Evidence map›Paper›PMID 28844471›Full record

Trial reportCellular immunology2017

Remodeling T cell compartments during anti-CD3 immunotherapy of type 1 diabetes.

S Alice Long, Jerill Thorpe, Kevan C Herold, Mario Ehlers, Srinath Sanda, Noha Lim, Peter S Linsley, Gerald T Nepom, Kristina M Harris

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cellular immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 1 pooled it
5.9field-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

55 citing papers in PubMed, 1 synthesis or guideline pooled it, 82 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

S Alice LongBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Jerill ThorpeBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Kevan C HeroldDepartments of Immunobiology and Internal Medicine, Yale University, New Haven, CT, USA.
Mario EhlersImmune Tolerance Network, San Francisco, CA, USA.
Srinath SandaImmune Tolerance Network, San Francisco, CA, USA.
Noha LimImmune Tolerance Network, Bethesda, MD, USA.
Peter S LinsleyBenaroya Research Institute at Virginia Mason, Seattle, WA, USA.
Gerald T NepomBenaroya Research Institute at Virginia Mason, Seattle, WA, USA; Immune Tolerance Network, Bethesda, MD, USA.
Kristina M HarrisImmune Tolerance Network, Bethesda, MD, USA. Electronic address: kharris@immunetolerance.org.
Immune Tolerance Network · USBenaroya Research InstituteVirginia Mason Medical Center · USYale University · US

Funding

Immune Tolerance Network UM1 2023 SupplementUM1AI109565 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI Mark S Anderson, Jane Hoyt Buckner · 2014 to 2026
$451.6M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAISSE, CHRISTIAN · 2003 to 2019
$21.8M
NCATS NIH HHS UL1 TR001863NIAID NIH HHS UM1 AI109565NIDDK NIH HHS P30 DK063720
6 · The paper itself

Abstract

The immunological mechanism(s) of action whereby teplizumab preserves C-peptide levels in the progression of patients with recent onset type 1 diabetes (T1D) is still not well understood. In the present study, we evaluated the kinetics of T cell modulation in peripheral blood following two 14-day courses of teplizumab therapy one year apart in recent onset T1D participants in the AbATE clinical trial. Transient rises in PD-1+Foxp3+ Treg and potentially anergic (CD57-KLRG1-PD-1+) cells in the circulating CD4 T cell compartment were paralleled by more profound increases in circulating CD8 T cells with traits of exhaustion (CD57-KLRG1+PD-1+, TIGIT+KLRG1+, and persistent down-modulation of CD127). The observed phenotypic changes across cell types were associated with favorable response to treatment in the subgroup of study participants that did not develop anti-drug antibodies after the first course of therapy. These findings provide new insights on the duration and complexity of T cell modulation with teplizumab therapy in recent onset T1D, and in addition, suggest that coordinated immune mechanisms of tolerance that favor CD4 Treg function and restrain CD4 non-Treg and CD8 T cell activation may contribute to treatment success.

Indexed as

AdolescentAdultAntibodies, Monoclonal, HumanizedCD3 ComplexCD57 AntigensCD8-Positive T-LymphocytesChildC-PeptideDiabetes Mellitus, Type 1FemaleForkhead Transcription FactorsGene ExpressionHumansHypoglycemic AgentsImmune ToleranceImmunomodulationAntibodies, Monoclonal, HumanizedCD3 ComplexCD57 AntigensC-PeptideForkhead Transcription FactorsFOXP3 protein, humanHypoglycemic AgentsInterleukin-7 Receptor alpha SubunitKLRG1 protein, humanLectins, C-TypePDCD1 protein, humanProgrammed Cell Death 1 ReceptorReceptors, ImmunologicteplizumabTIGIT protein, humanTrans-ActivatorsAnti-CD3 monoclonal antibodyImmune toleranceImmunotherapyT cell inactivationT lymphocyteType 1 diabetes

Identifiers

PMID28844471
PMCPMC5614459
OpenAlexW2746133516

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.