Evidence map›Paper›PMID 29141886›Full record

ArticleScience translational medicine2017

PD-L1 genetic overexpression or pharmacological restoration in hematopoietic stem and progenitor cells reverses autoimmune diabetes.

Moufida Ben Nasr, Sara Tezza, Francesca D'Addio, Chiara Mameli, Vera Usuelli, Anna Maestroni, Domenico Corradi, Silvana Belletti, Luca Albarello, Gabriella Becchi and 7 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Science translational medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06938334 (A Single-arm, Open-label, Phase I/II Clinical Trial of Autologous Hematopoietic Stem and Progenitor Cells), which is not on this map. Cited by 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
12.3field-weighted citation impact, top 1% 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.

NCT06938334 phase1 / phase2not yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Single-arm, Open-label, Phase I/II Clinical Trial of Autologous Hematopoietic Stem and Progenitor Cells (HSPCs) Genetically Modified With a Lentiviral Vector (LVV) Encoding for the Human Programmed Death-ligand 1 (hPD-L1) Complementary Deoxyribonucleic Acid (cDNA) for the Treatment of Patients With Type 1 Diabetes (T1D) at Recent Onset and With Residual β-cell Function (IMMUNOSTEM)

TypeinterventionalSponsorAltheia ScienceRan2025 to 2029Enrolled15ConditionsDiabetes, Type IArmsAutologous CD34+ cell enriched population containing HSPCs transduced ex vivo using a LVV encoding the hPD-L1 DNA
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 132 citations in OpenAlex.

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  12. Bioengineering Platelets Presenting PD-L1, Galectin-9 and BTLA to Ameliorate Type 1 Diabetes.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
  13. Cell-drug conjugates.Nature biomedical engineering · 2024
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  19. Advanced Delivery Strategies for Immunotherapy in Type I Diabetes Mellitus.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2023
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5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 2 countries.

Moufida Ben NasrNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID http://orcid.org/0000-0002-1022-7853
Sara TezzaNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID http://orcid.org/0000-0002-0048-5824
Francesca D'AddioNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID http://orcid.org/0000-0002-0345-0694
Chiara MameliDepartment of Pediatrics, Buzzi Children's Hospital, Milan 20154, Italy.
Vera UsuelliNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Anna MaestroniInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan 20157, Italy.
Domenico CorradiPathology Unit, University of Parma, Parma 43126, Italy.
Silvana BellettiPathology Unit, University of Parma, Parma 43126, Italy.
Luca AlbarelloPathology Unit, Ospedale San Raffaele, Milan 20132, Italy.
Gabriella BecchiPathology Unit, University of Parma, Parma 43126, Italy.
Gian Paolo FadiniDepartment of Medicine, University of Padua, Padua 35100, Italy.ORCID http://orcid.org/0000-0002-6510-2097
Christian SchuetzDepartment of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.ORCID http://orcid.org/0000-0002-6828-4543
James MarkmannDepartment of Surgery, Massachusetts General Hospital, Boston, MA 02114, USA.
Clive WasserfallDepartment of Pathology, University of Florida, Gainesville, FL 32611, USA.
Leonard ZonDivision of Hematology/Oncology, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA.ORCID http://orcid.org/0000-0003-0860-926X
Gian Vincenzo ZuccottiInternational Center for T1D, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan 20157, Italy.
Paolo FiorinaNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, MA 02115, USA. paolo.fiorina@childrens.harvard.edu.ORCID http://orcid.org/0000-0002-1093-7724
Boston Children's Hospital · USUniversity of Parma · ITMassachusetts General Hospital · USOspedale dei Bambini Vittore Buzzi · ITIRCCS Ospedale San Raffaele · ITIstituto Nazionale Genetica Molecolare · ITUniversity of Florida · USUniversity of Padua · IT

Funding

EMBRYONIC HEMATOPOIESISR01HL048801 · NHLBI · CHILDREN'S HOSPITAL BOSTON · PI ZON, LEONARD IRA · 1992 to 2016
$5.7M
Howard Hughes Medical InstituteNHLBI NIH HHS R01 HL048801
6 · The paper itself

Abstract

Immunologically based clinical trials performed thus far have failed to cure type 1 diabetes (T1D), in part because these approaches were nonspecific. Because the disease is driven by autoreactive CD4 T cells, which destroy β cells, transplantation of hematopoietic stem and progenitor cells (HSPCs) has been recently offered as a therapy for T1D. Our transcriptomic profiling of HSPCs revealed that these cells are deficient in programmed death ligand 1 (PD-L1), an important immune checkpoint, in the T1D nonobese diabetic (NOD) mouse model. Notably, the immunoregulatory molecule PD-L1 plays a determinant role in controlling/inhibiting activated T cells and thus maintains immune tolerance. Furthermore, our genome-wide and bioinformatic analysis revealed the existence of a network of microRNAs (miRNAs) controlling PD-L1 expression, and silencing one of key altered miRNAs restored PD-L1 expression in HSPCs. We therefore sought to determine whether restoration of this defect would cure T1D as an alternative to immunosuppression. Genetically engineered or pharmacologically modulated HSPCs overexpressing PD-L1 inhibited the autoimmune response in vitro, reverted diabetes in newly hyperglycemic NOD mice in vivo, and homed to the pancreas of hyperglycemic NOD mice. The PD-L1 expression defect was confirmed in human HSPCs in T1D patients as well, and pharmacologically modulated human HSPCs also inhibited the autoimmune response in vitro. Targeting a specific immune checkpoint defect in HSPCs thus may contribute to establishing a cure for T1D.

Indexed as

AnimalsAutoimmunityB7-H1 AntigenDiabetes Mellitus, Type 1Genetic TherapyHematopoietic Stem CellsHumansHyperglycemiaMiceMice, Inbred C57BLStem CellsB7-H1 Antigen

Identifiers

PMID29141886
PMCPMC6171337
OpenAlexW2769764904

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Registered trials

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.