Evidence map›Paper›PMID 30730852›Full record

Trial reportJCI insight2019

Treg gene signatures predict and measure type 1 diabetes trajectory.

Anne M Pesenacker, Virginia Chen, Jana Gillies, Cate Speake, Ashish K Marwaha, Annika Sun, Samuel Chow, Rusung Tan, Thomas Elliott, Jan P Dutz and 2 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Regulatory T cells in cancer and inflammation.Signal transduction and targeted therapy · 2026
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  4. Armored human CAR TScience advances · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 3 countries.

Anne M PesenackerDepartment of Surgery, University of British Columbia (UBC), and BC Children's Hospital Research Institute (BCCHRI), Vancouver, British Columbia, Canada.
Virginia ChenDepartment of Medicine and Centre for Heart Lung Innovation, UBC, and Prevention of Organ Failure (PROOF) Centre of Excellence, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Jana GilliesDepartment of Surgery, University of British Columbia (UBC), and BC Children's Hospital Research Institute (BCCHRI), Vancouver, British Columbia, Canada.
Cate SpeakeDiabetes Clinical Research Program, Benaroya Research Institute, Seattle, Washington, USA.
Ashish K MarwahaDepartment of Molecular Genetics, University of Toronto, Toronto, Ontario, Canada.
Annika SunDepartment of Surgery, University of British Columbia (UBC), and BC Children's Hospital Research Institute (BCCHRI), Vancouver, British Columbia, Canada.
Samuel ChowDepartment of Dermatology, UBC, and BCCHRI, Vancouver, British Columbia, Canada.
Rusung TanDepartment of Pathology, Sidra Medicine, Weill Cornell Medicine, Doha, Qatar.
Thomas ElliottDepartment of Medicine, UBC, and BCDiabetes, Vancouver, British Columbia, Canada.
Jan P DutzDepartment of Dermatology, UBC, and BCCHRI, Vancouver, British Columbia, Canada.
Scott J TebbuttDepartment of Medicine and Centre for Heart Lung Innovation, UBC, and Prevention of Organ Failure (PROOF) Centre of Excellence, St. Paul's Hospital, Vancouver, British Columbia, Canada.
Megan K LevingsDepartment of Surgery, University of British Columbia (UBC), and BC Children's Hospital Research Institute (BCCHRI), Vancouver, British Columbia, Canada.
BC Children's Hospital · CAUniversity of British Columbia Hospital · CAPrevention of Organ Failure · CASeattle Institute for Biomedical and Clinical Research · USUniversity of Toronto · CAWeill Cornell Medical College in Qatar · QA

Funding

Immune Tolerance Network UM1 2023 SupplementUM1AI109565 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI Mark S Anderson, Jane Hoyt Buckner · 2014 to 2026
$451.6M
NIAID NIH HHS UM1 AI109565
6 · The paper itself

Abstract

backgroundMultiple therapeutic strategies to restore immune regulation and slow type 1 diabetes (T1D) progression are in development and testing. A major challenge has been defining biomarkers to prospectively identify subjects likely to benefit from immunotherapy and/or measure intervention effects. We previously found that, compared with healthy controls, Tregs from children with new-onset T1D have an altered Treg gene signature (TGS), suggesting that this could be an immunoregulatory biomarker.

methodsnanoString was used to assess the TGS in sorted Tregs (CD4+CD25hiCD127lo) or peripheral blood mononuclear cells (PBMCs) from individuals with T1D or type 2 diabetes, healthy controls, or T1D recipients of immunotherapy. Biomarker discovery pipelines were developed and applied to various sample group comparisons.

resultsCompared with controls, the TGS in isolated Tregs or PBMCs was altered in adult new-onset and cross-sectional T1D cohorts, with sensitivity or specificity of biomarkers increased by including T1D-associated SNPs in algorithms. The TGS was distinct in T1D versus type 2 diabetes, indicating disease-specific alterations. TGS measurement at the time of T1D onset revealed an algorithm that accurately predicted future rapid versus slow C-peptide decline, as determined by longitudinal analysis of placebo arms of START and T1DAL trials. The same algorithm stratified participants in a phase I/II clinical trial of ustekinumab (αIL-12/23p40) for future rapid versus slow C-peptide decline.

conclusionThese data suggest that biomarkers based on measuring TGSs could be a new approach to stratify patients and monitor autoimmune activity in T1D.

fundingJDRF (1-PNF-2015-113-Q-R, 2-PAR-2015-123-Q-R, 3-SRA-2016-209-Q-R, 3-PDF-2014-217-A-N), the JDRF Canadian Clinical Trials Network, the National Institute of Allergy and Infectious Diseases of the National Institutes of Health (UM1AI109565 and FY15ITN168), and BCCHRI.

Indexed as

AdolescentAdultAlgorithmsBiomarkersCanadaComputational BiologyCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Gene Expression RegulationGenotypeHumansImmunotherapyLeukocytes, MononuclearRNA, MessengerT-Lymphocytes, RegulatoryBiomarkersRNA, MessengerBioinformaticsDiabetesEndocrinologyImmunologyTolerance

Identifiers

PMID30730852
PMCPMC6483004
OpenAlexW2911228313

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.