Evidence map›Paper›PMID 10209507›Full record

ArticleClinical and experimental immunology1999

Jejuna of patients with insulin-dependent diabetes mellitus (IDDM) show signs of immune activation.

E Savilahti, T Ormälä, T Saukkonen, U Sandini-Pohjavuori, J M Kantele, A Arato, J Ilonen, H K Akerblom

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In one paragraph

Article in Clinical and experimental immunology, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.1field-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

19 citing papers in PubMed, 72 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

E SavilahtiHospital for Children and Adolescents, University of Helsinki, Finland. savilaht@helsinki.fi
T Ormälä
T Saukkonen
U Sandini-Pohjavuori
J M Kantele
A Arato
J Ilonen
H K Akerblom
University of Helsinki · FIUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The roles of enteric viruses and food antigens as possible triggers in human insulin-dependent diabetes mellitus and the evidence that mucosal-associated homing receptors are important in both human and experimental diabetes prompted us to undertake an immunohistochemical study of intestinal specimens from patients with IDDM. We studied jejunal morphology and immunohistochemistry in 26 patients with IDDM, 13 of whom had the HLA-DQB1*0201 gene and therefore a higher risk of coeliac disease. The findings were compared with those in specimens from age-matched controls. Villous structure and the density of the intraepithelial lymphocytes were normal in every biopsy specimen. The extent of positivity with anti-DR and -DP antibodies in the villous epithelium was significantly greater in the specimens from patients than in those from controls (P = 0.0002 in both comparisons). The crypts were also more positive: for DR P = 0.0001, and for DP P = 0.002. The densities of T cells, CD4+, CD8+, and T cell receptor alpha/beta+ and gamma/delta+ cells in the epithelium and lamina propria were similar in patients and controls, but the patients had significantly more alpha 4/beta 7 integrin+ cells in the lamina propria (P = 0.006). No difference was seen between HLA-DQB1*0201-positive and -negative patients. These findings reflect a stage of inflammation in the structurally normal intestines of patients with IDDM and suggest secretion of inflammatory Th1-type cytokines in the intestine.

Indexed as

Lymphocyte ActivationDiabetes Mellitus, Type 1Histocompatibility Antigens Class IIHLA-DP AntigensHLA-DQ AntigensHLA-DQ beta-ChainsHLA-DR AntigensHumansIntegrinsIntercellular Adhesion Molecule-1Intestinal MucosaJejunumReceptors, Antigen, T-Cell, alpha-betaReceptors, Antigen, T-Cell, gamma-deltaVascular Cell Adhesion Molecule-1Histocompatibility Antigens Class IIHLA-DP AntigensHLA-DQ AntigensHLA-DQB1 antigenHLA-DQ beta-ChainsHLA-DR Antigensintegrin alpha4beta7IntegrinsIntercellular Adhesion Molecule-1Receptors, Antigen, T-Cell, alpha-betaReceptors, Antigen, T-Cell, gamma-deltaVascular Cell Adhesion Molecule-1

Identifiers

PMID10209507
PMCPMC1905225
OpenAlexW1567505419

What OpenQuestion holds

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Registered trials

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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 OpenQuestion graph.