Evidence map›Paper›PMID 34115115›Full record

ArticleThe Journal of experimental medicine2021

A human mutation in STAT3 promotes type 1 diabetes through a defect in CD8+ T cell tolerance.

Jeremy T Warshauer, Julia A Belk, Alice Y Chan, Jiaxi Wang, Alexander R Gupta, Quanming Shi, Nikolaos Skartsis, Yani Peng, Jonah D Phipps, Dante Acenas and 6 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
7.8field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Gain-of-function mutation inbioRxiv : the preprint server for biology · 2026
    Article
  4. Review
  5. STAT3 SH2 Domain Aspartic Acid 661 Mutations Activate Immune Gene Programs.Journal of cellular and molecular medicine · 2026
    Article
  6. A case report of ADMIO type 1 caused by aFrontiers in immunology · 2026
    Article
  7. STAT3 axis in cancer and cancer stem cells: From oncogenesis to targeted therapies.Biochimica et biophysica acta. Reviews on cancer · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Deletion of Vβ3Proceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  17. Th2 cell clonal expansion at diagnosis in human type 1 diabetes.Clinical immunology (Orlando, Fla.) · 2023
    Article
  18. Review
  19. Review
  20. Review
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

16 authors at 2 institutions in 1 country.

Jeremy T Warshauer *Diabetes Center, University of California, San Francisco, San Francisco, CA.ORCID 0000-0002-5182-0637
Julia A Belk *Department of Computer Science, Stanford University, Stanford, CA.ORCID 0000-0003-4724-6158
Alice Y ChanDepartment of Pediatrics, University of California, San Francisco, San Francisco, CA.ORCID 0000-0003-1466-7044
Jiaxi WangDiabetes Center, University of California, San Francisco, San Francisco, CA.ORCID 0000-0001-6043-9953
Alexander R GuptaDepartment of Surgery, University of California, San Francisco, San Francisco, CA.ORCID 0000-0002-2813-6175
Quanming ShiDepartment of Pathology, Stanford University, Stanford, CA.ORCID 0000-0003-2109-5048
Nikolaos SkartsisDepartment of Medicine, University of California, San Francisco, San Francisco, CA.ORCID 0000-0001-9874-4574
Yani PengDepartment of Surgery, University of California, San Francisco, San Francisco, CA.ORCID 0000-0002-3711-7160
Jonah D PhippsDiabetes Center, University of California, San Francisco, San Francisco, CA.ORCID 0000-0001-9685-741X
Dante AcenasDepartment of Pediatrics, University of California, San Francisco, San Francisco, CA.ORCID 0000-0003-4137-0297
Jennifer A SmithDiabetes Center, University of California, San Francisco, San Francisco, CA.ORCID 0000-0002-5662-1776
Stanley J TamakiDepartment of Surgery, University of California, San Francisco, San Francisco, CA.ORCID 0000-0002-6235-3464
Qizhi TangDepartment of Surgery, University of California, San Francisco, San Francisco, CA.ORCID 0000-0001-7313-3574
James M GardnerDiabetes Center, University of California, San Francisco, San Francisco, CA.ORCID 0000-0003-3470-9520
Ansuman T SatpathyDepartment of Pathology, Stanford University, Stanford, CA.ORCID 0000-0002-5167-537X
Mark S AndersonDiabetes Center, University of California, San Francisco, San Francisco, CA.ORCID 0000-0002-3093-4758
University of California, San Francisco · USStanford University · US

Funding

Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GERMAN, MICHAEL S · 2003 to 2019
$21.8M
DIABETES, ENDOCRINOLOGY &METABOLISM TRAINING PROGRAMT32DK007418 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI EDWARD C HSIAO · 1986 to 2026
$14.3M
MOLECULAR AND CELLULAR IMMUNOLOGYT32AI007334 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CYSTER, JASON G · 1988 to 2023
$11.0M
Training in Cellular & Molecular BiologyT32GM136534 · NIGMS · UNIVERSITY OF WASHINGTON · PI Andrew Atwell Oberst, LARRY S ZWEIFEL · 2021 to 2026
$5.8M
Filling a Void of Research (FAVOR) Training for Transplant SurgeonsT32AI125222 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PETER G STOCK, Minnie M Sarwal · 2016 to 2026
$3.4M
BD FACSAria Fusion Cell SorterS10OD021822 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, MICHAEL R. · 2016 to 2016
$573k
Single cell epigenomics in cancer immunity and immunotherapyK08CA230188 · NCI · STANFORD UNIVERSITY · PI SATPATHY, ANSUMAN · 2018 to 2020
$448k
NCI NIH HHS K08 CA230188NIAID NIH HHS T32 AI007334NIAID NIH HHS T32 AI125222NIDDK NIH HHS P30 DK063720NIDDK NIH HHS T32 DK007418NIGMS NIH HHS T32 GM136534NIH HHS S10 OD021822
6 · The paper itself

Abstract

Naturally occurring cases of monogenic type 1 diabetes (T1D) help establish direct mechanisms driving this complex autoimmune disease. A recently identified de novo germline gain-of-function (GOF) mutation in the transcriptional regulator STAT3 was found to cause neonatal T1D. We engineered a novel knock-in mouse incorporating this highly diabetogenic human STAT3 mutation (K392R) and found that these mice recapitulated the human autoimmune diabetes phenotype. Paired single-cell TCR and RNA sequencing revealed that STAT3-GOF drives proliferation and clonal expansion of effector CD8+ cells that resist terminal exhaustion. Single-cell ATAC-seq showed that these effector T cells are epigenetically distinct and have differential chromatin architecture induced by STAT3-GOF. Analysis of islet TCR clonotypes revealed a CD8+ cell reacting against known antigen IGRP, and STAT3-GOF in an IGRP-reactive TCR transgenic model demonstrated that STAT3-GOF intrinsic to CD8+ cells is sufficient to accelerate diabetes onset. Altogether, these findings reveal a diabetogenic CD8+ T cell response that is restrained in the presence of normal STAT3 activity and drives diabetes pathogenesis.

Indexed as

AnimalsAutoimmunityCD8-Positive T-LymphocytesCell ProliferationChemotaxisCross-PrimingCytotoxicity, ImmunologicDiabetes Mellitus, Type 1Disease Models, AnimalEpigenesis, GeneticGain of Function MutationHeterozygoteHumansImmune ToleranceMiceMutationSTAT3 protein, humanSTAT3 Transcription Factor

Identifiers

PMID34115115
PMCPMC8203485
OpenAlexW3134272917

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.