Evidence map›Paper›PMID 25524915›Full record

ArticleDiabetes2015

Loss of anergic B cells in prediabetic and new-onset type 1 diabetic patients.

Mia J Smith, Thomas A Packard, Shannon K O'Neill, Carole J Henry Dunand, Min Huang, Lisa Fitzgerald-Miller, Daniel Stowell, Rochelle M Hinman, Patrick C Wilson, Peter A Gottlieb and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

75 citing papers in PubMed, 99 citations in OpenAlex.

  1. Review
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  10. Article
  11. Review
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  13. Review
  14. Review
  15. Article
  16. Article
  17. The immunology of type 1 diabetes.Nature reviews. Immunology · 2024
    Review
  18. Article
  19. Review
  20. B-Cell Receptor Repertoire: Recent Advances in Autoimmune Diseases.Clinical reviews in allergy & immunology · 2024
    Review

15 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

11 authors at 2 institutions in 1 country.

Mia J SmithDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, CO.
Thomas A PackardDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO.
Shannon K O'NeillDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO.
Carole J Henry DunandSection of Rheumatology, Department of Medicine, University of Chicago, Chicago, IL.
Min HuangSection of Rheumatology, Department of Medicine, University of Chicago, Chicago, IL.
Lisa Fitzgerald-MillerBarbara Davis Center, University of Colorado School of Medicine, Aurora, CO.
Daniel StowellDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO.
Rochelle M HinmanDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO.
Patrick C WilsonSection of Rheumatology, Department of Medicine, University of Chicago, Chicago, IL.
Peter A GottliebBarbara Davis Center, University of Colorado School of Medicine, Aurora, CO.
John C CambierDepartment of Immunology and Microbiology, University of Colorado School of Medicine, Aurora, CO john.cambier@ucdenver.edu.
University of Colorado Denver · USUniversity of Chicago · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025780 · NCRR · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2008 to 2011
$61.3M
Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
UCHSC DIABETES ENDOCRINOLOGY RESEARCH CENTERP30DK057516 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HUTTON, JOHN C · 2000 to 2010
$14.0M
THE REGULATION OF V ALPHA 7 EXPRESSING T CELLSP01AI022295 · NIAID · NATIONAL JEWISH HEALTH · PI PELANDA, ROBERTA · 1985 to 2011
$11.7M
TRAINING PROGRAM IN IMMUNOLOGYT32AI007405 · NIAID · UNIVERSITY OF COLORADO DENVER · PI Laurel L Lenz, Raul Martin Torres · 1991 to 2026
$10.5M
UCSF Trialnet: A Phase II Trial of Imatimib in New Onset Type I DiabetesU01DK061010 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GITELMAN, STEPHEN E · 2001 to 2018
$8.1M
University of Chicago Autoimmunity Center of ExcellenceU19AI082724 · NIAID · UNIVERSITY OF CHICAGO · PI CLARK, MARCUS RAMSAY · 2009 to 2023
$7.2M
Type 1 Diabetes-A Proposal for Prevention & InterventionU01DK085476 · NIDDK · UNIVERSITY OF MINNESOTA · PI MORAN, ANTOINETTE M. · 2009 to 2018
$7.1M
TrialNet: Diabetes Type 1 PreventionU01DK085509 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI GOTTLIEB, PETER A · 2009 to 2018
$5.8M
Type 1 Diabetes TrialNet Clinical Center: Effects of Alefacept in New Onset T1DU01DK085499 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI BAIDAL, DAVID · 2009 to 2018
$4.9M
Molecular Mechanisms of Immune ToleranceT32AI074491 · NIAID · NATIONAL JEWISH HEALTH · PI CAMBIER, JOHN C, PELANDA, ROBERTA · 2009 to 2023
$4.1M
Infectious Agents and B Cell AnergyR01AI077597 · NIAID · UNIVERSITY OF COLORADO DENVER · PI CAMBIER, JOHN C · 2010 to 2014
$1.9M
NCATS NIH HHS UL1 TR001082NCRR NIH HHS 5UL1-RR-025780NCRR NIH HHS UL1 RR025780NIAID NIH HHS AI-007405NIAID NIH HHS AI-022295NIAID NIH HHS AI-077597NIAID NIH HHS P01 AI022295NIAID NIH HHS R01 AI077597NIAID NIH HHS T32 AI007405NIAID NIH HHS U19 AI082724NIA NIH HHS AG-013989NIDDK NIH HHS DK-085509NIDDK NIH HHS DK-57516NIDDK NIH HHS P30 DK057516NIDDK NIH HHS R01 DK096492NIDDK NIH HHS U01 DK061010NIDDK NIH HHS U01 DK085476NIDDK NIH HHS U01 DK085499NIDDK NIH HHS U01 DK085509NIDDK NIH HHS U01 DK103153NIDDK NIH HHS U01 DK103266NIDDK NIH HHS U01 DK107014NIH HHS F30 OD021477NIH HHS T32 OD012201
6 · The paper itself

Abstract

Although dogma predicts that under normal circumstances, potentially offensive autoreactive cells are silenced by mechanisms of immune tolerance, islet antigen-reactive B lymphocytes are known to play a crucial role in the development of autoimmunity in type 1 diabetes (T1D). Thus, participation of these cells in T1D may reflect escape from silencing mechanisms. Consistent with this concept, we found that in healthy subjects, high-affinity insulin-binding B cells occur exclusively in the anergic naive IgD(+), IgM(-) B-cell (BND) compartment. Antigen receptors expressed by these cells are polyreactive and have N-region additions, Vh usage, and charged complementarity-determining region 3 consistent with autoreactivity. Consistent with a potential early role in autoimmunity, these high-affinity insulin-binding B cells are absent from the anergic compartment of some first-degree relatives and all prediabetic and new-onset (<1 year) T1D patients tested, but return to normal levels in individuals diabetic for >1 year. Interestingly, these changes were correlated by transient loss of the entire BND compartment. These findings suggest that environmental events such as infection or injury may, by disrupting B-cell anergy, dispose individuals toward autoimmunity, the precise nature of which is specified by genetic risk factors, such as HLA alleles.

Indexed as

Prediabetic StateAntigens, CDAutoantigensB-LymphocytesClonal AnergyCloning, MolecularDiabetes Mellitus, Type 1Enzyme-Linked Immunosorbent AssayGene Expression RegulationHumansImmunoglobulinsAntigens, CDAutoantigensImmunoglobulins

Identifiers

PMID25524915
PMCPMC4407867
OpenAlexW2120096027

What OpenQuestion holds

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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.