Evidence map›Paper›PMID 21862682›Full record

ReviewEndocrine reviews2011

Immunological applications of stem cells in type 1 diabetes.

Paolo Fiorina, Julio Voltarelli, Nicholas Zavazava

Open access · bronzeAbstract readComparative StudyReview
In one paragraph

Review in Endocrine reviews, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
12.1field-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.

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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. Article
  8. Stem Cell Therapy for the Management of Type 1 Diabetes: Advances and Perspectives.Endocrine, metabolic & immune disorders drug targets · 2024
    Review
  9. Article
  10. Review
  11. Benefits and Hurdles of Pancreatic β-Cell Replacement.Stem cells translational medicine · 2022
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Hematopoietic Stem Cells in Type 1 Diabetes.Frontiers in immunology · 2021
    Review
  17. Review
  18. Article
  19. Article
  20. Article

2 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

3 authors at 3 institutions in 3 countries.

Paolo FiorinaTransplantation Research Center, Division of Nephrology, Children's Hospital/Harvard Medical School, 221 Longwood Avenue, Boston, Massachusetts 02115, USA. paolo.fiorina@childrens.harvard.edu
Julio Voltarelli
Nicholas Zavazava
Boston Children's Hospital · USUniversidade de São Paulo · BRUniversity of Iowa · US

Funding

Transgenic CoreP30DK057521 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI HABENER, JOEL F · 2000 to 2019
$31.4M
EMBRYONIC STEM CELLS INDUCE SPECIFIC GRAFT TOLERANCER01HL073015 · NHLBI · UNIVERSITY OF IOWA · PI ZAVAZAVA, NICHOLAS · 2004 to 2012
$2.5M
STEM CELL-DERIVED INSUIN PRODUCING CELLS CORRECT HYPERGLYCEMIA IN DIABETIC MICEI01BX001125 · VA · IOWA CITY VA MEDICAL CENTER · PI ZAVAZAVA, NICHOLAS · 2012 to 2015
–
BLRD VA I01 BX001125NHLBI NIH HHS R01 HL073015NIDDK NIH HHS 5P30DK57521NIDDK NIH HHS P30 DK057521
6 · The paper itself

Abstract

Current approaches aiming to cure type 1 diabetes (T1D) have made a negligible number of patients insulin-independent. In this review, we revisit the role of stem cell (SC)-based applications in curing T1D. The optimal therapeutic approach for T1D should ideally preserve the remaining β-cells, restore β-cell function, and protect the replaced insulin-producing cells from autoimmunity. SCs possess immunological and regenerative properties that could be harnessed to improve the treatment of T1D; indeed, SCs may reestablish peripheral tolerance toward β-cells through reshaping of the immune response and inhibition of autoreactive T-cell function. Furthermore, SC-derived insulin-producing cells are capable of engrafting and reversing hyperglycemia in mice. Bone marrow mesenchymal SCs display a hypoimmunogenic phenotype as well as a broad range of immunomodulatory capabilities, they have been shown to cure newly diabetic nonobese diabetic (NOD) mice, and they are currently undergoing evaluation in two clinical trials. Cord blood SCs have been shown to facilitate the generation of regulatory T cells, thereby reverting hyperglycemia in NOD mice. T1D patients treated with cord blood SCs also did not show any adverse reaction in the absence of major effects on glycometabolic control. Although hematopoietic SCs rarely revert hyperglycemia in NOD mice, they exhibit profound immunomodulatory properties in humans; newly hyperglycemic T1D patients have been successfully reverted to normoglycemia with autologous nonmyeloablative hematopoietic SC transplantation. Finally, embryonic SCs also offer exciting prospects because they are able to generate glucose-responsive insulin-producing cells. Easy enthusiasm should be mitigated mainly because of the potential oncogenicity of SCs.

Indexed as

AnimalsAutoimmunityBone Marrow TransplantationCord Blood Stem Cell TransplantationDiabetes Mellitus, Type 1Embryonic Stem CellsHematopoietic Stem Cell TransplantationHumansInduced Pluripotent Stem CellsInsulin-Secreting CellsMesenchymal Stem Cell TransplantationRegenerationStem CellsStem Cell Transplantation

Identifiers

PMID21862682
PMCPMC3591677
OpenAlexW2011644642

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.