Evidence map›Paper›PMID 26130764›Full record

ArticleDiabetes2015

Reversal of New-Onset Type 1 Diabetes With an Agonistic TLR4/MD-2 Monoclonal Antibody.

Kyle J Bednar, Hiroki Tsukamoto, Kritika Kachapati, Shoichiro Ohta, Yuehong Wu, Jonathan D Katz, Dana P Ascherman, William M Ridgway

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 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.2field-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.

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

17 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Can we cure autoimmunity?Current opinion in immunology · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Common innate pathways to autoimmune disease.Clinical immunology (Orlando, Fla.) · 2020
    Review
  10. Review
  11. Article
  12. Epigenetic regulation of Toll-like receptors and its roles in type 1 diabetes.Journal of molecular medicine (Berlin, Germany) · 2018
    Review
  13. A NovelJournal of immunology (Baltimore, Md. : 1950) · 2018
    Article
  14. Review
  15. Review
  16. Review
  17. 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

8 authors at 5 institutions in 2 countries.

Kyle J BednarDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.
Hiroki TsukamotoLaboratory of Oncology, Pharmacy Practice and Sciences, Graduate School of Pharmaceutical Sciences, Tohoku University, Sendai, Japan.
Kritika KachapatiDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.
Shoichiro OhtaDepartment of Laboratory Medicine, Saga Medical School, Saga, Japan.
Yuehong WuDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.
Jonathan D KatzDivision of Immunobiology, Cincinnati Children's Research Foundation, Cincinnati, OH.
Dana P AschermanDivision of Rheumatology, Miller School of Medicine, University of Miami, Miami, FL.
William M RidgwayDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH ridgwawm@ucmail.uc.edu.
University of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · USSaga Medical School Hospital · JPTohoku University · JPUniversity of Miami · US

Funding

BLRD VA I01 BX000827
6 · The paper itself

Abstract

Type 1 diabetes (T1D) is currently an incurable disease, characterized by a silent prodromal phase followed by an acute clinical phase, reflecting progressive autoimmune destruction of insulin-producing pancreatic β-cells. Autoreactive T cells play a major role in β-cell destruction, but innate immune cell cytokines and costimulatory molecules critically affect T-cell functional status. We show that an agonistic monoclonal antibody to TLR4/MD-2 (TLR4-Ab) reverses new-onset diabetes in a high percentage of NOD mice. TLR4-Ab induces antigen-presenting cell (APC) tolerance in vitro and in vivo, resulting in an altered cytokine profile, decreased costimulatory molecule expression, and decreased T-cell proliferation in APC:T-cell assays. TLR4-Ab treatment increases T-regulatory cell (Treg) numbers in both the periphery and the pancreatic islet, predominantly expanding the Helios(+)Nrp-1(+)Foxp3(+) Treg subset. TLR4-Ab treatment in the absence of B cells in NOD.scid mice prevents subsequent T cell-mediated disease, further suggesting a major role for APC tolerization in disease protection. Specific stimulation of the innate immune system through TLR4/MD-2, therefore, can restore tolerance in the aberrant adaptive immune system and reverse new-onset T1D, suggesting a novel immunological approach to treatment of T1D in humans.

Indexed as

AnimalsAntibodies, MonoclonalAntigen-Presenting CellsBiomarkersBlood GlucoseCytokinesDiabetes Mellitus, Type 1FemaleGene Expression RegulationImmunotherapyIslets of LangerhansLymphocyte Antigen 96MiceMice, Inbred NODMice, SCIDToll-Like Receptor 4Antibodies, MonoclonalBiomarkersBlood GlucoseCytokinesLy96 protein, mouseLymphocyte Antigen 96Tlr4 protein, mouseToll-Like Receptor 4

Identifiers

PMID26130764
PMCPMC9162148
OpenAlexW2136222019

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.