Evidence map›Paper›PMID 18559659›Full record

Trial reportDiabetes2008

Rapamycin monotherapy in patients with type 1 diabetes modifies CD4+CD25+FOXP3+ regulatory T-cells.

Paolo Monti, Miriam Scirpoli, Paola Maffi, Lorenzo Piemonti, Antonio Secchi, Ezio Bonifacio, Maria-Grazia Roncarolo, Manuela Battaglia

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Diabetes, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

73 citing papers in PubMed, 140 citations in OpenAlex.

  1. Trial
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  15. Review
  16. Diabetes type 1: Can it be treated as an autoimmune disorder?Reviews in endocrine & metabolic disorders · 2021
    Review
  17. Review
  18. Tolerogenic Dendritic Cell-Based Approaches in Autoimmunity.International journal of molecular sciences · 2021
    Review
  19. Article
  20. Article

13 more citing papers are in PubMed but not listed here.

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 3 institutions in 1 country.

Paolo MontiTelethon-Juvenile Diabetes Research Foundation Center for Beta Cell Replacement, San Raffaele Scientific Institute, Milan, Italy.
Miriam Scirpoli
Paola Maffi
Lorenzo Piemonti
Antonio Secchi
Ezio Bonifacio
Maria-Grazia Roncarolo
Manuela Battaglia
The San Raffaele Telethon Institute for Gene Therapy · ITSan Raffaele University of Rome · ITVita-Salute San Raffaele University · IT

Funding

Telethon JT01Y01
6 · The paper itself

Abstract

objectiveRapamycin is an immunosuppressive drug currently used to prevent graft rejection in humans, which is considered permissive for tolerance induction. Rapamycin allows expansion of both murine and human naturally occurring CD4(+)CD25(+)FOXP3(+) T regulatory cells (nTregs), which are pivotal for the induction and maintenance of peripheral tolerance. Preclinical murine models have shown that rapamycin enhances nTreg proliferation and regulatory function also in vivo. Objective of this study was to assess whether rapamycin has in vivo effects on human nTregs. RESEARCH DESIGN AND

methodsnTreg numbers and function were examined in a unique set of patients with type 1 diabetes who underwent rapamycin monotherapy before islet transplantation.

resultsWe found that rapamycin monotherapy did not alter the frequency and functional features, namely proliferation and cytokine production, of circulating nTregs. However, nTregs isolated from type 1 diabetic patients under rapamycin treatment had an increased capability to suppress proliferation of CD4(+)CD25(-) effector T-cells compared with that before treatment.

conclusionsThese findings demonstrate that rapamycin directly affects human nTreg function in vivo, which consists of refitting their suppressive activity, whereas it does not directly change effector T-cell function.

Indexed as

Islets of Langerhans TransplantationAdultCD4 AntigensCD4 Lymphocyte CountCombined Modality TherapyDiabetes Mellitus, Type 1FemaleFlow CytometryForkhead Transcription FactorsGraft RejectionHumansImmunosuppressive AgentsInterleukin-2 Receptor alpha SubunitMaleMiddle AgedPreoperative CareCD4 AntigensForkhead Transcription FactorsFOXP3 protein, humanImmunosuppressive AgentsInterleukin-2 Receptor alpha SubunitSirolimus

Identifiers

PMID18559659
PMCPMC2518485
OpenAlexW1976168572

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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 OpenQuestion graph.