Evidence map›Paper›PMID 25146474›Full record

ArticleDiabetes2014

Combined therapy with GABA and proinsulin/alum acts synergistically to restore long-term normoglycemia by modulating T-cell autoimmunity and promoting β-cell replication in newly diabetic NOD mice.

Jide Tian, Hoa Dang, An Viet Nguyen, Zheying Chen, Daniel L Kaufman

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

33 citing papers in PubMed, 48 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. The role of GABA in type 1 diabetes.Frontiers in endocrinology · 2024
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. GABAViruses · 2021
    Article
  17. Article
  18. GABABiomedicines · 2021
    Article
  19. Article
  20. Article
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

5 authors at 1 institution in 1 country.

Jide TianDepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, Los Angeles, CA dkaufman@mednet.ucla.edu jtian@mednet.ucla.edu.
Hoa DangDepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, Los Angeles, CA.
An Viet NguyenDepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, Los Angeles, CA.
Zheying ChenDepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, Los Angeles, CA.
Daniel L KaufmanDepartment of Molecular and Medical Pharmacology, University of California, Los Angeles, Los Angeles, CA dkaufman@mednet.ucla.edu jtian@mednet.ucla.edu.
University of California, Los Angeles · US

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KITCHEN, SCOTT G · 1991 to 2018
$39.9M
Reversal of T1D in NOD mice using a safe combination therapyR01DK092480 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KAUFMAN, DANIEL · 2012 to 2015
$1.3M
NCI NIH HHS P30 CA016042NIAID NIH HHS 5P30 AI028697NIAID NIH HHS P30 AI028697NIDDK NIH HHS DK-092480NIDDK NIH HHS R01 DK092480
6 · The paper itself

Abstract

Antigen-based therapies (ABTs) fail to restore normoglycemia in newly diabetic NOD mice, perhaps because too few β-cells remain by the time that ABT-induced regulatory responses arise and spread. We hypothesized that combining a fast-acting anti-inflammatory agent with an ABT could limit pathogenic responses while ABT-induced regulatory responses arose and spread. γ-Aminobutyric acid (GABA) administration can inhibit inflammation, enhance regulatory T-cell (Treg) responses, and promote β-cell replication in mice. We examined the effect of combining a prototypic ABT, proinsulin/alum, with GABA treatment in newly diabetic NOD mice. Proinsulin/alum monotherapy failed to correct hyperglycemia, while GABA monotherapy restored normoglycemia for a short period. Combined treatment restored normoglycemia in the long term with apparent permanent remission in some mice. Proinsulin/alum monotherapy induced interleukin (IL)-4- and IL-10-secreting T-cell responses that spread to other β-cell autoantigens. GABA monotherapy induced moderate IL-10 (but not IL-4) responses to β-cell autoantigens. Combined treatment synergistically reduced spontaneous type 1 T-helper cell responses to autoantigens, ABT-induced IL-4 and humoral responses, and insulitis, but enhanced IL-10 and Treg responses and promoted β-cell replication in the islets. Thus, combining ABT with GABA can inhibit pathogenic T-cell responses, induce Treg responses, promote β-cell replication, and effectively restore normoglycemia in newly diabetic NOD mice. Since these treatments appear safe for humans, they hold promise for type 1 diabetes intervention.

Indexed as

Alum CompoundsAnimalsAutoimmunityBlood GlucoseCell DivisionDiabetes Mellitus, Type 1Drug Therapy, CombinationFemaleInterleukin-10Interleukin-4MiceMice, Inbred NODProinsulinT-Lymphocytes, RegulatoryAlum Compoundsaluminum sulfateBlood GlucoseInterleukin-10Interleukin-4Proinsulin

Identifiers

PMID25146474
PMCPMC4141368
OpenAlexW2154374106

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.