Evidence map›Paper›PMID 27785529›Full record

ArticleDiabetologia2017

Rebranding asymptomatic type 1 diabetes: the case for autoimmune beta cell disorder as a pathological and diagnostic entity.

Ezio Bonifacio, Chantal Mathieu, Gerald T Nepom, Anette-G Ziegler, Henry Anhalt, Michael J Haller, Leonard C Harrison, Matthias Hebrok, Jake A Kushner, Jill M Norris and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Rapid Point-of-Care Test for Determination of C-Peptide Levels.Journal of diabetes science and technology · 2022
    Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Islet Microvasculature Alterations With Loss of Beta-cells in Patients With Type 1 Diabetes.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2019
    Article
  12. Review
  13. Article
  14. Article
  15. 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

14 authors at 13 institutions in 5 countries.

Ezio BonifacioDFG Center for Regenerative Therapies Dresden, Faculty of Medicine, Technische Universität Dresden, Fetscherstrasse 105, 01307, Dresden, Germany. ezio.bonifacio@crt-dresden.de.
Chantal MathieuClinical and Experimental Endocrinology, University Hospital of Leuven, Leuven, Belgium.
Gerald T NepomBenaroya Research Institute at Virginia Mason, The University of Washington School of Medicine, Seattle, WA, USA.
Anette-G ZieglerInstitute of Diabetes Research, Helmholtz Zentrum München, Neuherberg, Germany.
Henry AnhaltT1D Exchange, Boston, MA, USA.
Michael J HallerDepartment of Pediatrics, College of Medicine, University of Florida, Gainesville, FL, USA.
Leonard C HarrisonWalter and Eliza Hall Institute of Medical Research, Melbourne, VIC, Australia.
Matthias HebrokUniversity of California, San Francisco Diabetes Center, San Francisco, CA, USA.
Jake A KushnerMcNair Medical Institute, Pediatric Diabetes and Endocrinology, Baylor College Medical Center, Houston, TX, USA.
Jill M NorrisDepartment of Epidemiology, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Mark PeakmanDepartment of Immunobiology, King's College London Faculty of Life Sciences & Medicine, London, UK.
Alvin C PowersDivision of Diabetes, Endocrinology, and Metabolism, Vanderbilt University School of Medicine, Nashville, TN, USA.
John A ToddJDRF/Wellcome Trust Diabetes and Inflammation Laboratory, Department of Medical Genetics, NIHR Cambridge Biomedical Research Centre, Cambridge Institute for Medical Research, University of Cambridge, Cambridge, UK.
Mark A AtkinsonDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, FL, USA.
University of Florida · USColorado School of Public Health · USKing's College London · GBKlinikum rechts der Isar · DEKU Leuven · BET1D Exchange · USTexas Medical Center · USTU Dresden · DEUniversity of California, San Francisco · USUniversity of Cambridge · GBUniversity of Washington · USVanderbilt University · USWalter and Eliza Hall Institute of Medical Research · AU

Funding

Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 1997 to 2026
$32.9M
Vanderbilt Diabetes Research CenterP30DK020593 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALVIN C POWERS · 2012 to 2026
$29.3M
Nutrigenetics & -genomics of Vitamin D and Omega-3 Fatty Acids in Type 1 DiabetesR01DK104351 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI NORRIS, JILL M · 2014 to 2018
$2.9M
NIAID NIH HHS P01 AI042288NIDDK NIH HHS P30 DK020593NIDDK NIH HHS R01 DK104351
6 · The paper itself

Abstract

The asymptomatic phase of type 1 diabetes is recognised by the presence of beta cell autoantibodies in the absence of hyperglycaemia. We propose that an accurate description of this stage is provided by the name 'Autoimmune Beta Cell Disorder' (ABCD). Specifically, we suggest that this nomenclature and diagnosis will, in a proactive manner, shift the paradigm towards type 1 diabetes being first and foremost an immune-mediated disease and only later a metabolic disease, presaging more active therapeutic intervention in the asymptomatic stage of disease, before end-stage beta cell failure. Furthermore, we argue that accepting ABCD as a diagnosis will be critical in order to accelerate pharmaceutical, academic and public activities leading to clinical trials that could reverse beta cell autoimmunity and halt progression to symptomatic insulin-requiring type 1 diabetes. We recognize that there are both opportunities and challenges in the implementation of the ABCD concept but hope that the notion of 'asymptomatic autoimmune disease' as a disorder will be widely discussed and eventually accepted.

Indexed as

AutoimmunityDiabetes Mellitus, Type 1HumansInsulin-Secreting CellsAutoimmunityBeta cellDiabetesDisease classification

Identifiers

PMID27785529
PMCPMC5516264
OpenAlexW2542367907

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.