Evidence map›Paper›PMID 25786871›Full record

ArticleGene therapy2015

β-Cell-targeted blockage of PD1 and CTLA4 pathways prevents development of autoimmune diabetes and acute allogeneic islets rejection.

M M El Khatib, T Sakuma, J M Tonne, M S Mohamed, S J Holditch, B Lu, Y C Kudva, Y Ikeda

Open access · bronzeAbstract read
In one paragraph

Article in Gene therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Cell Therapy for Type 1 Diabetes Mellitus: a Review of Clinical Trials.Bulletin of experimental biology and medicine · 2025
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  6. Article
  7. Article
  8. Review
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  10. Article
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  12. Article
  13. Article
  14. Pancreatic β-Cell Development and Regeneration.Cold Spring Harbor perspectives in biology · 2022
    Review
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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

8 authors at 1 institution in 1 country.

M M El KhatibDepartment of Molecular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
T SakumaDepartment of Molecular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
J M TonneDepartment of Molecular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
M S MohamedDepartment of Molecular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
S J HolditchDepartment of Molecular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
B LuDepartment of Molecular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.
Y C KudvaDivision of Endocrinology, Mayo Clinic College of Medicine, Rochester, MN, USA.
Y IkedaDepartment of Molecular Medicine, Mayo Clinic College of Medicine, Rochester, MN, USA.ORCID 0000000298747537
Mayo Clinic · US

Funding

Regulated Long-Term Cardiac BNP Expression in Hypertensive Heart DiseaseR01HL098502 · NHLBI · MAYO CLINIC ROCHESTER · PI CATALIOTTI, ALESSANDRO, IKEDA, YASUHIRO · 2010 to 2014
$1.9M
NHLBI NIH HHS HL098502NHLBI NIH HHS R01 HL098502
6 · The paper itself

Abstract

Protection of β cells from autoimmune destruction potentially cures type 1 diabetes mellitus (T1D). During antigen presentation, interactions between cytotoxic T-lymphocyte antigen-4 (CTLA4) and B7 molecules, or programmed death 1 (PD1) and its ligand PDL1, negatively regulate immune responses in a non-redundant manner. Here we employed β-cell-targeted adeno-associated virus serotype 8 (AAV8)-based vectors to overexpress an artificial PDL1-CTLA4Ig polyprotein or interleukin 10 (IL10). β-Cell-targeted expression of PDL1-CTLA4Ig or IL10 preserved β-cell mass and protected NOD mice from T1D development. When NOD mice were treated with vectors at early onset of hyperglycemia, PDL1-CTLA4Ig or IL10 alone failed to normalize the early onset of hyperglycemia. When drug-induced diabetic mice received major histocompatibility complex (MHC)-matched allo-islets, with or without pretreatment of the PDL1-CTLA4Ig-expressing vector, PDL1-CTLA4Ig-expressing islets were protected from rejection for at least 120 days. Similarly, transplantation of PDL1-CTLA4Ig-expressing MHC-matched islets into mice with established T1D resulted in protection of allo-islets from acute rejection, although islet grafts were eventually rejected. Thus the present study demonstrates the potent immuno-suppressive effects of β-cell-targeted PDL1-CTLA4Ig overexpression against T1D development and allo-islet rejection. The gene-based simultaneous inhibition of PD1 and CTLA4 pathways provides a unique strategy for immunosuppression-free tissue/organ transplantation, especially in the setting of no established autoimmunity.

Indexed as

AutoimmunityGraft RejectionAnimalsB7-H1 AntigenCTLA-4 AntigenDiabetes Mellitus, ExperimentalHEK293 CellsHumansImmunosuppression TherapyInsulin-Secreting CellsMiceMice, Inbred BALB CMice, Inbred ICRMice, Inbred NODTransplantation, HomologousB7-H1 AntigenCTLA-4 Antigen

Identifiers

PMID25786871
PMCPMC4520544
OpenAlexW2020287981

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.