Evidence map›Paper›PMID 21911743›Full record

ArticleDiabetes2011

Potential role of regulatory T cells in reversing obesity-linked insulin resistance and diabetic nephropathy.

Kathrin Eller, Alexander Kirsch, Anna M Wolf, Sieghart Sopper, Andrea Tagwerker, Ursula Stanzl, Dominik Wolf, Wolfgang Patsch, Alexander R Rosenkranz, Philipp Eller

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 200 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
200citing papers in PubMed, 2 pooled it
7.0field-weighted citation impact, top 2% 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

200 citing papers in PubMed, 2 syntheses or guidelines pooled it, 320 citations in OpenAlex.

  1. Neutrophils as indicators of obesity-associated inflammation: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Pooled it
  2. Type 2 Diabetes: How Much of an Autoimmune Disease?Frontiers in endocrinology · 2019
    Pooled it
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  13. CD4Frontiers in immunology · 2026
    Review
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140 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

10 authors at 4 institutions in 1 country.

Kathrin EllerClinical Division of Nephrology, Department of Internal Medicine, Medical University Graz, Graz, Austria. kathrin.eller@medunigraz.at
Alexander Kirsch
Anna M Wolf
Sieghart Sopper
Andrea Tagwerker
Ursula Stanzl
Dominik Wolf
Wolfgang Patsch
Alexander R Rosenkranz
Philipp Eller
Innsbruck Medical University · ATMedical University of Graz · ATSalzburger Landeskliniken · ATTyrolean Cancer Research Institute · AT

Funding

Austrian Science Fund FWF P 21402
6 · The paper itself

Abstract

objectiveTo assess the potential role of FoxP3-expressing regulatory T cells (Tregs) in reversing obesity-linked insulin resistance and diabetic nephropathy in rodent models and humans. RESEARCH DESIGN AND

methodsTo characterize the role of Tregs in insulin resistance, human visceral adipose tissue was first evaluated for Treg infiltration and second, the db/db mouse model was evaluated.

resultsObese patients with insulin resistance displayed significantly decreased natural Tregs but an increase in adaptive Tregs in their visceral adipose tissue as compared with lean control subjects. To further evaluate the pathogenic role of Tregs in insulin resistance, the db/db mouse model was used. Treg depletion using an anti-CD25 monoclonal antibody enhanced insulin resistance as shown by increased fasting blood glucose levels as well as an impaired insulin sensitivity. Moreover, Treg-depleted db/db mice developed increased signs of diabetic nephropathy, such as albuminuria and glomerular hyperfiltration. This was paralleled by a proinflammatory milieu in both murine visceral adipose tissue and the kidney. Conversely, adoptive transfer of CD4(+)FoxP3(+) Tregs significantly improved insulin sensitivity and diabetic nephropathy. Accordingly, there was increased mRNA expression of FoxP3 as well as less abundant proinflammatory CD8(+)CD69(+) T cells in visceral adipose tissue and kidneys of Treg-treated animals.

conclusionsData suggest a potential therapeutic value of Tregs to improve insulin resistance and end organ damage in type 2 diabetes by limiting the proinflammatory milieu.

Indexed as

Insulin ResistanceAnimalsCytokinesDiabetes Mellitus, Type 2Diabetic NephropathiesForkhead Transcription FactorsGene Expression RegulationHumansIkaros Transcription FactorIntra-Abdominal FatKidneyLymphocyte DepletionLymphocyte TransfusionMaleMiceMice, ObeseCytokinesForkhead Transcription FactorsFOXP3 protein, humanFoxp3 protein, mouseIkaros Transcription FactorIKZF2 protein, humanleptin receptor, mouseReceptors, LeptinRNA, Messenger

Identifiers

PMID21911743
PMCPMC3198056
OpenAlexW2131517624

What OpenQuestion holds

Textmetadata
LicenceTDM
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.