Evidence map›Paper›PMID 25239783›Full record

ArticleDiabetes care2014

Impact of islet autoimmunity on the progressive β-cell functional decline in type 2 diabetes.

Barbara M Brooks-Worrell, Edward J Boyko, Jerry P Palmer

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03971955 (CharacterIzation of Adult Onset Autoimmune Diabetes), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT03971955 active not recruitingnot on this mapstarted 2019, after this paper: background citation

CharacterIzation of Adult Onset Autoimmune Diabetes

TypeobservationalSponsorAdventHealth Translational Research InstituteRan2019 to 2026Enrolled25ConditionsDiabetesArmsMixed Meal Test, Dual Energy X-Ray Absorptiometry (DEXA), Adipose Tissue Biopsy
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Heterogeneity of circulating CXCR5-PD-1Acta diabetologica · 2023
    Article
  6. Review
  7. Adult-onset autoimmune diabetes.Nature reviews. Disease primers · 2022
    Review
  8. Article
  9. Article
  10. Latent autoimmune diabetes in adults in China.Frontiers in immunology · 2022
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  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

3 authors at 2 institutions in 1 country.

Barbara M Brooks-WorrellVA Puget Sound Health Care System, Seattle, WA, and Department of Medicine, University of Washington, Seattle, WA bbrooks@u.washington.edu.
Edward J BoykoVA Puget Sound Health Care System, Seattle, WA, and Department of Medicine, University of Washington, Seattle, WA.
Jerry P PalmerVA Puget Sound Health Care System, Seattle, WA, and Department of Medicine, University of Washington, Seattle, WA.
VA Puget Sound Health Care System · USUniversity of Washington · US

Funding

Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
PATHOGENESIS OF TYPE 1.5 DIABETES IN THE GENERAL POPULATIONP01DK053004 · NIDDK · UNIVERSITY OF WASHINGTON · PI LERNMARK, AKE · 1998 to 2007
$5.3M
NIDDK NIH HHS P01 DK053004NIDDK NIH HHS P01-DK-053004NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30-DK-017047
6 · The paper itself

Abstract

objectiveCross-sectional studies have suggested that islet autoimmunity may be more prevalent in type 2 diabetes (T2D) than previously appreciated and may contribute to the progressive decline in β-cell function. In this study, we longitudinally evaluated the effect of islet autoimmune development on the progressive β-cell dysfunction in T2D patients. RESEARCH DESIGN AND

methodsTwenty-three T2D patients negative for islet autoantibodies (GAD antibody and insulinoma-associated protein 2) and islet-specific T cells were evaluated prospectively for up to 36 months. We investigated the percentage of patients who developed islet autoantibodies (Ab+) and/or islet-reactive T cells (T+) and the effect of the islet autoimmunity on fasting and glucagon-stimulated C-peptide responses. We defined positive islet autoimmunity as Ab+ and/or T+ for at least two study visits.

resultsOf the 23 patients, 6 (26%) remained negative for islet autoimmunity (Ab-T-), 14 (61%) developed Ab+ and/or T+, and 3 (13%) were unclassifiable because they developed islet autoimmunity at only one study visit. Islet Ab+ was observed to be less stable than islet-specific T-cell responses. Development of islet autoimmunity was significantly associated with a more rapid decline in fasting (P < 0.0001) and glucagon-stimulated (P < 0.05) C-peptide responses.

conclusionsThese pilot data suggest that the development of islet autoimmunity in T2D is associated with a significantly more rapid β-cell functional decline.

Indexed as

AutoimmunityAdultAutoantibodiesCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGlutamate DecarboxylaseHumansInsulin-Secreting CellsMaleMiddle AgedPilot ProjectsReceptor-Like Protein Tyrosine Phosphatases, Class 8T-LymphocytesAutoantibodiesGlutamate Decarboxylaseglutamate decarboxylase 1Receptor-Like Protein Tyrosine Phosphatases, Class 8

Identifiers

PMID25239783
PMCPMC4237971
OpenAlexW2104934137

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.