On Feb. 9, 2023, the National Institutes of Health (NIH) announced that a new large-scale genetic analysis found a set of small RNA molecules, called microRNAs, in human pancreatic cells that are strongly associated with type 2 diabetes. Researchers discovered the microRNAs in groups of cells called pancreatic islets, which produce hormones, such as insulin, that the body uses to regulate energy levels.

In people with diabetes, the islets fail to produce sufficient insulin to control blood sugar, which is why understanding the basic biology of pancreatic islets is important for human health. The study, led in part by scientists at the National Human Genome Research Institute (NHGRI), part of the National Institutes of Health, will inform future studies on the early detection and treatment of diabetes.

Previous research with animal or cell-based models over the past two decades suggests that certain microRNAs, which are involved in controlling which genes are turned on and off in cells, may help pancreatic islets normally develop and function.

Using next-generation DNA sequencing, a fast and high-throughput method for sequencing nucleic acids (like DNA and RNA), the researchers analyzed microRNAs in over 60 samples of human pancreatic islets. They found specific microRNAs that are different in people with type 2 diabetes, which may be important for charting the course of the condition or for future development of drug therapies.

The researchers also found genomic variants that are associated with the quantity (or expression level) of certain microRNAs in the cell. These genomic variants might explain the variation seen in the level of specific microRNAs among different people. One of these genomic variants was found in a genomic region known to be associated with increased risk for type 2 diabetes-related traits, which may give researchers clues about how type 2 diabetes develops.

Diabetes affects more than 37 million Americans — about 1 in 10 people. Approximately 90-95% of people with diabetes have type 2 diabetes, in which the body either does not make enough insulin and/or is unable to use insulin properly. The hallmark feature of diabetes is too much sugar circulating in the bloodstream. Prolonged high blood sugar levels can lead to heart disease, kidney disease and vision loss. Currently, diabetes has no cure, but treatment and lifestyle changes can help individuals manage the condition.

The results were published in Proceedings of the National Academy of the Sciences.