Evidence map›Paper›PMID 27357431›Full record

ArticleClinical and experimental immunology2016

Altered regulatory T cell phenotype in latent autoimmune diabetes of the adults (LADA).

M Radenkovic, C Silver, J Arvastsson, K Lynch, Å Lernmark, R A Harris, C-D Agardh, C M Cilio

Open access · bronzeAbstract read
In one paragraph

Article 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.2field-weighted citation impact, top 6% 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

18 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Adult-onset autoimmune diabetes.Nature reviews. Disease primers · 2022
    Review
  6. Review
  7. Article
  8. Latent autoimmune diabetes in adults in China.Frontiers in immunology · 2022
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Downregulation of T-Cell Transcription Factors in Adult Latent Autoimmune Diabetes with High-Titer Glutamic Acid Decaroxylase Antibody.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2019
    Article
  15. Review
  16. Article
  17. Article
  18. Article
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 3 institutions in 2 countries.

M RadenkovicLund University Diabetes Center, Department of Clinical Sciences, Lund University, Lund, Sweden.
C SilverLund University Diabetes Center, Department of Clinical Sciences, Lund University, Lund, Sweden.
J ArvastssonLund University Diabetes Center, Department of Clinical Sciences, Lund University, Lund, Sweden.
K LynchPediatrics Epidemiology Center, Department of Pediatrics, University of South Florida, Tampa, FL, USA.
Å LernmarkLund University Diabetes Center, Department of Clinical Sciences, Lund University, Lund, Sweden.
R A HarrisApplied Immunology & Immunotherapy, Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
C-D AgardhLund University Diabetes Center, Department of Clinical Sciences, Lund University, Lund, Sweden.
C M CilioLund University Diabetes Center, Department of Clinical Sciences, Lund University, Lund, Sweden.
Lund University · SEKarolinska Institutet · SEUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Latent autoimmune diabetes of the adults (LADA) accounts for up to 12% of all patients with diabetes. Initially the disease resembles type 2 diabetes (T2D); however, the typical presence of β cell autoantibodies indicates an autoimmune basis of LADA. While dysfunctional regulatory T cells (Tregs ) have been implicated in autoimmune diabetes, these cells have been scarcely studied in LADA. The aim of this study was to investigate the frequency and phenotype of circulating Tregs in LADA patients early during disease progression. Flow cytometric analysis was performed on whole blood and peripheral mononuclear cells (PBMC) from patients diagnosed with LADA prior to insulin deficiency (n = 39) and from healthy volunteers (n = 20). Overall, we found the frequency and activation status of peripheral putative Tregs to be altered in LADA patients compared to healthy controls. While total T cells and CD4(+) T cells expressing high levels of CD25 (CD4(+) CD25(hi) ) were unchanged, the frequency and total numbers of CD4(+) T cells expressing an intermediate level of CD25 (CD4(+) CD25(int) ) were decreased in LADA patients. Interestingly, the expression of the Treg -specific marker forkhead box protein 3 (FoxP3), as well as the activation and memory makers CD69, cytotoxic T lymphocyte associated antigen 4 (CTLA-4), CCR4 and CD45RO were increased in CD4(+) CD25(+) T cells of the patients. Our data depict phenotypical changes in T cells of LADA patients that may reflect a derangement in peripheral immune regulation contributing to the slow process leading to insulin-dependent diabetes in these patients.

Indexed as

PhenotypeAdultAgedAntigens, SurfaceAutoantibodiesCase-Control StudiesDiabetes Mellitus, Type 1FemaleHumansImmunologic MemoryImmunophenotypingLymphocyte ActivationLymphocyte CountMaleMiddle AgedT-Lymphocytes, RegulatoryAntigens, SurfaceAutoantibodiesautoimmunitydiabetesregulatory T cells

Identifiers

PMID27357431
PMCPMC5011368
OpenAlexW2467139604

What OpenQuestion holds

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Registered trials

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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.