Evidence map›Paper›PMID 25989477›Full record

ReviewClinical and experimental immunology2016

Factors impeding the discovery of an intervention-based treatment for type 1 diabetes.

M G von Herrath, O Korsgren, M A Atkinson

Open access · bronzeAbstract readEditorialReview
In one paragraph

Review in Clinical and experimental immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.5field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Emergence of microneedles as a potential therapeutics in diabetes mellitus.Environmental science and pollution research international · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Why Don't We Have a Vaccine Against Autoimmune Diseases? - A Review.Journal of clinical & cellular immunology · 2019
    Article
  13. Alpha-1 Antitrypsin Therapy for Autoimmune Disorders.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2018
    Article
  14. Skin-Related Complications Among Adolescents With Type 1 Diabetes Using Insulin Pump Therapy.Clinical medicine insights. Endocrinology and diabetes · 2018
    Article
  15. Type 1 Diabetes Mellitus in Saudi Arabia: A Soaring Epidemic.International journal of pediatrics · 2018
    Review
  16. Article
  17. Article
  18. Article
  19. Review
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 3 institutions in 2 countries.

M G von HerrathType 1 Diabetes Center, La Jolla Institute for Allergy and Immunology, La Jolla, CA, USA.
O KorsgrenDepartment of Clinical Immunology, University Hospital, Uppsala, Sweden.
M A AtkinsonDepartments of Pathology and Pediatrics, University of Florida, Gainesville, FL, USA.
Novo Nordisk (United States) · USUniversity of Florida · USUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 1 diabetes (T1D) is one of the most common and severe chronic diseases affecting both children and adults. The aetiology of the disease remains unknown, and thus far no 'true' cure for those affected is available. Indeed, exogenous insulin replacement therapy to manage glucose metabolism to the best degree possible remains the current standard of care. However, despite a recent array of truly impressive improvements designed to enhance disease management (e.g. insulin analogues, continuous glucose monitoring, insulin pumps), it is still difficult for the vast majority of patients to reach recommended target HbA1C levels (< 7.0%). As a result of suboptimal disease management, far too many patients with T1D have an increased risk for disease-associated complications such as nephropathy, neuropathy and retinopathy, as well as hypoglycaemia. New treatment modalities are therefore needed urgently to bring a 'true' cure (disease prevention/disease reversal) to patients with T1D. Here we consider issues that collectively pose a major stumbling block in T1D research with respect to identifying a means to prevent and/or cure the disease. We begin this Perspective by discussing new insights emanating from studies of the pancreas in human T1D; findings which may, at least in part, explain why previous interventions seeking disease prevention/reversal have yielded insufficient benefit. We then turn to suggestions that could optimise the outcome of future clinical trials. Finally, we direct attention to recommendations for the global T1D research community; messages we deem to have the potential to improve our chances of finding the elusive T1D 'cure'.

Indexed as

AdultAnimalsBlood GlucoseChildDiabetes Mellitus, Type 1HumansHypoglycemic AgentsInsulinPancreasTranslational Research, BiomedicalBlood GlucoseHypoglycemic AgentsInsulinautoimmune diseasebeta cellsimmune therapyinsulintype 1 diabetes

Identifiers

PMID25989477
PMCPMC4687509
OpenAlexW2113586268

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.