Evidence map›Paper›PMID 26518356›Full record

Trial reportEuropean journal of immunology2016

Changes in T-cell subsets identify responders to FcR-nonbinding anti-CD3 mAb (teplizumab) in patients with type 1 diabetes.

James E Tooley, Nalini Vudattu, Jinmyung Choi, Chris Cotsapas, Lesley Devine, Khadir Raddassi, Mario R Ehlers, James G McNamara, Kristina M Harris, Sai Kanaparthi and 2 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
6.2field-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

48 citing papers in PubMed, 64 citations in OpenAlex.

  1. Trial
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  8. Article
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  11. Are We Ready With Prevention for Type 1 Diabetes?Diabetes/metabolism research and reviews · 2025
    Review
  12. Review
  13. Review
  14. Review
  15. REDEFINING AUTOIMMUNE DISEASES: THE OPPORTUNITY FOR PRECISION AND PREVENTION.Transactions of the American Clinical and Climatological Association · 2025
    Review
  16. Review
  17. Article
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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

12 authors at 3 institutions in 1 country.

James E TooleyDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA.
Nalini VudattuDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA.
Jinmyung ChoiDepartment of Neurology, Yale School of Medicine, New Haven, CT, USA.
Chris CotsapasDepartment of Neurology, Yale School of Medicine, New Haven, CT, USA.
Lesley DevineDepartment of Laboratory Medicine, Yale School of Medicine, New Haven, CT, USA.
Khadir RaddassiDepartment of Neurology, Yale School of Medicine, New Haven, CT, USA.
Mario R EhlersImmune Tolerance Network, Bethesda, MD, USA.
James G McNamaraNational Institutes of Allergy and Infectious Diseases, NIH, Bethesda, MD, USA.
Kristina M HarrisImmune Tolerance Network, Bethesda, MD, USA.
Sai KanaparthiImmune Tolerance Network, Bethesda, MD, USA.
Deborah PhippardImmune Tolerance Network, Bethesda, MD, USA.
Kevan C HeroldDepartment of Immunobiology, Yale School of Medicine, New Haven, CT, USA.
Yale University · USImmune Tolerance Network · USNational Institute of Allergy and Infectious Diseases · US

Funding

YALE UNIVERSITY CLINICAL AND TRANSLATIONAL SCIENCE AWARD PROGRAMUL1RR024139 · NCRR · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2006 to 2011
$56.8M
ZOLEDRONIC ACID IN PROSTATE CANCERM01RR000645 · NCRR · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI COLTEN, HARVEY R · 1985 to 2006
$27.0M
Phase II Trial of HOKT3gamma 1 (ALA-ALA) in Type 1 DiabetesR01DK057846 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold · 2000 to 2026
$11.1M
The role of the innate immune system on Treg reprogramming in human autoimmune diU01AI102011 · NIAID · YALE UNIVERSITY · PI HAFLER, DAVID A., HEROLD, KEVAN C · 2012 to 2016
$3.8M
Yale Autoimmunity Center of ExcellenceU19AI082713 · NIAID · YALE UNIVERSITY · PI CHO, JUDY H. · 2009 to 2013
$3.6M
Innate and Adaptive Immune Responses in Pre-type 1 DiabetesRC4DK090805 · NIDDK · YALE UNIVERSITY · PI HEROLD, KEVAN C · 2010 to 2010
$399k
IMMUNE TOLERANCE NETWORK-266015416-266015416N01AI015416 · NIAID · REGENTS OF THE UNIVERSITY OF C · PI BLUESTONE, JEFFREY A · 2002 to 2006
–
NCRR NIH HHS 2UL1RR024139NCRR NIH HHS M01 RR000645NCRR NIH HHS UL1 RR024139NIAID NIH HHS N01 AI015416NIAID NIH HHS U01 AI102011NIAID NIH HHS U01AI1U01-02011-01NIAID NIH HHS U19 AI082713NIDDK NIH HHS R01 DK057846NIDDK NIH HHS RC4 DK090805
6 · The paper itself

Abstract

The mechanisms whereby immune therapies affect progression of type 1 diabetes (T1D) are not well understood. Teplizumab, an FcR nonbinding anti-CD3 mAb, has shown efficacy in multiple randomized clinical trials. We previously reported an increase in the frequency of circulating CD8(+) central memory (CD8CM) T cells in clinical responders, but the generalizability of this finding and the molecular effects of teplizumab on these T cells have not been evaluated. We analyzed data from two randomized clinical studies of teplizumab in patients with new- and recent-onset T1D. At the conclusion of therapy, clinical responders showed a significant reduction in circulating CD4(+) effector memory T cells. Afterward, there was an increase in the frequency and absolute number of CD8CM T cells. In vitro, teplizumab expanded CD8CM T cells by proliferation and conversion of non-CM T cells. Nanostring analysis of gene expression of CD8CM T cells from responders and nonresponders versus placebo-treated control subjects identified decreases in expression of genes associated with immune activation and increases in expression of genes associated with T-cell differentiation and regulation. We conclude that CD8CM T cells with decreased activation and regulatory gene expression are associated with clinical responses to teplizumab in patients with T1D.

Indexed as

AdolescentAdultAntibodies, Monoclonal, HumanizedCD8-Positive T-LymphocytesCell DifferentiationChildDiabetes Mellitus, Type 1FemaleFlow CytometryHumansLymphocyte ActivationMaleT-Lymphocyte SubsetsTranscriptomeYoung AdultAntibodies, Monoclonal, HumanizedteplizumabAnti-CD3 mAb ⋅ CD8+ T cells ⋅ Immune therapy ⋅ Tolerance ⋅ Type 1 diabetes

Identifiers

PMID26518356
PMCPMC4882099
OpenAlexW1896586019

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.