Evidence map›Paper›PMID 33741606›Full record

ReviewDiabetes2021

Uncovering Pathways to Personalized Therapies in Type 1 Diabetes.

Peter S Linsley, Carla J Greenbaum, Gerald T Nepom

Open access · bronzeAbstract readReview
In one paragraph

Review in Diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.2field-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

24 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Breakdown and Repair of Peripheral Immune Tolerance in Type 1 Diabetes.Cold Spring Harbor perspectives in medicine · 2024
    Review
  10. Article
  11. Integrating Omics into Functional Biomarkers of Type 1 Diabetes.Cold Spring Harbor perspectives in medicine · 2024
    Review
  12. Article
  13. Article
  14. Time for changes in type 1 diabetes intervention trial designs.The lancet. Diabetes & endocrinology · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  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

3 authors at 1 institution in 1 country.

Peter S LinsleyBenaroya Research Institute and Immune Tolerance Network, Seattle, WA plinsley@benaroyaresearch.org.
Carla J GreenbaumBenaroya Research Institute and Immune Tolerance Network, Seattle, WA.ORCID 0000-0002-8960-4307
Gerald T NepomBenaroya Research Institute and Immune Tolerance Network, Seattle, WA.
Immune Tolerance Network · US

Funding

Determining the molecular basis for different rates of T1D progressionDP3DK104465 · NIDDK · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI LINSLEY, PETER S · 2014 to 2014
$1.1M
SECRETED SOD AND HAEMOPHILUS DUCREYI PATHOGENESISF31AI009565 · NIAID · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI SAN MATEO, LANI R · 1995 to 1998
–
NIAID NIH HHS F31 AI009565NIDDK NIH HHS DP3 DK104465
6 · The paper itself

Abstract

The goal of personalized medicine is to match the right drugs to the right patients at the right time. Personalized medicine has been most successful in cases where there is a clear genetic linkage between a disease and a therapy. This is not the case with type 1 diabetes (T1D), a genetically complex immune-mediated disease of β-cell destruction. Researchers over decades have traced the natural history of disease sufficiently to use autoantibodies as predictive biomarkers for disease risk and to conduct successful clinical trials of disease-modifying therapy. Recent studies, however, have highlighted heterogeneity associated with progression, with nonuniform rate of insulin loss and distinct features of the peri-diagnostic period. Likewise, there is heterogeneity in immune profiles and outcomes in response to therapy. Unexpectedly, from these studies demonstrating perplexing complexity in progression and response to therapy, new biomarker-based principles are emerging for how to achieve personalized therapies for T1D. These include therapy timed to periods of disease activity, use of patient stratification biomarkers to align therapeutic target with disease endotype, pharmacodynamic biomarkers to achieve personalized dosing and appropriate combination therapies, and efficacy biomarkers for "treat-to-target" strategies. These principles provide a template for application of personalized medicine to complex diseases.

Indexed as

AutoantibodiesBiomarkersDiabetes Mellitus, Type 1HumansPrecision MedicineAutoantibodiesBiomarkers

Identifiers

PMID33741606
PMCPMC7980192
OpenAlexW3137815957

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.