Evidence map›Paper›PMID 41223156›Full record

ArticleDiabetes care2026

Use of Teplizumab to Modulate Stage 2 Type 1 Diabetes in Two Individuals With Autoimmune Polyendocrine Syndrome 1.

Christopher S Wilson, Alexander Falk, Jonathan M Williams, Melissa Hilmes, Jordan Ross, Lauren LeStourgeon, Michael J Haller, Martina Drawdy, Joseph Pechacek, Taura Webb and 6 more

Abstract readCase Reports
In one paragraph

Article in Diabetes care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

16 authors.

Christopher S WilsonDepartment of Pediatrics, Ian Burr Division of Pediatric Endocrinology & Diabetes, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-7562-8420
Alexander FalkDepartment of Pediatrics, Ian Burr Division of Pediatric Endocrinology & Diabetes, Vanderbilt University Medical Center, Nashville, TN.
Jonathan M WilliamsDepartment of Medicine, Division of Rheumatology, Vanderbilt University Medical Center, Nashville, TN.
Melissa HilmesDepartment of Radiology and Radiologic Sciences, Vanderbilt University Medical Center, Nashville, TN.
Jordan RossDepartment of Pediatrics, Division of Endocrinology, University of TN Health Sciences Center, TN.
Lauren LeStourgeonDepartment of Medicine, Vanderbilt University Medical Center, TN.
Michael J HallerDepartment of Pediatrics, Division of Endocrinology, University of Florida, Gainesville, FL.
Martina DrawdyDepartment of Pediatrics, Division of Endocrinology, University of Florida, Pensacola, FL.
Joseph PechacekFungal Pathogenesis Section, Laboratory of Clinical Immunology & Microbiology, National Institute of Allergy & Infectious Diseases, National Institutes of Health, Bethesda, MD.
Taura WebbFungal Pathogenesis Section, Laboratory of Clinical Immunology & Microbiology, National Institute of Allergy & Infectious Diseases, National Institutes of Health, Bethesda, MD.
Alicia Diaz-ThomasDepartment of Pediatrics, Division of Endocrinology, University of TN Health Sciences Center, TN.
William E RussellDepartment of Pediatrics, Ian Burr Division of Pediatric Endocrinology & Diabetes, Vanderbilt University Medical Center, Nashville, TN.
Justin M GregoryDepartment of Pediatrics, Ian Burr Division of Pediatric Endocrinology & Diabetes, Vanderbilt University Medical Center, Nashville, TN.
Jack VirostkoDepartment of Diagnostic Medicine, Dell Medical School, University of Texas at Austin, Austin, TX.
Michail S LionakisFungal Pathogenesis Section, Laboratory of Clinical Immunology & Microbiology, National Institute of Allergy & Infectious Diseases, National Institutes of Health, Bethesda, MD.
Daniel J MooreDepartment of Pediatrics, Ian Burr Division of Pediatric Endocrinology & Diabetes, Vanderbilt University Medical Center, Nashville, TN.ORCID 0000-0002-6889-9345

Funding

Tumor Immunology and Microenvironment Research ProgramP30CA068485 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Ben Ho Park · 1995 to 2026
$172.8M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Immunopathogenesis of Fungal InfectionsZIAAI001175 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI LIONAKIS, MICHAIL · 2012 to 2025
$23.9M
Cardiometabolic Benefit of Reducing Iatrogenic Hyperinsulinemia Using Insulin Adjunctive Therapy in Type 1 DiabetesR01DK137997 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Daniel J. Moore · 2024 to 2026
$1.0M
Optimizing Stage 2 T1DM Management: Assessing the Impact of GLP-1Ra on Metabolic Outcomes in Patients Receiving TeplizumabR01DK139322 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Daniel J. Moore · 2024 to 2026
$922k
Deep Learning of Pancreas MRI to Predict Progression of T1D.R03DK129979 · NIDDK · UNIVERSITY OF TEXAS AT AUSTIN · PI VIROSTKO, JOHN MICHAEL · 2021 to 2022
$317k
INHIBITION OF PLASMODIUM/HEPATOCYTE INTERACTIONK11AI001175 · NIAID · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI SINNIS, PHOTINI · 1993 to 1997
–
Breakthrough T1D 3-PDF-2023-1320-A-N, 5-ECR-2020-950-A-NDivision of Intramural Research, NIAID, NIH AI001175Intramural NIH HHS ZIA AI001175Leona B and Harry M Helmsley Charitable FoundationNCI NIH HHS P30 CA068485NIAID NIH HHS K11 AI001175NIDDK NIH HHS P30 DK058404NIDDK NIH HHS R01 DK137997NIDDK NIH HHS R01 DK139322NIDDK NIH HHS R03 DK129979NIH NIDDK 5-ECR-2020-950-A-NNIH NIDDK R01DK137997NIH NIDDK R01DK139322NIH NIDDK R03DK129979The JP Fletcher FoundationVanderbilt Digestive Disease Research Center DK058404Vanderbilt Ingram Cancer Center P30 CA68485Vanderbilt Institute for Clinical and Translational (VICTR) VR762760
6 · The paper itself

Abstract

objectiveAutoimmune polyendocrine syndrome type 1 (APS-1) is a rare, monogenic autoimmune disorder that may manifest as type 1 diabetes (T1D). Teplizumab, an anti-CD3 monoclonal antibody, delays progression of stage 2 T1D, but its effects in APS-1-associated diabetes are unknown. RESEARCH DESIGN AND

methodsWe report clinical responses of two adolescents with APS-1 and stage 2 T1D who received 14-day courses of teplizumab. In one patient, pancreatic MRI and spectral immune cell phenotyping were performed before and after treatment.

resultsBoth patients exhibited improved glycemia. One who briefly required insulin recovered insulin independence 2 weeks after therapy. Pancreatic volume transiently increased, and circulating lymphocytes showed changes in homing receptors and senescence markers in the individual who underwent those studies. Nonpancreatic APS-1 manifestations were unchanged.

conclusionsTeplizumab may preserve β-cell function in APS-1-associated T1D. Larger studies are needed to define efficacy, durability, and immunologic and tissue mechanisms in this rare context.

Indexed as

Antibodies, Monoclonal, HumanizedDiabetes Mellitus, Type 1Polyendocrinopathies, AutoimmuneAdolescentHumansAntibodies, Monoclonal, Humanizedteplizumab

Identifiers

PMID41223156
PMCPMC12719717

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.