Generation of a pseudo-timeline describing progressive human exocrine and endocrine pancreatic pathology in cystic fibrosis through novel semi-quantitative scoring and AI-driven quantitative image analysis
The natural history of pancreatic CF progresses rapidly from duct blockage and dilatation associated with periductal fibrosis to global fat replacement in keeping with early onset of PEI in the majority of affected individuals. Beta cell proportional area is reduced at birth before clinical evidence of pancreatic endocrine dysfunction without significant further loss of islet/beta cell mass with age. Increasing islet disorganisation and intra-islet collagen deposition in older donors temporo-spatially implicates fibrosis in and around the islet as being aetiologically important in the development of CF-related diabetes.
Authors
- Christine S. Flaxman (ORCID: https://orcid.org/0009-0002-1144-7767)
- Nicole Kattner (ORCID: https://orcid.org/0000-0002-2930-5719)
- Nicola Dyson (ORCID: https://orcid.org/0000-0002-4173-1913)
- Yara Al-Selwi
- Dina Tiniakos (ORCID: https://orcid.org/0000-0003-4657-7780)
- Sarah J. Richardson (ORCID: https://orcid.org/0000-0002-1160-6062)
- Rashmi R Maheshwari
- Lydia Russell
- James Shaw (ORCID: https://orcid.org/0000-0002-2893-3211)
- Minna Honkanen‐Scott (ORCID: https://orcid.org/0000-0002-6761-2998)
- Rowan Coulthard
- Günter Klöppel (ORCID: https://orcid.org/0000-0002-6688-086X)
Institutions
- National and Kapodistrian University of Athens (GR)
- University of Exeter (GB)
- Royal Victoria Infirmary (GB)
- Newcastle upon Tyne Hospitals NHS Foundation Trust (GB)
- Freeman Hospital (GB)
- Technical University of Munich (DE)
- Newcastle University (GB)
Publication Details
- Journal
- Diabetologia
- Published
- 2025-10-12
- DOI
- https://doi.org/10.1007/s00125-025-06559-4
- Citations
- 2
- Primary Topic
- Cystic Fibrosis Research Advances
- Type
- article
- Field-Weighted Citation Impact
- 3.04
Funders
- National Institute for Health and Care Research
- Department of Health and Social Care
- Cystic Fibrosis Trust
- University of Exeter
- Newcastle University
- Medical Research Council