Open research questions in Pancreatic function and diabetes
120 unresolved questions extracted from the limitations and future-work sections of 375 Pancreatic function and diabetes papers in our library. Each links back to the study that raised it.
What the literature leaves open
Investigate the role of CA in diabetic complications, - Examine the relationship between CA and ciliogenesis in diabetes
The pathogenesis mechanisms of many diabetes-associated diseases are not well understood. The existing experimental data on centrosome amplification and diabetes-associated diseases are limited.
Disease-associated transcriptional changes alone cannot distinguish likely regulatory drivers from secondary stress markers. Many single-cell studies remain mainly descriptive and do not show whether a candidate gene is predicted to perturb a wider beta-cell regulatory network.
Single-cell virtual knockout network perturbation prioritizes candidate regulators of beta-cell functional failure in type 2 diabetes · 2026 · DOIFurther studies are needed to investigate the role of PFKFB3 in human beta cells - Research on the mechanisms of PFKFB3 regulation and its potential as a therapeutic target for diabetes - Investigation of the relationship between PFKFB3 and other regulators of glycolysis
Metabolic adaptation to acute metabolic stress via PFKFB3 upregulation in rodent beta cells · 2025 · DOIThe pathogenesis and progression mechanisms of type 2 diabetes remain largely unknown. The regulatory effects of other components in the pancreatic islets' microenvironment have been neglected.
Identification of a pancreatic stellate cell gene signature and lncRNA interactions associated with type 2 diabetes progression · 2025 · DOIPregnancy requires maternal pancreatic {beta}-cells adaptations to increased insulin demand, yet the embryo-derived signals contributing to this response remain poorly defined.
Preimplantation factor (PIF) links embryo-derived signaling to maternal pancreatic β-cell adaptation through an ERα-dependent pathway · 2026 · DOIPrimary cilia are sensory organelles that act as signaling hubs, for pathways controlling cell differentiation, proliferation, and function, yet their contribution to -cell biology remains poorly defined.
The mechanisms underlying hyperglucagonemia remain poorly understood, but expansion of pancreatic -cell mass is thought to play an important role.
Essential roles for the PDX1 transcription factor in pancreatic development and β-cell function are well-known, yet the structure-function relationships of domains within its C-terminus remain incompletely defined.
Conserved C-terminal residues adjacent to the canonical PDX1 homeodomain are required for chromatin occupancy and pancreas development · 2026 · DOIAlthough the precise mechanisms remain incompletely understood, recent evidence suggests that DMR may induce significant genetic, enteroendocrine, and gut microbiota changes involving pathways associated with glucose uptake, intestinal differentiation, and metabolic signaling.
New avenues in metabolic disease treatment: duodenal mucosal resurfacing and gene therapy · 2026 · DOIThe contribution of stressed β-cells to ECM degradation during T1D remains unclear.
Stressed β-cells contribute to loss of peri-islet extracellular matrix in type 1 diabetes · 2025 · DOIIntroduction Pancreatic beta cells undergo metabolic remodeling in response to metabolic overload, but the functional significance of this remains unclear.
Metabolic adaptation to acute metabolic stress via PFKFB3 upregulation in rodent beta cells · 2025 · DOIBackground Type 2 diabetes (T2D) has become a significant global health threat, yet its precise causes and mechanisms remain unclear.
Identification of a pancreatic stellate cell gene signature and lncRNA interactions associated with type 2 diabetes progression · 2025 · DOIPolygonatum sibiricum polysaccharides (PSP) have demonstrated potential anti-diabetic effects; however, their precise mechanism, particularly through the AMPK-SIRT1 pathway, remains unclear.
Polygonatum sibiricum polysaccharides enhance pancreatic β-cell function in diabetic zebrafish by mitigating mitochondrial oxidative damage via the AMPK-SIRT1 pathway · 2025 · DOIWhile the insulin-like growth factor 2 (IGF2) gene is known to be involved in various physiological processes, its precise role in lipid metabolism is still not well understood.
The embryonic time point at which adult pancreatic multipotent progenitor cells emerge has not been established.
The activation of cyclin-dependent kinase 5 (Cdk5) is involved in the development of diabetes; however, its specific mechanism has not been fully elucidated.
Cdk5 mediates impaired autophagy by regulating NGF/Sirt1 axis to cause diabetic islet β cell damage · 2025 · DOIRecent studies have highlighted the glucagon-like peptide-1 receptor (GLP1R) as a critical regulator of immune homeostasis, yet its role in HSC engraftment remains unexplored.
