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Original Article
- Diabetes, obesity and metabolism
- Exploring Sex Differences in Type 2 Diabetes via a Male-Dominant Beta-Cell Cluster from Single-Cell Pancreatic Sequencing of Public Datasets
- Nguyen Van Anh, Hyo-Wook Gil, Samel Park, Seongho Ryu
- Endocrinol Metab. 2025;40(5):706-717. Published online May 19, 2025
- DOI: https://doi.org/10.3803/EnM.2025.2297
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- 4 Web of Science
- 5 Crossref
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Abstract
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ePub - Background
Type 2 diabetes is a complex metabolic disorder characterized by insulin resistance and progressive beta-cell dysfunction. Although sex differences in type 2 diabetes prevalence, progression, and complications have been reported, the molecular mechanisms underlying these differences remain largely unknown. We aimed to utilize single-cell RNA sequencing to identify a beta-cell cluster that is more prevalent in males than in females and exhibits distinct gene expression patterns, gene set enrichment profiles, and cell-cell communication compared to other clusters.
Methods
FASTQ files from four public datasets were preprocessed, aligned to the human genome (GRCh38), and integrated into a high-quality matrix to mitigate batch effects. We focused on beta-cells from type 2 diabetes patients, performed trajectory inference to identify clusters, and conducted differential gene expression and gene set enrichment analyses. These findings were validated using bulk RNA-seq datasets. Additionally, cell-cell communication analysis was performed to identify ligand-receptor interactions, followed by a sensitivity analysis to assess sex-specific differences.
Results
We identified a male-dominant beta-cell cluster (adjusted P value=4.2×10–6) that displayed unique gene expression patterns and downregulation of pathways associated with protein metabolism and insulin synthesis. Differentially expressed genes (e.g., interleukin 24 [IL24], regulator of G protein signaling like 1 [RGSL1]) were confirmed through bulk analysis. Moreover, the cluster demonstrated distinct communication patterns with other cell types, underscoring sex-specific differences.
Conclusion
We have identified a male-dominant beta-cell cluster characterized by distinct gene expression, signaling pathways, and cell interactions. These findings provide insights into the pathophysiology of type 2 diabetes and may inform the development of more effective, sex-specific therapeutic strategies in the future. -
Citations
Citations to this article as recorded by
- Progenitor CD8+ T cells and hyper-Treg crosstalk: a driver of immune checkpoint inhibitor resistance in esophageal squamous cell carcinoma
Suning Huang, Jingwei Yan, Wenqi Liu, Baijun Li
Apoptosis.2026;[Epub] CrossRef - Sex differences in animal models of complex disorders: Affective disorders, type 2 diabetes mellitus and essential hypertension
Mai Abu-Moch, Abed N. Azab, Muhammad Yousef, Galila Agam
Biomedicine & Pharmacotherapy.2026; 198: 119356. CrossRef - Biological sex affects human islet gene expression and mitochondrial function in type 2 diabetes
Sing-Young Chen, Haoning Howard Cen, Charlotte F Chao, Andrew R Pepper, James D Johnson, Elizabeth J Rideout
Endocrinology.2026;[Epub] CrossRef - Toll-like receptor 2 modulates age-associated insulitis and fibrotic remodeling of Langerhans islets
Julia Jelleschitz, Annette Brandt, Klara Brehm, Vanessa Schnell, Tobias Jung, Ina Bergheim, Annika Höhn
Immunity & Ageing.2026;[Epub] CrossRef - Exploring Sex-Specific Mechanisms in Type 2 Diabetes Mellitus by Single-Cell Analysis in Pancreatic Islets
Joonyub Lee
Endocrinology and Metabolism.2025; 40(5): 699. CrossRef
- Progenitor CD8+ T cells and hyper-Treg crosstalk: a driver of immune checkpoint inhibitor resistance in esophageal squamous cell carcinoma
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