15 06:00 CRDT- 2020/05/14 06:00 PHST- 2020/03/24 00:00 [accepted] PHST- 2020/05/14 06:00 [pubmed] PHST- 2020/09/15 06:00 [medline] PHST- 2020/05/14 06:00 [entrez] AID - 10.1038/s41574-020-0355-7 [pii] AID - 10.1038/s41574-020-0355-7 [doi] PST - ppublish SO - Nat Rev Endocrinol. 2020 Jul;16(7):349-362. doi: 10.1038/s41574-020-0355-7. Epub 2020 May 12.