Evidence map›Paper›PMID 31331989›Full record

ArticleDiabetes2019

The Immunoreactive Platform of the Pancreatic Islets Influences the Development of Autoreactivity.

Emil R Unanue, Xiaoxiao Wan

Abstract read
In one paragraph

Article in Diabetes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

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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

2 authors.

Emil R UnanueDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO unanue@wustl.edu.ORCID 0000-0001-8629-0018
Xiaoxiao WanDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO.

Funding

DIABETOGENIC MOLECULE I-AG7--CHEMISTRY AND BIOLOGYR01DK058177 · NIDDK · WASHINGTON UNIVERSITY · PI UNANUE, EMIL RAPHAEL · 2000 to 2020
$7.8M
AUTOIMMUNE DIABETES: EARLY EVENTS IN ISLETS OF LANGERHANSR01AI114551 · NIAID · WASHINGTON UNIVERSITY · PI UNANUE, EMIL RAPHAEL · 2015 to 2019
$2.1M
Identification of relevant peptides involved in the initiation and progression of autoimmune diabetesR01DK120340 · NIDDK · WASHINGTON UNIVERSITY · PI UNANUE, EMIL RAPHAEL · 2018 to 2021
$1.7M
NIAID NIH HHS R01 AI114551NIDDK NIH HHS R01 DK058177NIDDK NIH HHS R01 DK120340
6 · The paper itself

Abstract

Tissue homeostasis is maintained through a finely tuned balance between the immune system and the organ-resident cells. Disruption of this process not only results in organ dysfunction but also may trigger detrimental autoimmune responses. The islet of Langerhans consists of the insulin-producing β-cells essential for proper control of body metabolism, but less appreciated is that these cells naturally interact with the immune system, forming a platform by which the β-cell products are sensed, processed, and responded to by the local immune cells, particularly the islet-resident macrophages. Although its physiological outcomes are not completely understood, this immunoreactive platform is crucial for precipitating islet autoreactivity in individuals carrying genetic risks, leading to the development of type 1 diabetes. In this Perspective, we summarize recent studies that examine the cross talk between the β-cells and various immune components, with a primary focus on discussing how antigenic information generated during normal β-cell catabolism can be delivered to the resident macrophage and further recognized by the adaptive CD4 T-cell system, a critical step to initiate autoimmune diabetes. The core nature of the islet immune platform can be extrapolated to other endocrine tissues and may represent a common mechanism underlying the development of autoimmune syndromes influencing multiple endocrine organs.

Indexed as

AnimalsCD4-Positive T-LymphocytesDiabetes Mellitus, Type 1FemaleHumansInsulinInsulin-Secreting CellsIslets of LangerhansMacrophagesMaleMiceMice, Inbred NODThymus GlandT-LymphocytesInsulin

Identifiers

PMID31331989
PMCPMC6692819

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.