Evidence map›Paper›PMID 39636437›Full record

ArticleDiabetologia2025

Inhibition of CD226 co-stimulation suppresses diabetes development in the NOD mouse by augmenting regulatory T cells and diminishing effector T cell function.

Matthew E Brown, Puchong Thirawatananond, Leeana D Peters, Elizabeth J Kern, Sonali Vijay, Lindsey K Sachs, Amanda L Posgai, Maigan A Brusko, Melanie R Shapiro, Clayton E Mathews and 2 more

Abstract read
In one paragraph

Article in Diabetologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Article
  8. CD226Frontiers in immunology · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Matthew E Brown *Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0001-8230-5243
Puchong Thirawatananond *Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0003-4973-7380
Leeana D PetersDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-7878-0014
Elizabeth J KernDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0009-0001-8172-6000
Sonali VijayDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0009-0006-4242-8891
Lindsey K SachsDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.
Amanda L PosgaiDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-9491-0958
Maigan A BruskoDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-4331-2202
Melanie R ShapiroDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0003-2090-0877
Clayton E MathewsDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0002-8817-6355
Rhonda BacherDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA.ORCID http://orcid.org/0000-0001-5787-476X
Todd M BruskoDiabetes Institute, College of Medicine, University of Florida, Gainesville, FL, USA. tbrusko@ufl.edu.ORCID http://orcid.org/0000-0003-2878-9296

Funding

The CD226 costimulatory axis in type 1 diabetesR01DK106191 · NIDDK · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 2016 to 2026
$4.4M
Resolving single-cell analysis challenges via data-driven decision frameworks and novel statistical methodsR35GM146895 · NIGMS · UNIVERSITY OF FLORIDA · PI Rhonda Bacher · 2022 to 2026
$1.9M
Generation of Islet Specific T Follicular Regulatory Like Cells for Autologous Cell Therapy of Type 1 DiabetesF30DK128945 · NIDDK · UNIVERSITY OF FLORIDA · PI THIRAWATANANOND, PUCHONG · 2021 to 2024
$177k
American Diabetes Association 11-23-PDF-78Diabetes Research Connection DRC 45JDRF 3-PDF-2022-1137-A-NNIDDK NIH HHS F30 DK128945NIDDK NIH HHS R01 DK106191NIGMS NIH HHS R35 GM146895
6 · The paper itself

Abstract

aims/hypothesisImmunotherapeutics targeting T cells are crucial for inhibiting autoimmune disease progression proximal to disease onset in type 1 diabetes. There is an outstanding need to augment the durability and effectiveness of T cell targeting therapies by directly restraining proinflammatory T cell subsets, while simultaneously augmenting regulatory T cell (Treg) activity. Here, we present a novel strategy for preventing diabetes incidence in the NOD mouse model using a blocking monoclonal antibody targeting the type 1 diabetes risk-associated T cell co-stimulatory receptor, CD226.

methodsFemale NOD mice were treated with anti-CD226 at 7-8 weeks of age and then monitored for diabetes incidence and therapeutic mechanism of action.

resultsCompared with isotype-treated controls, anti-CD226-treated NOD mice showed reduced insulitis severity (0.84-fold, p=0.0002) at 12 weeks and decreased disease incidence (HR 0.41, p=0.015) at 30 weeks. Flow cytometric analysis performed 5 weeks post treatment demonstrated reduced proliferation of conventional CD4 CONCLUSIONS/

interpretationCD226 blockade reduces T cell cytotoxicity and improves Treg function, representing a targeted and rational approach for restoring immune regulation in type 1 diabetes.

Indexed as

Antigens, Differentiation, T-LymphocyteDiabetes Mellitus, Type 1T-Lymphocytes, RegulatoryAnimalsAntibodies, MonoclonalFemaleMiceMice, Inbred NODT Lineage-Specific Activation Antigen 1Antibodies, MonoclonalAntigens, Differentiation, T-LymphocyteT Lineage-Specific Activation Antigen 1CD226Disease preventionMonoclonal antibodyNOD mouseType 1 diabetes

Identifiers

PMID39636437
PMCPMC11732877

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.