Evidence map›Paper›PMID 33301420›Full record

ArticleJCI insight2021

CD4+CD25+CD127hi cell frequency predicts disease progression in type 1 diabetes.

Aditi Narsale, Breanna Lam, Rosa Moya, TingTing Lu, Alessandra Mandelli, Irene Gotuzzo, Benedetta Pessina, Gianmaria Giamporcaro, Rhonda Geoffrey, Kerry Buchanan and 7 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Review
  6. Article
  7. Article
  8. Article
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  11. Th2 cell clonal expansion at diagnosis in human type 1 diabetes.Clinical immunology (Orlando, Fla.) · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Clinical and experimental treatment of type 1 diabetes.Clinical and experimental immunology · 2022
    Review
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  17. Review
  18. Article
  19. Article
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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

17 authors at 5 institutions in 3 countries.

Aditi NarsaleSan Diego Biomedical Research Institute, San Diego, California, USA.
Breanna LamSan Diego Biomedical Research Institute, San Diego, California, USA.
Rosa MoyaSan Diego Biomedical Research Institute, San Diego, California, USA.
TingTing LuImmune Tolerance Network, Bethesda, Maryland, USA.
Alessandra MandelliSan Raffaele Diabetes Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.
Irene GotuzzoSan Raffaele Diabetes Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.
Benedetta PessinaSan Raffaele Diabetes Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.
Gianmaria GiamporcaroSan Raffaele Diabetes Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.
Rhonda GeoffreyDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Kerry BuchananDiamantina Institute, University of Queensland, Woolloongabba, Queensland, Australia.
Mark HarrisDiamantina Institute, University of Queensland, Woolloongabba, Queensland, Australia.
Anne-Sophie BergotDiamantina Institute, University of Queensland, Woolloongabba, Queensland, Australia.
Ranjeny ThomasDiamantina Institute, University of Queensland, Woolloongabba, Queensland, Australia.
Martin J HessnerDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
Manuela BattagliaSan Raffaele Diabetes Research Institute, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) San Raffaele Hospital, Milan, Italy.
Elisavet SertiImmune Tolerance Network, Bethesda, Maryland, USA.
Joanna D DaviesSan Diego Biomedical Research Institute, San Diego, California, USA.
Vita-Salute San Raffaele University · ITSan Diego Biomedical Research Institute · USThe University of Queensland · AUImmune Tolerance Network · USMedical College of Wisconsin · US

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
(PQD6)The Role of Immune Homeostasis in Protection from Cancer CachexiaR01CA185349 · NCI · SAN DIEGO BIOMEDICAL RESEARCH INSTITUTE · PI DAVIES, JOANNA D · 2014 to 2017
$1.2M
NCI NIH HHS R01 CA185349NIAID NIH HHS UM1 AI109565
6 · The paper itself

Abstract

Transient partial remission, a period of low insulin requirement experienced by most patients soon after diagnosis, has been associated with mechanisms of immune regulation. A better understanding of such natural mechanisms of immune regulation might identify new targets for immunotherapies that reverse type 1 diabetes (T1D). In this study, using Cox model multivariate analysis, we validated our previous findings that patients with the highest frequency of CD4+CD25+CD127hi (127-hi) cells at diagnosis experience the longest partial remission, and we showed that the 127-hi cell population is a mix of Th1- and Th2-type cells, with a significant bias toward antiinflammatory Th2-type cells. In addition, we extended these findings to show that patients with the highest frequency of 127-hi cells at diagnosis were significantly more likely to maintain β cell function. Moreover, in patients treated with alefacept in the T1DAL clinical trial, the probability of responding favorably to the antiinflammatory drug was significantly higher in those with a higher frequency of 127-hi cells at diagnosis than those with a lower 127-hi cell frequency. These data are consistent with the hypothesis that 127-hi cells maintain an antiinflammatory environment that is permissive for partial remission, β cell survival, and response to antiinflammatory immunotherapy.

Indexed as

AdolescentAdultAlefaceptCD4-Positive T-LymphocytesChildChild, PreschoolDiabetes Mellitus, Type 1Disease ProgressionFemaleHumansImmunotherapyInfantInterleukin-2 Receptor alpha SubunitInterleukin-7 Receptor alpha SubunitMaleMultivariate AnalysisAlefaceptIL2RA protein, humanIL7R protein, humanInterleukin-2 Receptor alpha SubunitInterleukin-7 Receptor alpha SubunitAutoimmune diseasesAutoimmunityDiabetesImmunologyT cells

Identifiers

PMID33301420
PMCPMC7934872
OpenAlexW3112807499

What Socratic holds

Textmetadata
LicenceCC BY
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.