Evidence map›Paper›PMID 32843568›Full record

ArticleDiabetes2020

Persistent IL-2 Receptor Signaling by IL-2/CD25 Fusion Protein Controls Diabetes in NOD Mice by Multiple Mechanisms.

Natasha C Ward, Jen Bon Lui, Rosmely Hernandez, Liping Yu, Mary Struthers, Jenny Xie, Alicia Santos Savio, Connor J Dwyer, Sunnie Hsiung, Aixin Yu and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.3field-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

29 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Article
  3. Taming immune responses to AAV gene therapy by programmed in vivo Treg expansion.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  4. Theranostics · 2026
    Article
  5. Review
  6. Role of Interleukins in Type 1 and Type 2 Diabetes.Diagnostics (Basel, Switzerland) · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Sequential immunotherapy: towards cures for autoimmunity.Nature reviews. Drug discovery · 2024
    Review
  12. Regulatory T Cell Dysfunction in Autoimmune Diseases.International journal of molecular sciences · 2024
    Review
  13. Article
  14. Review
  15. Review
  16. Molecular Engineering of Interleukin-2 for Enhanced Therapeutic Activity in Autoimmune Diseases.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2024
    Review
  17. Strategies to therapeutically modulate cytokine action.Nature reviews. Drug discovery · 2023
    Review
  18. Review
  19. Article
  20. Article
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

11 authors at 3 institutions in 2 countries.

Natasha C WardDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL.
Jen Bon LuiDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL.
Rosmely HernandezDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL.
Liping YuBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO.
Mary StruthersImmunology Discovery, Bristol-Myers Squibb, Princeton, NJ.
Jenny XieImmunology Discovery, Bristol-Myers Squibb, Princeton, NJ.
Alicia Santos SavioDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL.
Connor J DwyerDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL.
Sunnie HsiungDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL.
Aixin YuDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL.
Thomas R MalekDepartment of Microbiology and Immunology, Miller School of Medicine, University of Miami, Miami, FL tmalek@med.miami.edu.ORCID 0000-0001-7174-0434
University of Miami · USBristol-Myers Squibb (United States) · USUniversity of Colorado Denver · US

Funding

Tumor Biology Research ProgramP30CA240139 · NCI · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Daniel Bilbao · 2019 to 2026
$24.1M
IL-2-dependent mechanisms in T1DR01DK093866 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MALEK, THOMAS R · 2012 to 2015
$1.3M
NCI NIH HHS P30 CA240139NIDDK NIH HHS R01 DK093866
6 · The paper itself

Abstract

Low-dose interleukin-2 (IL-2) represents a new therapeutic approach to regulate immune homeostasis to promote immune tolerance in patients with autoimmune diseases, including type 1 diabetes. We have developed a new IL-2-based biologic, an IL-2/CD25 fusion protein, with greatly improved pharmacokinetics and pharmacodynamics when compared with recombinant IL-2 to enhance this type of immunotherapy. In this study, we show that low-dose mouse IL-2/CD25 (mIL-2/CD25), but not an equivalent amount of IL-2, prevents the onset of diabetes in NOD mice and controls diabetes in hyperglycemic mice. mIL-2/CD25 acts not only to expand regulatory T cells (Tregs) but also to increase their activation and migration into lymphoid tissues and the pancreas. Lower incidence of diabetes is associated with increased serum levels of IL-10, a cytokine readily produced by activated Tregs. These effects likely act in concert to lower islet inflammation while increasing Tregs in the remaining inflamed islets. mIL-2/CD25 treatment is also associated with lower anti-insulin autoantibody levels in part by inhibition of T follicular helper cells. Thus, long-acting mIL-2/CD25 represents an improved IL-2 analog that persistently elevates Tregs to maintain a favorable Treg/effector T cell ratio that limits diabetes by expansion of activated Tregs that readily migrate into lymphoid tissues and the pancreas while inhibiting autoantibodies.

Indexed as

Interleukin-2 Receptor alpha SubunitAnimalsAutoantibodiesDiabetes MellitusFemaleHumansInterleukin-2MiceMice, Inbred StrainsReceptors, Interleukin-2Recombinant Fusion ProteinsSignal TransductionT-Lymphocyte SubsetsAutoantibodiesInterleukin-2Interleukin-2 Receptor alpha SubunitReceptors, Interleukin-2Recombinant Fusion Proteins

Identifiers

PMID32843568
PMCPMC7576568
OpenAlexW3081168964

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.