Evidence map›Paper›PMID 29491310›Full record

ArticleInternal medicine (Tokyo, Japan)2018

Fulminant Type 1 Diabetes Mellitus Accompanied by Positive Conversion of Anti-insulin Antibody after the Administration of Anti-CTLA-4 Antibody Following the Discontinuation of Anti-PD-1 Antibody.

Michiru Shiba, Hidefumi Inaba, Hiroyuki Ariyasu, Shintaro Kawai, Yuko Inagaki, Shohei Matsuno, Hiroshi Iwakura, Yuki Yamamoto, Masahiro Nishi, Takashi Akamizu

Abstract readCase Reports
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  14. First line Immunotherapy for Non-Small Cell Lung Cancer.Pharmaceuticals (Basel, Switzerland) · 2020
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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

10 authors.

Michiru ShibaThe First Department of Medicine, Wakayama Medical University, Japan.
Hidefumi InabaThe First Department of Medicine, Wakayama Medical University, Japan.
Hiroyuki AriyasuThe First Department of Medicine, Wakayama Medical University, Japan.
Shintaro KawaiThe First Department of Medicine, Wakayama Medical University, Japan.
Yuko InagakiThe First Department of Medicine, Wakayama Medical University, Japan.
Shohei MatsunoThe First Department of Medicine, Wakayama Medical University, Japan.
Hiroshi IwakuraThe First Department of Medicine, Wakayama Medical University, Japan.
Yuki YamamotoDepartment of Dermatology, Wakayama Medical University, Japan.
Masahiro NishiThe First Department of Medicine, Wakayama Medical University, Japan.
Takashi AkamizuThe First Department of Medicine, Wakayama Medical University, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An 80-year-old woman with malignant melanoma received 20 cycles of anti-programmed death 1 (PD-1) antibody (nivolumab) treatment and showed normal glucose tolerance. Three weeks after switching to anti-cytotoxic T-lymphocyte associated antigen 4 (CTLA-4) antibody (ipilimumab), her plasma glucose level was elevated to 639 mg/dL, her HbA1c was 7.7%, and her fastening serum C-peptide immunoreactivity was undetectable. Anti-glutamic acid decarboxylase and insulinoma-associated protein-2 antibodies were negative. She was diagnosed with fulminant type 1 diabetes mellitus (F1DM). Remarkably, her anti-insulin antibody was positively converted, and her Sialylated Carbohydrate Antigen, Krebs von den Lungen-6 levels increased after ipilimumab therapy. She possessed F1DM-susceptible Human Leukocyte Antigen-DR4. A fluorescence activated cell sorting analysis showed an altered T-cell population. This case of F1DM highlights specific mechanisms underlying pancreatic beta cell immunity.

Indexed as

Aged, 80 and overAntibodies, MonoclonalAntineoplastic AgentsBiomarkers, TumorBlood GlucoseCTLA-4 AntigenCutaneous Malignant MelanomaDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHumansInsulin AntibodiesIpilimumabMelanomaNivolumabReceptor-Like Protein Tyrosine Phosphatases, Class 8Antibodies, MonoclonalAntineoplastic AgentsBiomarkers, TumorBlood GlucoseCTLA-4 AntigenGlycated HemoglobinInsulin AntibodiesIpilimumabNivolumabReceptor-Like Protein Tyrosine Phosphatases, Class 8CTLA-4fulminant type 1 diabetes mellitusimmune-checkpoint inhibitorsinsulinpancreatic beta cellPD-1

Identifiers

PMID29491310
PMCPMC6096029

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.