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Cell-specific DNA methylation in human alpha and beta cells regulates gene expression in type 2 diabetes.

Journal articles  - Journal Article
Ofori, JK; Ruhrmann, S; Lindström, A; Perfilyev, A; Martin, M; Karagiannopoulos, A; Scisciola, L; Kost, K; Jönsson, J; Nilsson, Å; Kantor, B ...
Published in: Nat Metab
April 2026

Epigenome-wide studies of pancreatic islets provide valuable insights into type 2 diabetes (T2D) but lack methylomes from individual cell types. Here we show changes to alpha and beta cell-specific methylomes and transcriptomes from people with or without T2D, using whole-genome bisulfite sequencing and RNA sequencing. We discover 22,544 differentially methylated regions annotated to 7,975 genes in alpha versus beta cells, such as INS, GCG, PDX1 and PCSK1, with ~50% showing differential expression. CRISPR-dCas9-DNMT3A-based epigenetic editing increases INS and TH DNA methylation, while CRISPR-dCas9-TET1-based editing decreases GCG methylation, each altering INS, TH or GCG expression and content in beta cells. Pre-T2D/T2D-associated differentially methylated regions in alpha and beta cells overlap 12-18% of T2D-associated genome-wide association study candidates. Additionally, ONECUT2 is epigenetically upregulated in beta cells from people with pre-T2D/T2D and elevated in male Goto-Kakizaki rat islets. ONECUT2 overexpression in beta cells/islets downregulates gene sets impacting insulin secretion and glucose homeostasis, and reduces mitochondrial activity, ATP/ADP ratio and insulin secretion. We also provide 'alpha-beta-methylome' ( https://alpha-beta-methylome.serve.scilifelab.se/app/alpha-beta-methylome/ ), a resource exploring T2D, age and sex associations on methylation, highlighting cell-specific epigenetic regulation and dysfunctions contributing to T2D.

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Published In

Nat Metab

DOI

EISSN

2522-5812

Publication Date

April 2026

Volume

8

Issue

4

Start / End Page

957 / 980

Location

Germany

Related Subject Headings

  • Rats
  • Male
  • Insulin-Secreting Cells
  • Humans
  • Glucagon-Secreting Cells
  • Gene Expression Regulation
  • Epigenesis, Genetic
  • Diabetes Mellitus, Type 2
  • DNA Methylation
  • Animals
 

Citation

APA
Chicago
ICMJE
MLA
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Ofori, J. K., Ruhrmann, S., Lindström, A., Perfilyev, A., Martin, M., Karagiannopoulos, A., … Ling, C. (2026). Cell-specific DNA methylation in human alpha and beta cells regulates gene expression in type 2 diabetes. Nat Metab, 8(4), 957–980. https://doi.org/10.1038/s42255-026-01498-9
Ofori, Jones K., Sabrina Ruhrmann, Axel Lindström, Alexander Perfilyev, Melina Martin, Alexandros Karagiannopoulos, Lucia Scisciola, et al. “Cell-specific DNA methylation in human alpha and beta cells regulates gene expression in type 2 diabetes.Nat Metab 8, no. 4 (April 2026): 957–80. https://doi.org/10.1038/s42255-026-01498-9.
Ofori JK, Ruhrmann S, Lindström A, Perfilyev A, Martin M, Karagiannopoulos A, et al. Cell-specific DNA methylation in human alpha and beta cells regulates gene expression in type 2 diabetes. Nat Metab. 2026 Apr;8(4):957–80.
Ofori, Jones K., et al. “Cell-specific DNA methylation in human alpha and beta cells regulates gene expression in type 2 diabetes.Nat Metab, vol. 8, no. 4, Apr. 2026, pp. 957–80. Pubmed, doi:10.1038/s42255-026-01498-9.
Ofori JK, Ruhrmann S, Lindström A, Perfilyev A, Martin M, Karagiannopoulos A, Scisciola L, Kost K, Jönsson J, Nilsson Å, Kantor B, Dudenhöffer-Pfeifer M, Rots MG, Wendt A, Rönn T, Eliasson L, Bacos K, Ling C. Cell-specific DNA methylation in human alpha and beta cells regulates gene expression in type 2 diabetes. Nat Metab. 2026 Apr;8(4):957–980.

Published In

Nat Metab

DOI

EISSN

2522-5812

Publication Date

April 2026

Volume

8

Issue

4

Start / End Page

957 / 980

Location

Germany

Related Subject Headings

  • Rats
  • Male
  • Insulin-Secreting Cells
  • Humans
  • Glucagon-Secreting Cells
  • Gene Expression Regulation
  • Epigenesis, Genetic
  • Diabetes Mellitus, Type 2
  • DNA Methylation
  • Animals