Glucagon-like peptide-1 receptor signaling deficiency exacerbates hematopoietic stem cell graft rejection in mice · 2025 · DOIAlthough animal models are essential for understanding pancreatic development and disease, they are limited by their low throughput and major species-specific molecular and physiological differences.
Generation of human iPSC-derived pancreatic organoids to study pancreas development and disease · 2025 · DOIThe underlying mechanisms driving β-cell dedifferentiation remain elusive due to the intricate interplay of genetic factors and cellular stress.
However, the specific markers of mature β-cell populations and postnatal pancreatic progenitors capable of increasing self-reproduction in these conditions remain to be elucidated.
Development, regeneration, and physiological expansion of functional β-cells: Cellular sources and regulators · 2024 · DOIWe believe that this amenable and simplified protocol can provide a stable source of SC-delta cells from efficient differentiation, facilitating further investigation of the physiological role of delta cells as well as refinement of islet cell therapeutic strategies.
A differentiation protocol for generating pancreatic delta cells from human pluripotent stem cells · 2024 · DOIHowever, current research on the hypoglycemic activity of P-AKK is limited to the metabolic level, neglecting systematic exploration at the pathological level.
Molecular Mechanism of Pasteurized Akkermansia muciniphila in Alleviating Type 2 Diabetes Symptoms · 2024 · DOIConsequently, its material basis and mechanism of action for hypoglycemia remain unclear.
Molecular Mechanism of Pasteurized Akkermansia muciniphila in Alleviating Type 2 Diabetes Symptoms · 2024 · DOIThe current method lacks glucagon regulation. The mRNA is a relatively weak actuator to control glucose levels. The study is entirely computational/simulation-based and did not involve human participants or animal experiments.
Most-cited papers in Pancreatic function and diabetes
- Biochemistry and molecular cell biology of diabetic complications · Nature · 2001 · 7,216 citations
- Islet Transplantation in Seven Patients with Type 1 Diabetes Mellitus Using a Glucocorticoid-Free Immunosuppressive Regimen · New England Journal of Medicine · 2000 · 4,463 citations
- Mechanisms linking obesity to insulin resistance and type 2 diabetes · Nature · 2006 · 4,403 citations
- Insulin signalling and the regulation of glucose and lipid metabolism · Nature · 2001 · 4,259 citations
- Inhibition of glycogen synthase kinase-3 by insulin mediated by protein kinase B · Nature · 1995 · 4,219 citations
- Nutrient control of glucose homeostasis through a complex of PGC-1α and SIRT1 · Nature · 2005 · 2,746 citations
- Cloning of adiponectin receptors that mediate antidiabetic metabolic effects · Nature · 2003 · 2,552 citations
- IRS-1-Mediated Inhibition of Insulin Receptor Tyrosine Kinase Activity in TNF-α- and Obesity-Induced Insulin Resistance · Science · 1996 · 2,108 citations
- Type 2 diabetes: principles of pathogenesis and therapy · The Lancet · 2005 · 1,971 citations
- Pathophysiology and treatment of type 2 diabetes: perspectives on the past, present, and future · The Lancet · 2013 · 1,437 citations
Most recent work
- B cell deficiency limits exercise capacity by remodeling liver glutamate metabolism · Cell · 2026
- Pharmacological or genetic inhibition of Scn9a protects human and mouse beta cells while dampening insulin secretion in type 1 diabetes · bioRxiv · 2026
- Epigenetic adaptation of beta cells across lifespan and disease · Nature Metabolism · 2026
- Evolution of Protein Regulation in the Vertebrate Glucose Sensor · bioRxiv (Cold Spring Harbor Laboratory) · 2026
- β-cell heterogeneity and molecular plasticity in type 2 diabetes: multi-omics perspectives and the role of gut microbiota · Frontiers in Cell and Developmental Biology · 2026
- Energy-Dense High-Fat/High-Sucrose Diet to Induce Type 2 Diabetes Mellitus in BALB/c Mice Without Genetic Modifications and Chemical Agents · Biology · 2026
- Metabolic Programming of β-Cell Fate, State, and Function through Time and Space · Physiology · 2026
- Single-cell ATAC-seq Reveals OVOL2 as a Downstream Negative Regulator of PRL-Mediated Proliferation in β-cells · Endocrinology · 2026
- Functional, transcriptomic, and proteomic profiles of human primary and stem cell-derived beta cells in a state of high insulin production and increased fragility · bioRxiv · 2026
- Heterogeneity in cell-cycle dynamics of synthetic mRNA-induced β-cell proliferation · bioRxiv · 2026
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