Evidence map›Paper›PMID 12597780›Full record

ArticleBMC immunology2003

Severe anaphylactic reactions to glutamic acid decarboxylase (GAD) self peptides in NOD mice that spontaneously develop autoimmune type 1 diabetes mellitus.

Rosetta Pedotti, Maija Sanna, Mindy Tsai, Jason DeVoss, Lawrence Steinman, Hugh McDevitt, Stephen J Galli

Open access · goldAbstract read
In one paragraph

Article in BMC immunology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
3.0field-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

22 citing papers in PubMed, 57 citations in OpenAlex.

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  19. Specific antigen vaccination to treat autoimmune disease.Proceedings of the National Academy of Sciences of the United States of America · 2004
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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

7 authors at 1 institution in 1 country.

Rosetta PedottiDepartment of Pathology, Stanford University School of Medicine, Stanford, California, USA. rpedotti@stanford.edu
Maija Sanna
Mindy Tsai
Jason DeVoss
Lawrence Steinman
Hugh McDevitt
Stephen J Galli
Stanford University · US

Funding

Role of Mast Cells in Inflammation and ImmunityR01CA072074 · NCI · STANFORD UNIVERSITY · PI GALLI, STEPHEN JOSEPH · 1996 to 2010
$4.4M
Regulation of Mast Cell Development and FunctionR01AI023990 · NIAID · STANFORD UNIVERSITY · PI GALLI, STEPHEN JOSEPH · 1986 to 2010
$2.4M
REGULATION OF MAST CELL DEVELOPMENT &FUNCTIONR37AI023990 · NIAID · STANFORD UNIVERSITY · PI GALLI, STEPHEN J · 1996 to 2005
$2.2M
PEPTIDE-MEDIATED IMMUNOTHERAPY FOR AUTOIMMUNE DISEASER01NS028759 · NINDS · STANFORD UNIVERSITY · PI STEINMAN, LAWRENCE · 1990 to 2003
$1.5M
IN VIVO TREATMENT OF EAE WITH ANTI I-A ANTIBODIESR01NS018235 · NINDS · STANFORD UNIVERSITY · PI STEINMAN, LAWRENCE · 1985 to 2001
$1.0M
NCI NIH HHS CA 72074NCI NIH HHS R01 CA072074NIAID NIH HHS AI 23990NIAID NIH HHS R01 AI023990NIAID NIH HHS R37 AI023990NINDS NIH HHS NS18235NINDS NIH HHS NS28759NINDS NIH HHS R01 NS028759
6 · The paper itself

Abstract

backgroundInsulin dependent (i.e., "type 1") diabetes mellitus (T1DM) is considered to be a T cell mediated disease in which TH1 and Tc autoreactive cells attack the pancreatic islets. Among the beta-cell antigens implicated in T1DM, glutamic acid decarboxylase (GAD) 65 appears to play a key role in the development of T1DM in humans as well as in non-obese diabetic (NOD) mice, the experimental model for this disease. It has been shown that shifting the immune response to this antigen from TH1 towards TH2, via the administration of GAD65 peptides to young NOD mice, can suppress the progression to overt T1DM. Accordingly, various protocols of "peptide immunotherapy" of T1DM are under investigation. However, in mice with experimental autoimmune encephalomyelitis (EAE), another autoimmune TH1 mediated disease that mimics human multiple sclerosis, anaphylactic shock can occur when the mice are challenged with certain myelin self peptides that initially were administered with adjuvant to induce the disease.

resultsHere we show that NOD mice, that spontaneously develop T1DM, can develop fatal anaphylactic reactions upon challenge with preparations of immunodominant GAD65 self peptides after immunization with these peptides to modify the development of T1DM.

conclusionsThese findings document severe anaphylaxis to self peptide preparations used in an attempt to devise immunotherapy for a spontaneous autoimmune disease. Taken together with the findings in EAE, these results suggest that peptide therapies designed to induce a TH1 to TH2 shift carry a risk for the development of anaphylactic reactivity to the therapeutic peptides.

Indexed as

AnaphylaxisAnimalsDiabetes Mellitus, Type 1FemaleGlutamate DecarboxylaseImmunoglobulin EImmunoglobulin GInjections, IntraperitonealMiceMice, Inbred NODOligopeptidesSurvival RateTime FactorsGlutamate DecarboxylaseImmunoglobulin EImmunoglobulin GOligopeptides

Identifiers

PMID12597780
PMCPMC153530
OpenAlexW1600953478

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.