Islet β cell failure in type 2 diabetes

被引:1331
作者
Prentki, Marc
Nolan, Christopher J.
机构
[1] Australian Natl Univ, Dept Endocrinol & Diabet, Canberra Hosp, Woden, ACT 2606, Australia
[2] Australian Natl Univ, Sch Med, Woden, ACT 2606, Australia
[3] Univ Montreal, Mol Nutr Unit, Montreal, PQ, Canada
[4] Univ Montreal, Montreal Diabet Res Ctr, Montreal, PQ, Canada
[5] Ctr Hosp Univ Montreal, Montreal, PQ, Canada
关键词
D O I
10.1172/JCI29103
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
The major focus of this Review is on the mechanisms of islet P cell failure in the pathogenesis of obesity-associated type 2 diabetes (T2D). As this demise occurs within the context of P cell compensation for insulin resistance, consideration is also given to the mechanisms involved in the compensation process, including mechanisms for expansion of P cell mass and for enhanced P cell performance. The importance of genetic, intrauterine, and environmental factors in the determination of "susceptible" islets and overall risk for T2D is reviewed. The likely mechanisms of P cell failure are discussed within the two broad categories: those with initiation and those with progression roles.
引用
收藏
页码:1802 / 1812
页数:11
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