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Altered Islet Composition and Disproportionate Loss of Large Islets in Patients with Type 2 Diabetes

Overview of attention for article published in PLOS ONE, November 2011
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Title
Altered Islet Composition and Disproportionate Loss of Large Islets in Patients with Type 2 Diabetes
Published in
PLOS ONE, November 2011
DOI 10.1371/journal.pone.0027445
Pubmed ID
Authors

German Kilimnik, Billy Zhao, Junghyo Jo, Vipul Periwal, Piotr Witkowski, Ryosuke Misawa, Manami Hara

Abstract

Human islets exhibit distinct islet architecture with intermingled alpha- and beta-cells particularly in large islets. In this study, we quantitatively examined pathological changes of the pancreas in patients with type 2 diabetes (T2D). Specifically, we tested a hypothesis that changes in endocrine cell mass and composition are islet-size dependent. A large-scale analysis of cadaveric pancreatic sections from T2D patients (n = 12) and non-diabetic subjects (n = 14) was carried out combined with semi-automated analysis to quantify changes in islet architecture. The method provided the representative islet distribution in the whole pancreas section that allowed us to examine details of endocrine cell composition in individual islets. We observed a preferential loss of large islets (>60 µm in diameter) in T2D patients compared to non-diabetic subjects. Analysis of islet cell composition revealed that the beta-cell fraction in large islets was decreased in T2D patients. This change was accompanied by a reciprocal increase in alpha-cell fraction, however total alpha-cell area was decreased along with beta-cells in T2D. Delta-cell fraction and area remained unchanged. The computer-assisted quantification of morphological changes in islet structure minimizes sampling bias. Significant beta-cell loss was observed in large islets in T2D, in which alpha-cell ratio reciprocally increased. However, there was no alpha-cell expansion and the total alpha-cell area was also decreased. Changes in islet architecture were marked in large islets. Our method is widely applicable to various specimens using standard immunohistochemical analysis that may be particularly useful to study large animals including humans where large organ size precludes manual quantitation of organ morphology.

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Geographical breakdown

Country Count As %
United Kingdom 1 1%
United States 1 1%
Denmark 1 1%
Switzerland 1 1%
Unknown 86 96%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 21 23%
Student > Master 16 18%
Researcher 13 14%
Student > Bachelor 10 11%
Student > Doctoral Student 7 8%
Other 10 11%
Unknown 13 14%
Readers by discipline Count As %
Biochemistry, Genetics and Molecular Biology 26 29%
Agricultural and Biological Sciences 18 20%
Medicine and Dentistry 15 17%
Physics and Astronomy 5 6%
Immunology and Microbiology 2 2%
Other 9 10%
Unknown 15 17%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 November 2023.
All research outputs
#15,695,504
of 24,862,965 outputs
Outputs from PLOS ONE
#136,709
of 215,383 outputs
Outputs of similar age
#95,405
of 145,959 outputs
Outputs of similar age from PLOS ONE
#1,503
of 2,637 outputs
Altmetric has tracked 24,862,965 research outputs across all sources so far. This one is in the 34th percentile – i.e., 34% of other outputs scored the same or lower than it.
So far Altmetric has tracked 215,383 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 15.7. This one is in the 33rd percentile – i.e., 33% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 145,959 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 32nd percentile – i.e., 32% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 2,637 others from the same source and published within six weeks on either side of this one. This one is in the 39th percentile – i.e., 39% of its contemporaries scored the same or lower than it.