Evidence map›Paper›PMID 22494609›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2012

Potent induction immunotherapy promotes long-term insulin independence after islet transplantation in type 1 diabetes.

M D Bellin, F B Barton, A Heitman, J V Harmon, R Kandaswamy, A N Balamurugan, D E R Sutherland, R Alejandro, B J Hering

Open access · hybridAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 158 papers.

0numbers the graph read from it
0cells of the map it votes in
158citing papers in PubMed
27.9field-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.

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

158 citing papers in PubMed, 348 citations in OpenAlex.

  1. Pretransplant natural antibody levels identify a subset of deceased donor kidney transplant recipients that benefit from infliximab induction.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
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  2. A randomized controlled pilot trial of etanercept and alpha-1 antitrypsin to improve autologous islet engraftment.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2023
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  19. Anti-TNFα as an Adjunctive Therapy in Pancreas and Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2025
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98 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

9 authors at 4 institutions in 2 countries.

M D BellinThe Schulze Diabetes Institute, University of Minnesota, Minneapolis, MN, USA. bell0130@umn.edu
F B Barton
A Heitman
J V Harmon
R Kandaswamy
A N Balamurugan
D E R Sutherland
R Alejandro
B J Hering
University of Minnesota · USEmmes (United States) · USTwin Cities Orthopedics · USUniversity of Miami · US

Funding

YOUTH DRUG ABUSE, ADHD, AND RELATED DISRUPTIVE DISORDERSM01RR000400 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI KOTLYAR, MICHAEL · 1985 to 2009
$33.7M
Advancing Islet Transplants for Type 1 Diabetes CareU01AI065193 · NIAID · UNIVERSITY OF MINNESOTA TWIN CITIES · PI HERING, BERNHARD JOSEF · 2004 to 2008
$9.3M
HUMAN PANCREATIC ISLET CELL RESOURCES TYPE 1 DIABETESU42RR016598 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI HERING, BERNHARD JOSEF · 2001 to 2008
$6.8M
TOLERANCE TO ISLET ALLOGRAFTS IN TYPE I DIABETESR01DK056963 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI HERING, BERNHARD JOSEF · 2000 to 2005
$4.5M
Sitagliptin therapy to improve outcomes after islet autotransplantation.K23DK084315 · NIDDK · UNIVERSITY OF MINNESOTA · PI BELLIN, MELENA D. · 2010 to 2014
$816k
NCRR NIH HHS M01 RR000400NCRR NIH HHS MO1-RR00400NCRR NIH HHS U42 RR016598NCRR NIH HHS U42 RR016598-01NIAID NIH HHS 5U01 AI-065193NIAID NIH HHS U01 AI065193NIDDK NIH HHS 1K23DK084315-01A1NIDDK NIH HHS DK56963NIDDK NIH HHS K23 DK084315NIDDK NIH HHS R01 DK056963
6 · The paper itself

Abstract

The seemingly inexorable decline in insulin independence after islet transplant alone (ITA) has raised concern about its clinical utility. We hypothesized that induction immunosuppression therapy determines durability of insulin independence. We analyzed the proportion of insulin-independent patients following final islet infusion in four groups of ITA recipients according to induction immunotherapy: University of Minnesota recipients given FcR nonbinding anti-CD3 antibody alone or T cell depleting antibodies (TCDAb) and TNF-α inhibition (TNF-α-i) (group 1; n = 29); recipients reported to the Collaborative Islet Transplant Registry (CITR) given TCDAb+TNF-α-i (group 2; n = 20); CITR recipients given TCDAb without TNF-α-i (group 3; n = 43); and CITR recipients given IL-2 receptor antibodies (IL-2RAb) alone (group 4; n = 177). Results were compared with outcomes in pancreas transplant alone (PTA) recipients reported to the Scientific Registry of Transplant Recipients (group 5; n = 677). The 5-year insulin independence rates in group 1 (50%) and group 2 (50%) were comparable to outcomes in PTA (group 5: 52%; p>>0.05) but significantly higher than in group 3 (0%; p = 0.001) and group 4 (20%; p = 0.02). Induction immunosuppression was significantly associated with 5-year insulin independence (p = 0.03), regardless of maintenance immunosuppression or other factors. These findings support potential for long-term insulin independence after ITA using potent induction therapy, with anti-CD3 Ab or TCDAb+TNF-α-i.

Indexed as

ImmunotherapyIslets of Langerhans TransplantationDiabetes Mellitus, Type 1Humans

Identifiers

PMID22494609
PMCPMC3390261
OpenAlexW2137464815

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.