Evidence map›Paper›PMID 26269193›Full record

ReviewPediatric diabetes2015

The role for gut permeability in the pathogenesis of type 1 diabetes--a solid or leaky concept?

Xia Li, Mark A Atkinson

Open access · greenAbstract readReview
In one paragraph

Review in Pediatric diabetes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
71citing papers in PubMed, 1 pooled it
7.7field-weighted citation impact, top 3% 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

71 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

  1. Use of probiotics and similar in pediatric patients with Type 1 Diabetes Mellitus: a systematic review.Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo · 2024
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Recent advances in the positive role ofFrontiers in immunology · 2026
    Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Nutrients · 2025
    Article
  14. Review
  15. Beneficial Effects of ProbioticInternational journal of molecular sciences · 2024
    Article
  16. Article
  17. Article
  18. Article
  19. Diabetes and gut microbiome.Frontiers in microbiology · 2024
    Review
  20. Article

11 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

2 authors at 2 institutions in 2 countries.

Xia LiInstitute of Metabolism and Endocrinology, The Second Xiangya Hospital and the Diabetes Center, Metabolic Syndrome Research Center, Key Laboratory of Diabetes Immunology, Ministry of Education, Central South University, National Clinical Research Center for Metabolic Diseases, Changsha, China.
Mark A AtkinsonDepartments of Pathology, Immunology, and Laboratory Medicine, and Pediatrics, College of Medicine, University of Florida, Gainesville, FL, USA.
Second Xiangya Hospital of Central South University · CNUniversity of Florida · US

Funding

Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 1997 to 2026
$32.9M
NIAID NIH HHS AI42288NIAID NIH HHS P01 AI042288
6 · The paper itself

Abstract

Increasing evidence, both functional and morphological, supports the concept of increased intestinal permeability as an intrinsic characteristic of type 1 diabetes (T1D) in both humans and animal models of the disease. Often referred to as a 'leaky gut', its mechanistic impact on the pathogenesis of T1D remains unclear. Hypotheses that this defect influences immune responses against antigens (both self and non-self) predominate, yet others argue hyperglycemia and insulitis may contribute to increased gut permeability in T1D. To address these complicated issues, we herein review the many conceptual role(s) for a leaky gut in the pathogenesis of T1D and suggest ways that if true, therapeutic interventions aimed at the gut-pancreas axis may prove promising for future therapeutic interventions.

Indexed as

AutoimmunityModels, BiologicalAnimalsBiomarkersChildChild, PreschoolDiabetes Mellitus, Type 1DysbiosisGastrointestinal TractHumansInfantIslets of LangerhansPediatricsPermeabilityBiomarkersbarrier function diabetesbeta-cell autoimmunityintestinal permeability

Identifiers

PMID26269193
PMCPMC4638168
OpenAlexW1600483410

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.