PT - JOURNAL ARTICLE AU - Rafael Arrojo e Drigo AU - Galina Erikson AU - Swati Tyagi AU - Juliana Capitanio AU - James Lyon AU - Aliya F Spigelman AU - Austin Bautista AU - Jocelyn E Manning Fox AU - Max Shokhirev AU - Patrick E. MacDonald AU - Martin W. Hetzer TI - Aging of human endocrine pancreatic cell types is heterogeneous and sex-specific AID - 10.1101/729541 DP - 2019 Jan 01 TA - bioRxiv PG - 729541 4099 - http://biorxiv.org/content/early/2019/08/08/729541.short 4100 - http://biorxiv.org/content/early/2019/08/08/729541.full AB - The human endocrine pancreas must regulate glucose homeostasis throughout the human lifespan, which is generally decades. We performed meta-analysis of single-cell, RNA-sequencing datasets derived from 36 individuals, as well as functional analyses, to characterize age-associated changes to the major endocrine pancreatic cell types. Increasing age was associated with shifts in pancreatic alpha and beta cell identity and loss of nuclear integrity in non-diabetic humans. In non-diabetic individuals ≥ 50 years old, 80% of their beta cells exhibited a transcriptional signature similar to cells from type-2 diabetic (T2D) donors. Surprisingly, ∼5% of beta cells from T2D donors retained a youthful, N.D. transcriptional profile. Furthermore, beta cell function was reduced by 50% during aging in men but not women, which may explain sex-associated differences in diabetes etiology. These analyses reveal that aging of the human endocrine pancreas is sex- and cell-type specific.