Evidence map›Paper›PMID 27604323›Full record

ArticleScientific reports2016

Incomplete immune response to coxsackie B viruses associates with early autoimmunity against insulin.

Michelle P Ashton, Anne Eugster, Denise Walther, Natalie Daehling, Stephanie Riethausen, Denise Kuehn, Karin Klingel, Andreas Beyerlein, Stephanie Zillmer, Anette-Gabriele Ziegler and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.9field-weighted citation impact, top 7% 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

29 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. 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

11 authors at 6 institutions in 1 country.

Michelle P AshtonDFG-Center for Regenerative Therapies Dresden, Dresden, Germany.
Anne EugsterDFG-Center for Regenerative Therapies Dresden, Dresden, Germany.
Denise WaltherDFG-Center for Regenerative Therapies Dresden, Dresden, Germany.
Natalie DaehlingDFG-Center for Regenerative Therapies Dresden, Dresden, Germany.
Stephanie RiethausenInstitute of Diabetes Research, Helmholtz Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, Neuherberg, Germany.
Denise KuehnDFG-Center for Regenerative Therapies Dresden, Dresden, Germany.
Karin KlingelDepartment of Molecular Pathology, University Hospital Tübingen, Tübingen, Germany.
Andreas BeyerleinInstitute of Diabetes Research, Helmholtz Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, Neuherberg, Germany.
Stephanie ZillmerInstitute of Diabetes Research, Helmholtz Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, Neuherberg, Germany.
Anette-Gabriele ZieglerInstitute of Diabetes Research, Helmholtz Zentrum München and Forschergruppe Diabetes, Klinikum rechts der Isar, Technische Universität München, Neuherberg, Germany.
Ezio BonifacioDFG-Center for Regenerative Therapies Dresden, Dresden, Germany.
Berlin-Brandenburger Centrum für Regenerative Therapien · DEHelmholtz Zentrum München · DEDeutsches Diabetes-Zentrum e.V. · DEHeinrich Heine University Düsseldorf · DEKlinikum rechts der Isar · DEUniversity Children's Hospital Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Viral infections are associated with autoimmunity in type 1 diabetes. Here, we asked whether this association could be explained by variations in host immune response to a putative type 1 etiological factor, namely coxsackie B viruses (CVB). Heterogeneous antibody responses were observed against CVB capsid proteins. Heterogeneity was largely defined by different binding to VP1 or VP2. Antibody responses that were anti-VP2 competent but anti-VP1 deficient were unable to neutralize CVB, and were characteristic of children who developed early insulin-targeting autoimmunity, suggesting an impaired ability to clear CVB in early childhood. In contrast, children who developed a GAD-targeting autoimmunity had robust VP1 and VP2 antibody responses to CVB. We further found that 20% of memory CD4(+) T cells responding to the GAD65247-266 peptide share identical T cell receptors to T cells responding to the CVB4 p2C30-51 peptide, thereby providing direct evidence for the potential of molecular mimicry as a mechanism for GAD autoimmunity. Here, we highlight functional immune response differences between children who develop insulin-targeting and GAD-targeting autoimmunity, and suggest that children who lose B cell tolerance to insulin within the first years of life have a paradoxical impaired ability to mount humoral immune responses to coxsackie viruses.

Indexed as

AutoimmunityAdolescentAntibodiesCapsid ProteinsCD4-Positive T-LymphocytesChildChild, PreschoolCoxsackievirus InfectionsDiabetes Mellitus, Type 1Enterovirus B, HumanFemaleGlutamate DecarboxylaseHumansInsulinMaleAntibodiesCapsid ProteinsGlutamate DecarboxylaseInsulin

Identifiers

PMID27604323
PMCPMC5015062
OpenAlexW2514506174

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.