Evidence map›Paper›PMID 34212475›Full record

ArticleDiabetes, obesity & metabolism2021

High-fat diet prevents the development of autoimmune diabetes in NOD mice.

Amy L Clark, Zihan Yan, Sophia X Chen, Victoria Shi, Devesha H Kulkarni, Abhinav Diwan, Maria S Remedi

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06273631 (Effect of Changes in Carbohydrate Intake Patterns on Glucose Control in Patients With Type 1 Diabetes), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 15% 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.

NCT06273631 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effect of Changes in Carbohydrate Intake Patterns on Glucose Control in Patients With Type 1 Diabetes

TypeinterventionalSponsorYang TaoRan2024 to 2027Enrolled80ConditionsType 1 Diabetes, Diet Intervention, Glucose ControlArmsdiverse carbohydrate diet, moderate carbohydrate diet
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 15 citations in OpenAlex.

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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

7 authors at 1 institution in 1 country.

Amy L ClarkDepartment of Pediatrics, Washington University in St Louis, St Louis, Missouri, USA.ORCID 0000-0002-4148-9995
Zihan YanDepartment of Internal Medicine, Endocrinology, Metabolism and Lipid research Division, Washington University in St Louis, St Louis, Missouri, USA.
Sophia X ChenDepartment of Internal Medicine, Endocrinology, Metabolism and Lipid research Division, Washington University in St Louis, St Louis, Missouri, USA.
Victoria ShiDepartment of Internal Medicine, Endocrinology, Metabolism and Lipid research Division, Washington University in St Louis, St Louis, Missouri, USA.ORCID 0000-0002-1309-0098
Devesha H KulkarniDepartment of Internal Medicine, Washington University in St Louis, St Louis, Missouri, USA.
Abhinav DiwanDepartment of Internal Medicine-Cardiovascular Division, Washington University in St Louis, St Louis, Missouri, USA.
Maria S RemediDepartment of Internal Medicine, Endocrinology, Metabolism and Lipid research Division, Washington University in St Louis, St Louis, Missouri, USA.ORCID 0000-0003-2048-472X
Washington University in St. Louis · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Irfan J Lodhi · 2013 to 2026
$27.1M
DIABETES &RELATED METABOLIC DISEASEST32DK007120 · NIDDK · WASHINGTON UNIVERSITY · PI MARCO COLONNA, Maria Sara Remedi · 1986 to 2026
$15.7M
ROLE OF AUTOPHAGIC FLUX IN CARDIAC MYOCYTE VIABILITYR01HL107594 · NHLBI · WASHINGTON UNIVERSITY · PI Abhinav Diwan · 2011 to 2026
$5.9M
Beta-Cell Exhaustion and Glucotoxicity in DiabetesR01DK123163 · NIDDK · WASHINGTON UNIVERSITY · PI Maria Sara Remedi · 2020 to 2026
$2.8M
Maternal obesity and cardiometabolic health in the offspringR01HL143431 · NHLBI · WASHINGTON UNIVERSITY · PI DIWAN, ABHINAV · 2018 to 2021
$2.5M
Targeting TFEB To Microglia and Monocytes to Enhance Amyloid DegradationR01NS094692 · NINDS · WASHINGTON UNIVERSITY · PI DIWAN, ABHINAV, LEE, JIN-MOO · 2017 to 2021
$2.4M
Beta-Cell Exhaustion and Glucotoxicity in DiabetesR56DK098584 · NIDDK · WASHINGTON UNIVERSITY · PI REMEDI, MARIA SARA · 2019 to 2019
$117k
Targeting Macrophage Lysosome Biogenesis Program in Cardiomyopathy and Heart FailureI01BX004235 · VA · ST. LOUIS VA MEDICAL CENTER · PI DIWAN, ABHINAV · 2018 to 2021
–
BLRD VA I01 BX004235NHLBI NIH HHS R01 HL107594NHLBI NIH HHS R01 HL143431NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341NIDDK NIH HHS R01 DK123163NIDDK NIH HHS R56 DK098584NIDDK NIH HHS T32 DK007120NINDS NIH HHS R01 NS094692
6 · The paper itself

Abstract

aimsType 1 diabetes (T1D) has a strong genetic predisposition and requires an environmental trigger to initiate the beta-cell autoimmune destruction. The rate of childhood obesity has risen in parallel to the proportion of T1D, suggesting high-fat diet (HFD)/obesity as potential environmental triggers for autoimmune diabetes. To explore this, non-obese diabetic (NOD) mice were subjected to HFD and monitored for the development of diabetes, insulitis and beta-cell stress. MATERIALS AND

methodsFour-week-old female NOD mice were placed on HFD (HFD-NOD) or standard chow-diet. Blood glucose was monitored weekly up to 40 weeks of age, and glucose- and insulin-tolerance tests performed at 4, 10 and 15 weeks. Pancreata and islets were analysed for insulin secretion, beta-cell mass, inflammation, insulitis and endoplasmic reticulum stress markers. Immune cell levels were measured in islets and spleens. Stool microbiome was analysed at age 4, 8 and 25 weeks.

resultsAt early ages, HFD-NOD mice showed a significant increase in body weight, glucose intolerance and insulin resistance; but paradoxically, they were protected from developing diabetes. This was accompanied by increased insulin secretion and beta-cell mass, decreased insulitis, increased splenic T-regulatory cells and altered stool microbiome.

conclusionsThis study shows that HFD protects NOD mice from autoimmune diabetes and preserves beta-cell mass and function through alterations in gut microbiome, increased T-regulatory cells and decreased insulitis. Further studies into the exact mechanism of HFD-mediated prevention of diabetes in NOD mice could potentially lead to interventions to prevent or delay T1D development in humans.

Indexed as

Diabetes Mellitus, Type 1Islets of LangerhansPediatric ObesityAnimalsBlood GlucoseDiet, High-FatFemaleMiceMice, Inbred NODBlood GlucoseBacteroideteshigh-fat dietinsulin resistancemicrobiomeNOD miceobesityT-regulatory cellsType 1 diabetesVerrucomicrobia

Identifiers

PMID34212475
PMCPMC8490276
OpenAlexW3177047777

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Registered trials

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.