Evidence map›Paper›PMID 18806780›Full record

ArticleNature2008

Innate immunity and intestinal microbiota in the development of Type 1 diabetes.

Li Wen, Ruth E Ley, Pavel Yu Volchkov, Peter B Stranges, Lia Avanesyan, Austin C Stonebraker, Changyun Hu, F Susan Wong, Gregory L Szot, Jeffrey A Bluestone and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Nature, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04841668 (Gut-Brain-axis), which is not on this map. Cited by 1,021 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,021citing papers in PubMed, 1 pooled it
63.9field-weighted citation impact, top 1% 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.

NCT04841668 completedstarted 2021, after this paper: background citation

Gut-Brain-axis: Targets for Improvement of Cognition in the Elderly

Ran2021Enrolled50Registered outcomes51Posted comparisons0ConditionsType 2 Diabetes MellitusArmsMetformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

1,021 citing papers in PubMed, 1 synthesis or guideline pooled it, 1,908 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Review
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  7. Gut microbiota promote early-life digestive function in songbirds.bioRxiv : the preprint server for biology · 2026
    Article
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  12. B cells enable autoreactive T cells to avoid suppression.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
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  14. Review
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  17. Article
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961 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 6 institutions in 2 countries.

Li WenSection of Endocrinology, Yale University School of Medicine, New Haven, Connecticut 06520, USA.
Ruth E Ley
Pavel Yu Volchkov
Peter B Stranges
Lia Avanesyan
Austin C Stonebraker
Changyun Hu
F Susan Wong
Gregory L Szot
Jeffrey A Bluestone
Jeffrey I Gordon
Alexander V Chervonsky
University of Chicago · USJackson Laboratory · USUniversity of California, San Francisco · USWashington University in St. Louis · USYale University · USUniversity of Bristol · GB

Funding

Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI GERALD I SHULMAN · 1993 to 2026
$44.0M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
ULTRASTRUCTURE AND CYTOMORPHOLOGY COREP30DK042086 · NIDDK · UNIVERSITY OF CHICAGO · PI CHANG, EUGENE B · 1990 to 2025
$29.8M
Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GERMAN, MICHAEL S · 2003 to 2019
$21.8M
REGULATION OF GENE EXPRESSION - SMALL INTESTINER01DK030292 · NIDDK · WASHINGTON UNIVERSITY · PI JEFFREY I GORDON, ANDREI L OSTERMAN · 1986 to 2026
$6.5M
GUT MICROBIOTA AND OBESITY: STUDIES IN GNOTOBIOTIC MICER01DK070977 · NIDDK · WASHINGTON UNIVERSITY · PI GORDON, JEFFREY I, HETTICH, ROBERT L. · 2005 to 2020
$6.3M
REGULATION OF GENE EXPRESSION IN THE SMALL INTESTINER37DK030292 · NIDDK · WASHINGTON UNIVERSITY · PI GORDON, JEFFREY I · 1993 to 2015
$4.0M
IMMUNOMODULATION OF TRANSPLANT REJECTION BY ANTI-CD3 MABR37AI046643 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BLUESTONE, JEFFREY A · 2000 to 2009
$2.5M
Role of Innate Immunity in Type 1 DiabetesR21DK063452 · NIDDK · JACKSON LABORATORY · PI CHERVONSKY, ALEXANDER V · 2002 to 2003
$832k
NIAID NIH HHS R37 AI046643NIAID NIH HHS R37 AI46643NIDDK NIH HHS DK063452NIDDK NIH HHS DK30292NIDDK NIH HHS DK42086NIDDK NIH HHS DK45735NIDDK NIH HHS DK70977NIDDK NIH HHS P30 DK042086NIDDK NIH HHS P30 DK045735NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK063720NIDDK NIH HHS P30 DK63720NIDDK NIH HHS R01 DK030292NIDDK NIH HHS R01 DK070977NIDDK NIH HHS R21 DK063452NIDDK NIH HHS R37 DK030292
6 · The paper itself

Abstract

Type 1 diabetes (T1D) is a debilitating autoimmune disease that results from T-cell-mediated destruction of insulin-producing beta-cells. Its incidence has increased during the past several decades in developed countries, suggesting that changes in the environment (including the human microbial environment) may influence disease pathogenesis. The incidence of spontaneous T1D in non-obese diabetic (NOD) mice can be affected by the microbial environment in the animal housing facility or by exposure to microbial stimuli, such as injection with mycobacteria or various microbial products. Here we show that specific pathogen-free NOD mice lacking MyD88 protein (an adaptor for multiple innate immune receptors that recognize microbial stimuli) do not develop T1D. The effect is dependent on commensal microbes because germ-free MyD88-negative NOD mice develop robust diabetes, whereas colonization of these germ-free MyD88-negative NOD mice with a defined microbial consortium (representing bacterial phyla normally present in human gut) attenuates T1D. We also find that MyD88 deficiency changes the composition of the distal gut microbiota, and that exposure to the microbiota of specific pathogen-free MyD88-negative NOD donors attenuates T1D in germ-free NOD recipients. Together, these findings indicate that interaction of the intestinal microbes with the innate immune system is a critical epigenetic factor modifying T1D predisposition.

Indexed as

AnimalsBacteriaCD8-Positive T-LymphocytesDiabetes Mellitus, Type 1FemaleImmunity, InnateInterferon-gammaIntestinesIslets of LangerhansMaleMiceMice, Inbred NODMice, KnockoutMice, SCIDMolecular Sequence DataMyeloid Differentiation Factor 88Interferon-gammaMyd88 protein, mouseMyeloid Differentiation Factor 88

Identifiers

PMID18806780
PMCPMC2574766
OpenAlexW2148067809

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.