Evidence map›Paper›PMID 34324441›Full record

ArticleJCI insight2021

The effect of low-dose IL-2 and Treg adoptive cell therapy in patients with type 1 diabetes.

Shen Dong, Kamir J Hiam-Galvez, Cody T Mowery, Kevan C Herold, Stephen E Gitelman, Jonathan H Esensten, Weihong Liu, Angela P Lares, Ashley S Leinbach, Michael Lee and 10 more

3 registry-linked trialsOpen access · goldAbstract readClinical Trial, Phase IMulticenter Study
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 133 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
133citing papers in PubMed, 1 pooled it
24.6field-weighted citation impact, top 1% 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.

NCT01210664 phase1completednot on this map

A Phase I Safety Trial of CD4+CD127lo/-CD25+ Polyclonal Treg Adoptive Immunotherapy for the Treatment of Type 1 Diabetes

TypeinterventionalSponsorUniversity of California, San FranciscoRan2010 to 2017Enrolled16ConditionsType 1 Diabetes MellitusArmsEx vivo Expanded Human Autologous Polyclonal Regulatory T Cells
NCT02772679 phase1completednot on this map

A Phase 1 Trial of CD4+CD127lo/-CD25+ Polyclonal Treg Adoptive Immunotherapy With Interleukin-2 for the Treatment of Type 1 Diabetes

TypeinterventionalSponsorJeffrey BluestoneRan2016 to 2021Enrolled16ConditionsType 1 Diabetes MellitusArmsPolyTregs+IL-2
NCT06427421 narecruitingnot on this mapstarted 2025, after this paper: background citation

Characterization of Autoreactive Regulatory and Conventional CD4 T Cells in Recent Onset Type 1 Diabetes and Control Individuals

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2025 to 2027Enrolled80ConditionsType 1 DiabetesArmsFrequency of Treg and Teffs, Phenotype of Treg and Teffs, RNA seq analysis, HLA typing, beta-cell autoantibody dosage
3 · Its place in the literature

Who cites it

133 citing papers in PubMed, 1 synthesis or guideline pooled it, 207 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Selective decrease of donor-reactive TScience translational medicine · 2022
    Trial
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Selective impact on regulatory T cells with sustained functional phenotypes by the interleukin-2 mutein VIS171 in a nonhuman primate model.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  12. International journal of molecular sciences · 2026
    Review
  13. Article
  14. Regulatory T cells in cancer and inflammation.Signal transduction and targeted therapy · 2026
    Review
  15. Review
  16. New and emerging therapies in type 1 diabetes mellitus.The Journal of clinical investigation · 2026
    Review
  17. Review
  18. Article
  19. Review
  20. Review

73 more citing papers are in PubMed but not listed here.

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

20 authors at 3 institutions in 2 countries.

Shen DongSean N. Parker Autoimmune Research Laboratory and.
Kamir J Hiam-GalvezParker Institute for Cancer Immunotherapy, San Francisco, California, USA.
Cody T MoweryInstitute for Human Genetics and.
Kevan C HeroldDepartment of Immunobiology and Internal Medicine, Yale University, New Haven, Connecticut, USA.
Stephen E GitelmanDiabetes Center, UCSF, San Francisco, California, USA.
Jonathan H EsenstenDepartment of Laboratory Medicine.
Weihong LiuSean N. Parker Autoimmune Research Laboratory and.
Angela P LaresSean N. Parker Autoimmune Research Laboratory and.
Ashley S LeinbachSean N. Parker Autoimmune Research Laboratory and.
Michael LeeSean N. Parker Autoimmune Research Laboratory and.
Vinh NguyenSean N. Parker Autoimmune Research Laboratory and.
Stanley J TamakiParnassus Flow Cytometry Core; and.
Whitney TamakiDiabetes Center, UCSF, San Francisco, California, USA.
Courtney M TamakiDiabetes Center, UCSF, San Francisco, California, USA.
Morvarid MehdizadehSean N. Parker Autoimmune Research Laboratory and.
Amy L PutnamSean N. Parker Autoimmune Research Laboratory and.
Matthew H SpitzerParker Institute for Cancer Immunotherapy, San Francisco, California, USA.
Chun Jimmie YeInstitute for Human Genetics and.
Qizhi TangTransplantation Research Lab, Division of Transplant Surgery, Department of Surgery, UCSF, San Francisco, California, USA.
Jeffrey A BluestoneSean N. Parker Autoimmune Research Laboratory and.
University of California, San Francisco · USParker Institute for Cancer Immunotherapy · USYale University · US

