Evidence map›Paper›PMID 29563329›Full record

ArticleJCI insight2018

Deficiency of immunoregulatory indoleamine 2,3-dioxygenase 1in juvenile diabetes.

Ciriana Orabona, Giada Mondanelli, Maria T Pallotta, Agostinho Carvalho, Elisa Albini, Francesca Fallarino, Carmine Vacca, Claudia Volpi, Maria L Belladonna, Maria G Berioli and 25 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
3.8field-weighted citation impact, top 5% 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

43 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
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  8. Vaccines · 2025
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  9. Article
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  12. Article
  13. Article
  14. Article
  15. Immune regulation through tryptophan metabolism.Experimental & molecular medicine · 2023
    Review
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  17. Article
  18. Article
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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

35 authors at 9 institutions in 5 countries.

Ciriana OrabonaDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Giada MondanelliDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Maria T PallottaDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Agostinho CarvalhoLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.
Elisa AlbiniDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Francesca FallarinoDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Carmine VaccaDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Claudia VolpiDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Maria L BelladonnaDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Maria G BerioliDepartment of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Giulia CeccariniDepartment of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Susanna Mr EspositoDepartment of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Raffaella ScattoniDepartment of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Alberto VerrottiDepartment of Surgical and Biomedical Sciences, University of Perugia, Perugia, Italy.
Alessandra FerrettiPediatric Clinic of S. Maria della Misericordia Hospital, Perugia, Italy.
Giovanni De GiorgiPediatric Clinic of S. Maria della Misericordia Hospital, Perugia, Italy.
Sonia ToniJuvenile Diabetes Center, Anna Meyer Children's Hospital, Florence, Italy.
Marco CappaUnit of Endocrinology and Diabetes, 'Bambino Gesù' Children's Hospital, Rome, Italy.
Maria C MatteoliUnit of Endocrinology and Diabetes, 'Bambino Gesù' Children's Hospital, Rome, Italy.
Roberta BianchiDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Davide MatinoDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Alberta IaconoDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Matteo PuccettiDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Cristina CunhaLife and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, Portugal.
Silvio BicciatoDepartment of Life Sciences, University of Modena and Reggio Emilia, Modena, Italy.
Cinzia AntognelliDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Vincenzo N TalesaDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Lucienne ChatenoudINSERM U1013, Hôpital Necker-Enfants Malades and Université Paris Descartes, Paris, France.
Dietmar FuchsDivision of Biological Chemistry, Biocenter, Medical University, Innsbruck, Austria.
Luc PilotteLudwig Institute for Cancer Research, Walloon Excellence in Life Sciences and Biotechnology and.
Benoît Van den EyndeLudwig Institute for Cancer Research, Walloon Excellence in Life Sciences and Biotechnology and.
Manuel C LemosCICS-UBI, Health Sciences Research Centre, University of Beira Interior, Covilhã, Portugal.
Luigina RomaniDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Paolo PuccettiDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
Ursula GrohmannDepartment of Experimental Medicine, University of Perugia, Perugia, Italy.
University of Perugia · ITAzienda Ospedaliera di Perugia · ITBambino Gesù Children's Hospital · ITde Duve Institute · BEUniversity of Minho · PTHôpital Necker-Enfants Malades · FRMeyer Children's Hospital · ITUniversity of Beira Interior · PTUniversity of Modena and Reggio Emilia · IT

Funding

European Research Council 338954
6 · The paper itself

Abstract

A defect in indoleamine 2,3-dioxygenase 1 (IDO1), which is responsible for immunoregulatory tryptophan catabolism, impairs development of immune tolerance to autoantigens in NOD mice, a model for human autoimmune type 1 diabetes (T1D). Whether IDO1 function is also defective in T1D is still unknown. We investigated IDO1 function in sera and peripheral blood mononuclear cells (PBMCs) from children with T1D and matched controls. These children were further included in a discovery study to identify SNPs in IDO1 that might modify the risk of T1D. T1D in children was characterized by a remarkable defect in IDO1 function. A common haplotype, associated with dysfunctional IDO1, increased the risk of developing T1D in the discovery and also confirmation studies. In T1D patients sharing such a common IDO1 haplotype, incubation of PBMCs in vitro with tocilizumab (TCZ) - an IL-6 receptor blocker - would, however, rescue IDO1 activity. In an experimental setting with diabetic NOD mice, TCZ was found to restore normoglycemia via IDO1-dependent mechanisms. Thus, functional SNPs of IDO1 are associated with defective tryptophan catabolism in human T1D, and maneuvers aimed at restoring IDO1 function would be therapeutically effective in at least a subgroup of T1D pediatric patients.

Indexed as

AnimalsAntibodies, Monoclonal, HumanizedChildCytokinesDiabetes Mellitus, Type 1Disease Models, AnimalFemaleGene Expression Regulation, EnzymologicGenetic Association StudiesHumansImmune ToleranceImmunotherapyIndoleamine-Pyrrole 2,3,-DioxygenaseLeukocytes, MononuclearMiceMice, Inbred C57BLAntibodies, Monoclonal, HumanizedCytokinesIDO1 protein, humanIDO1 protein, mouseIndoleamine-Pyrrole 2,3,-DioxygenaseReceptors, Interleukin-6tocilizumabTryptophanAmino acid metabolismAutoimmunityDiabetesImmunologyImmunotherapy

Identifiers

PMID29563329
PMCPMC5926942
OpenAlexW2790230144

What OpenQuestion holds

Textmetadata
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Registered trials

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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.