Evidence map›Paper›PMID 33542101›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

T-cell responses to hybrid insulin peptides prior to type 1 diabetes development.

Angela M Mitchell, Aimon A Alkanani, Kristen A McDaniel, Laura Pyle, Kathleen Waugh, Andrea K Steck, Maki Nakayama, Liping Yu, Peter A Gottlieb, Marian J Rewers and 1 more

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.5field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 44 citations in OpenAlex.

  1. Review
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  3. Review
  4. Article
  5. Review
  6. Antigen-specific immunotherapy with a CD4Nature communications · 2026
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. The immunology of type 1 diabetes.Nature reviews. Immunology · 2024
    Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Angela M MitchellBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.ORCID 0000-0003-1955-5850
Aimon A AlkananiBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.
Kristen A McDanielBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.
Laura PyleBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.ORCID 0000-0001-5577-8221
Kathleen WaughBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.
Andrea K SteckBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.
Maki NakayamaBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.
Liping YuBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.ORCID 0000-0003-0664-2154
Peter A GottliebBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.
Marian J RewersBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045.
Aaron W MichelsBarbara Davis Center for Diabetes, University of Colorado, Aurora, CO 80045 aaron.michels@cuanschutz.edu.
University of Colorado Anschutz Medical Campus · US

Funding

NIH Prior Approval Process ProfessionalUL1TR002535 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2018 to 2022
$51.1M
University of Colorado Anschutz Medical Campus DRCP30DK116073 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI LORI SUSSEL · 2020 to 2026
$10.8M
Natural History of Pre-Diabetic Autoimmunity (DAISY)R01DK032493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J · 1986 to 2024
$9.3M
Natural History of Pre-diabetic Autoimmunity (DAISY)R37DK032493 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J · 2001 to 2010
$8.0M
Multiple Autoantigens/Multiple Epitopes of Type 1DMR01DK032083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MICHELS, AARON W · 1986 to 2025
$6.9M
Molecular Dissection of Insulin Targeting in Anti-Islet AutoimmunityR01DK099317 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI AARON W MICHELS, Maki Nakayama · 2013 to 2026
$5.3M
Insulin Specific T Cell Response Shaped by Diabetes Protective MHC Class II MoleculesR01DK108868 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI AARON W MICHELS · 2017 to 2026
$3.6M
Insulin Specific T and B cells in Type 1 DiabetesDP3DK110845 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI CAMBIER, JOHN C, MICHELS, AARON W · 2016 to 2016
$1.7M
Autoantigens targeted by CD8 T cells in type 1 diabetes: from islets to bloodR56DK099317 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MICHELS, AARON W, NAKAYAMA, MAKI · 2019 to 2019
$194k
MULTIPLE AUTOANTIGENS OF PRETYPE I DMR37DK032083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI EISENBARTH, GEORGE S · 1992 to 1999
–
NCATS NIH HHS UL1 TR002535NIDDK NIH HHS DP3 DK110845NIDDK NIH HHS P30 DK116073NIDDK NIH HHS R01 DK032083NIDDK NIH HHS R01 DK032493NIDDK NIH HHS R01 DK099317NIDDK NIH HHS R01 DK108868NIDDK NIH HHS R37 DK032083NIDDK NIH HHS R37 DK032493NIDDK NIH HHS R56 DK099317
6 · The paper itself

Abstract

T-cell responses to posttranslationally modified self-antigens are associated with many autoimmune disorders. In type 1 diabetes, hybrid insulin peptides (HIPs) are implicated in the T-cell-mediated destruction of insulin-producing β-cells within pancreatic islets. The natural history of the disease is such that it allows for the study of T-cell reactivity prior to the onset of clinical symptoms. We hypothesized that CD4 T-cell responses to posttranslationally modified islet peptides precedes diabetes onset. In a cohort of genetically at-risk individuals, we measured longitudinal T-cell responses to native insulin and hybrid insulin peptides. Both proinflammatory (interferon-γ) and antiinflammatory (interluekin-10) cytokine responses to HIPs were more robust than those to native peptides, and the ratio of such responses oscillated between pro- and antiinflammatory over time. However, individuals who developed islet autoantibodies or progressed to clinical type 1 diabetes had predominantly inflammatory T-cell responses to HIPs. Additionally, several HIP T-cell responses correlated to worsening measurements of blood glucose, highlighting the relevance of T-cell responses to posttranslationally modified peptides prior to autoimmune disease development.

Indexed as

AdolescentAdultAutoantibodiesAutoantigensAutoimmunityCD4-Positive T-LymphocytesChildDiabetes Mellitus, Type 1Disease ProgressionFemaleHumansInsulinInsulin-Secreting CellsInterferon-gammaIslets of LangerhansMaleAutoantibodiesAutoantigensIFNG protein, humanInsulinInterferon-gammaPeptidesantigenautoimmunityposttranslational modificationT celltype 1 diabetes

Identifiers

PMID33542101
PMCPMC8017940
OpenAlexW3127483572

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.