Funding

Immune Tolerance Network UM1 2023 SupplementUM1AI109565 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI Mark S Anderson, Jane Hoyt Buckner · 2014 to 2026
$451.6M
Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Yale Diabetes Research CenterP30DK045735 · NIDDK · YALE UNIVERSITY · PI Kevan C Herold, GERALD I SHULMAN · 1993 to 2026
$44.0M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM007618 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ANDERSON, MARK S · 1985 to 2020
$29.6M
Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAISSE, CHRISTIAN · 2003 to 2019
$21.8M
RESOURCE-BASED CENTER FOR THE ADVANCEMENT OF PRECISION MEDICINE IN RHEUMATOLOGYP30AR070155 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Mary C Nakamura · 2016 to 2026
$8.2M
PHARMACEUTICAL SCIENCES AND PHARMACOGENOMICST32GM007175 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI AHITUV, NADAV, KROETZ, DEANNA L · 1985 to 2021
$7.1M
UCSF DVS CyTOF Mass CytometerS10OD018040 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LANIER, LEWIS LEE · 2014 to 2014
$600k
BD FACSAria Fusion Cell SorterS10OD021822 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, MICHAEL R. · 2016 to 2016
$573k
NCATS NIH HHS UL1 TR000004NCATS NIH HHS UL1 TR001863NIAID NIH HHS UM1 AI109565NIAMS NIH HHS P30 AR070155NIDDK NIH HHS P30 DK045735NIDDK NIH HHS P30 DK063720NIGMS NIH HHS T32 GM007175NIGMS NIH HHS T32 GM007618NIH HHS S10 OD018040NIH HHS S10 OD021822
6 · The paper itself

Abstract

BACKGROUNDA previous phase I study showed that the infusion of autologous Tregs expanded ex vivo into patients with recent-onset type 1 diabetes (T1D) had an excellent safety profile. However, the majority of the infused Tregs were undetectable in the peripheral blood 3 months postinfusion (Treg-T1D trial). Therefore, we conducted a phase I study (TILT trial) combining polyclonal Tregs and low-dose IL-2, shown to enhance Treg survival and expansion, and assessed the impact over time on Treg populations and other immune cells.METHODSPatients with T1D were treated with a single infusion of autologous polyclonal Tregs followed by one or two 5-day courses of recombinant human low-dose IL-2 (ld-IL-2). Flow cytometry, cytometry by time of flight, and 10x Genomics single-cell RNA-Seq were used to follow the distinct immune cell populations' phenotypes over time.RESULTSMultiparametric analysis revealed that the combination therapy led to an increase in the number of infused and endogenous Tregs but also resulted in a substantial increase from baseline in a subset of activated NK, mucosal associated invariant T, and clonal CD8+ T cell populations.CONCLUSIONThese data support the hypothesis that ld-IL-2 expands exogenously administered Tregs but also can expand cytotoxic cells. These results have important implications for the use of a combination of ld-IL-2 and Tregs for the treatment of autoimmune diseases with preexisting active immunity.TRIAL REGISTRATIONClinicalTrials.gov NCT01210664 (Treg-T1D trial), NCT02772679 (TILT trial).FUNDINGSean N. Parker Autoimmune Research Laboratory Fund, National Center for Research Resources.

Indexed as

Immunotherapy, AdoptiveAdultCD8-Positive T-LymphocytesCell SurvivalCombined Modality TherapyC-PeptideDiabetes Mellitus, Type 1FemaleGlycated HemoglobinHumansHypoglycemic AgentsInsulinInterleukin-2Lymphocyte CountMaleNatural Killer T-CellsC-PeptideGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulinInterleukin-2Recombinant ProteinsAutoimmunityClinical TrialsDiabetesImmunotherapyT cells

Identifiers

PMID34324441
PMCPMC8492314
OpenAlexW3183662835

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.