Evidence map›Paper›PMID 21788582›Full record

ArticleDiabetes2011

Anti-islet autoantibodies trigger autoimmune diabetes in the presence of an increased frequency of islet-reactive CD4 T cells.

Diego G Silva, Stephen R Daley, Jennifer Hogan, Sau K Lee, Charis E Teh, Daniel Y Hu, Kong-Peng Lam, Christopher C Goodnow, Carola G Vinuesa

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
5.2field-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

46 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
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  8. Cancer-Derived Immunoglobulin G and Pancreatic Cancer.Advances in experimental medicine and biology · 2024
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  9. The Expression of Non B Cell-Derived Immunoglobulins.Advances in experimental medicine and biology · 2024
    Review
  10. Article
  11. Activation pathways that drive CD4Immunological reviews · 2022
    Review
  12. Article
  13. Review
  14. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 2 countries.

Diego G SilvaDepartment of Immunology, John Curtin School of Medical Research, Australian National University, Canberra, Australia.
Stephen R Daley
Jennifer Hogan
Sau K Lee
Charis E Teh
Daniel Y Hu
Kong-Peng Lam
Christopher C Goodnow
Carola G Vinuesa
Australian National University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo define cellular mechanisms by which B cells promote type 1 diabetes. RESEARCH DESIGN AND

methodsThe study measured islet-specific CD4 T cell regulation in T-cell receptor transgenic mice with elevated frequencies of CD4 T cells recognizing hen egg lysozyme (HEL) autoantigen expressed in islet β-cells and thymic epithelium under control of the insulin-gene promoter. The effects of a mutation in Roquin that dysregulates T follicular helper (Tfh) cells to promote B-cell activation and anti-islet autoantibodies were studied, as were the effects of HEL antigen-presenting B cells and passively transferred or maternally transmitted anti-islet HEL antibodies.

resultsMouse anti-islet IgG antibodies-either formed as a consequence of excessive Tfh activity, maternally transmitted, or passively transferred-caused a breakdown of tolerance in islet-reactive CD4(+) cells and fast progression to diabetes. Progression to diabetes was ameliorated in the absence of B cells or when the B cells could not secrete islet-specific IgG. Anti-islet antibodies increased the survival of proliferating islet-reactive CD4(+) T cells. FcγR blockade delayed and reduced the incidence of autoimmune diabetes.

conclusionsB cells can promote type 1 diabetes by secreting anti-islet autoantibodies that act in an FcγR-mediated manner to enhance the expansion of islet-reactive CD4 T cells and cooperate with inherited defects in thymic and peripheral CD4 T-cell tolerance. Cooperation between inherited variants affecting CD4 T-cell tolerance and anti-islet autoantibodies should be examined in epidemiological studies and in studies examining the efficacy of B-cell depletion.

Indexed as

AnimalsAutoantibodiesB-LymphocytesCD4-Positive T-LymphocytesDiabetes Mellitus, Type 1Islets of LangerhansMiceMice, TransgenicReceptors, Antigen, T-CellT-Lymphocytes, Helper-InducerAutoantibodiesReceptors, Antigen, T-Cell

Identifiers

PMID21788582
PMCPMC3142068
OpenAlexW2099853023

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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.