Evidence map›Paper›PMID 29784651›Full record

ReviewDiabetes2018

Immune Recognition of β-Cells: Neoepitopes as Key Players in the Loss of Tolerance.

Eddie A James, Massimo Pietropaolo, Mark J Mamula

Abstract readReview
In one paragraph

Review in Diabetes, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
–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

63 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. De novo identification of CD4Nature methods · 2024
    Article
  11. Article
  12. Autoimmunity: the neoantigen hypothesis.Frontiers in immunology · 2024
    Article
  13. Epitope-based precision immunotherapy of Type 1 diabetes.Human vaccines & immunotherapeutics · 2023
    Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Posttranslational modifications in diabetes: Mechanisms and functions.Reviews in endocrine & metabolic disorders · 2022
    Review

3 more citing papers are in PubMed but not listed here.

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

3 authors.

Eddie A JamesTranslational Research Program, Benaroya Research Institute at Virginia Mason, Seattle, WA ejames@benaroyaresearch.org.ORCID 0000-0002-7217-5729
Massimo PietropaoloDiabetes Research Center, Department of Medicine, Baylor College of Medicine, Houston, TX.
Mark J MamulaSection of Rheumatology, Department of Medicine, Yale School of Medicine, New Haven, CT.

Funding

Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold, GERALD I SHULMAN · 1993 to 2026
$44.0M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Karin E Bornfeldt · 1986 to 2026
$41.4M
IMPROVING PREDICTION OF IDDMR01DK053456 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HERMAN, MARK A, REDONDO, MARIA JOSE · 1999 to 2021
$9.5M
Post Translational Modifications in Tolerance and AutoimmunityR01AI048120 · NIAID · YALE UNIVERSITY · PI MAMULA, MARK J · 2001 to 2019
$5.6M
POST TRANSLATIONAL MODIFICATIONS AND AUTOIMMUNITYR21AI048120 · NIAID · YALE UNIVERSITY · PI MAMULA, MARK J. · 2000 to 2000
$323k
NIAID NIH HHS R01 AI048120NIAID NIH HHS R21 AI048120NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK045735NIDDK NIH HHS R01 DK053456
6 · The paper itself

Abstract

Prior to the onset of type 1 diabetes, there is progressive loss of immune self-tolerance, evidenced by the accumulation of islet autoantibodies and emergence of autoreactive T cells. Continued autoimmune activity leads to the destruction of pancreatic β-cells and loss of insulin secretion. Studies of samples from patients with type 1 diabetes and of murine disease models have generated important insights about genetic and environmental factors that contribute to susceptibility and immune pathways that are important for pathogenesis. However, important unanswered questions remain regarding the events that surround the initial loss of tolerance and subsequent failure of regulatory mechanisms to arrest autoimmunity and preserve functional β-cells. In this Perspective, we discuss various processes that lead to the generation of neoepitopes in pancreatic β-cells, their recognition by autoreactive T cells and antibodies, and potential roles for such responses in the pathology of disease. Emerging evidence supports the relevance of neoepitopes generated through processes that are mechanistically linked with β-cell stress. Together, these observations support a paradigm in which neoepitope generation leads to the activation of pathogenic immune cells that initiate a feed-forward loop that can amplify the antigenic repertoire toward pancreatic β-cell proteins.

Indexed as

AutoimmunityModels, ImmunologicalAnimalsAntigen PresentationAutoantibodiesAutoimmune DiseasesDiabetes Mellitus, Type 1Disease ProgressionEpitopes, T-LymphocyteHumansImmune ToleranceInsulinInsulin-Secreting CellsInsulin SecretionLymphocyte ActivationProtein Processing, Post-TranslationalAutoantibodiesEpitopes, T-LymphocyteInsulin

Identifiers

PMID29784651
PMCPMC5961411

What OpenQuestion holds

Textmetadata
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.