2020
DOI: 10.3389/fendo.2020.563267
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Interplay Between Diabetes and Pancreatic Ductal Adenocarcinoma and Insulinoma: The Role of Aging, Genetic Factors, and Obesity

Abstract: Epidemiologic analyses have shed light on an association between type 2 diabetes (T2D) and pancreatic ductal adenocarcinoma (PDAC). Recent data also suggest a potential relationship between T2D and insulinoma. Under rare circumstances, type 1 diabetes (T1D) can also be implicated in tumorigenesis. The biological mechanisms underlying such relationships are extremely complex. Some genetic factors contributing to the development of T2D are shared with pancreatic exocrine and endocrine tumors. Obesity and overwei… Show more

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Cited by 15 publications
(7 citation statements)
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“…Interestingly, ducts characterized by the appearance of neoislets also presented with dysplastic lesions of the epithelium and PDGs. T2DM has been linked with the development of pancreatic duct adenocarcinoma (PDAC) (Qadir et al, 2020) through several possible mechanisms including both systemic risk factors and local processes (Duvillié et al, 2020). Regarding the latter, it has been hypothesized that intrapancreatic hyperinsulinemia could trigger a response in ductal cells via insulin receptors and, particularly on transformed cells, by the IGF-1 signaling pathway.…”
Section: Discussionmentioning
confidence: 99%
“…Interestingly, ducts characterized by the appearance of neoislets also presented with dysplastic lesions of the epithelium and PDGs. T2DM has been linked with the development of pancreatic duct adenocarcinoma (PDAC) (Qadir et al, 2020) through several possible mechanisms including both systemic risk factors and local processes (Duvillié et al, 2020). Regarding the latter, it has been hypothesized that intrapancreatic hyperinsulinemia could trigger a response in ductal cells via insulin receptors and, particularly on transformed cells, by the IGF-1 signaling pathway.…”
Section: Discussionmentioning
confidence: 99%
“…It is well known that the impairment of beta cell function leads to insulin deficiency, which increases the level of blood glucose and diabetes. In addition, pancreatic beta cell canceration promotes the generation of insulinoma, which causes symptoms of malignant hypoglycemia 44 . The dynamic expression of SIRT1 was observed in endocrine progenitors both beta cell regeneration in neonatal rats and the second transition phase of mouse pancreas development.…”
Section: Beta Cellsmentioning
confidence: 99%
“…Pancreatic ductal cells are abundantly ciliated, while cilia and ciliary regulation of cell proliferation become lost in pancreatic cancers such as pancreatic ductal adenocarcinoma cancer (PDAC) (26,78). Endocrine function is often disrupted in these cancers, suggesting deleterious exocrine-to-endocrine signaling, while chronic hyperglycemia in diabetes are considered risk factors for PDAC (79)(80)(81)(82). Thus, there likely exists bidirectional exocrine-endocrine crosstalk amidst a shared milieu of pro-inflammatory and growth signals, including insulin itself, that may drive both neoplastic transformation and b-cell dysfunction in diabetes.…”
Section: Non-endocrine Ciliamentioning
confidence: 99%