Evidence map›Paper›PMID 23447122›Full record

ArticleDiabetes2013

Combination treatment with anti-CD20 and oral anti-CD3 prevents and reverses autoimmune diabetes.

Changyun Hu, Heyuan Ding, Xiaojun Zhang, F Susan Wong, Li Wen

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

28 citing papers in PubMed, 54 citations in OpenAlex.

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  12. γδ T Cell-Secreted XCL1 Mediates Anti-CD3-Induced Oral Tolerance.Journal of immunology (Baltimore, Md. : 1950) · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 2 countries.

Changyun HuSection of Endocrinology, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA.
Heyuan Ding
Xiaojun Zhang
F Susan Wong
Li Wen
Yale University · US

Funding

Role of TLR9 in Beta Cell Function and DiabetesR01DK092882 · NIDDK · YALE UNIVERSITY · PI WEN, LI · 2012 to 2016
$1.8M
Environment, innate immunity and type 1 diabetesR01DK088181 · NIDDK · YALE UNIVERSITY · PI WEN, LI · 2010 to 2013
$1.4M
EPIDEMIOLOGY OF IDDM IN HISPANIC CHILDRENF32DK008769 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI LIBMAN, INGRID M · 1992 to 1995
–
NIDDK NIH HHS 1RC1-DK-08769NIDDK NIH HHS DK-088181NIDDK NIH HHS F32 DK008769NIDDK NIH HHS P30, DK-06-014NIDDK NIH HHS R01 DK088181NIDDK NIH HHS R01 DK092882
6 · The paper itself

Abstract

Type 1 diabetes (T1D) is a T cell-mediated autoimmune disease, although B cells also play an important role in T1D development. Both T cell- and B cell-directed immunotherapies have shown efficacy in the prevention and reversal of T1D. However, whether the combined strategy of targeting both T and B cells could further improve therapeutic efficacy remains to be explored. We show that combined treatment with intravenous antihuman CD20 (hCD20) and oral anti-CD3 significantly delays diabetes development in prediabetic hCD20 transgenic NOD mice. More importantly, the combined treatment reverses diabetes in >60% of mice newly diagnosed with diabetes. Further mechanistic studies demonstrated that the addition of oral anti-CD3 to the B-cell depletion therapy synergistically enhances the suppressive function of regulatory T cells. Of note, the oral anti-CD3 treatment induced a fraction of interleukin (IL)-10-producing CD4 T cells in the small intestine through IL-10- and IL-27-producing dendritic cells. Thus, the findings demonstrate that combining anti-CD20 and oral anti-CD3 is superior to anti-CD20 monotherapy for restoring normoglycemia in diabetic NOD mice, providing important preclinical evidence for the optimization of B cell-directed therapy for T1D.

Indexed as

AnimalsAntibodies, MonoclonalAntigens, CD20B-LymphocytesCD3 ComplexCD4-Positive T-LymphocytesDiabetes Mellitus, Type 1Interleukin-10Intestine, SmallMiceMice, Inbred NODAntibodies, MonoclonalAntigens, CD20CD3 ComplexInterleukin-10

Identifiers

PMID23447122
PMCPMC3717853
OpenAlexW2167564022

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.