Evidence map›Paper›PMID 34571886›Full record

ArticleCells2021

Protective Role of Recombinant Human Thrombomodulin in Diabetes Mellitus.

Yuko Okano, Atsuro Takeshita, Taro Yasuma, Masaaki Toda, Kota Nishihama, Valeria Fridman D'Alessandro, Chisa Inoue, Corina N D'Alessandro-Gabazza, Tetsu Kobayashi, Yutaka Yano and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cells, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Engineering pancreatic islets with a novel form of thrombomodulin protein to overcome early graft loss triggered by instant blood-mediated inflammatory reaction.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  6. Article
  7. Article
  8. 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

11 authors at 1 institution in 1 country.

Yuko OkanoDepartment of Immunology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Atsuro TakeshitaDepartment of Immunology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Taro YasumaDepartment of Immunology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Masaaki TodaDepartment of Immunology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Kota NishihamaDepartment of Diabetes and Endocrinology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Valeria Fridman D'AlessandroDepartment of Immunology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Chisa InoueDepartment of Diabetes and Endocrinology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Corina N D'Alessandro-GabazzaDepartment of Immunology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.ORCID 0000-0003-2164-5775
Tetsu KobayashiDepartment of Pulmonary and Critical Care Medicine, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Yutaka YanoDepartment of Diabetes and Endocrinology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.
Esteban C GabazzaDepartment of Immunology, Faculty and Graduate School of Medicine, Mie University, Tsu 514-8507, Mie, Japan.ORCID 0000-0001-5748-1499
Mie University · JP

Funding

Japan Society for the Promotion of Science 20K08564; 21K1685; 19K17960; 21K16116; 19K17738; 21K16160).
6 · The paper itself

Abstract

Diabetes mellitus is a global threat to human health. The ultimate cause of diabetes mellitus is insufficient insulin production and secretion associated with reduced pancreatic β-cell mass. Apoptosis is an important and well-recognized mechanism of the progressive loss of functional β-cells. However, there are currently no available antiapoptotic drugs for diabetes mellitus. This study evaluated whether recombinant human thrombomodulin can inhibit β-cell apoptosis and improve glucose intolerance in a diabetes mouse model. A streptozotocin-induced diabetes mouse model was prepared and treated with thrombomodulin or saline three times per week for eight weeks. The glucose tolerance and apoptosis of β-cells were evaluated. Diabetic mice treated with recombinant human thrombomodulin showed significantly improved glucose tolerance, increased insulin secretion, decreased pancreatic islet areas of apoptotic β-cells, and enhanced proportion of regulatory T cells and tolerogenic dendritic cells in the spleen compared to counterpart diseased mice treated with saline. Non-diabetic mice showed no changes. This study shows that recombinant human thrombomodulin, a drug currently used to treat patients with coagulopathy in Japan, ameliorates glucose intolerance by protecting pancreatic islet β-cells from apoptosis and modulating the immune response in diabetic mice. This observation points to recombinant human thrombomodulin as a promising antiapoptotic drug for diabetes mellitus.

Indexed as

AnimalsApoptosisBiomarkersBlood GlucoseCell Line, TumorDendritic CellsDiabetes Mellitus, ExperimentalHypoglycemic AgentsInjections, IntraperitonealIslets of LangerhansMaleMiceMice, Inbred C57BLProto-Oncogene Proteins c-aktRecombinant ProteinsSpleenBiomarkersBlood GlucoseHypoglycemic AgentsProto-Oncogene Proteins c-aktRecombinant ProteinsStreptozocinTHBD protein, humanThrombomodulinapoptosisdiabetes mellitusglucose intoleranceimmune cellsinsulin resistancethrombomodulin

Identifiers

PMID34571886
PMCPMC8470378
OpenAlexW3197232650

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.