Evidence map›Paper›PMID 34611019›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2021

Human islet T cells are highly reactive to preproinsulin in type 1 diabetes.

Amanda M Anderson, Laurie G Landry, Aimon A Alkanani, Laura Pyle, Alvin C Powers, Mark A Atkinson, Clayton E Mathews, Bart O Roep, Aaron W Michels, Maki Nakayama

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed
10.6field-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.

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

67 citing papers in PubMed, 81 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Aberrant immune regulation and enrichment of stem-like CD8bioRxiv : the preprint server for biology · 2026
    Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Type 1 diabetesNPJ autoimmunity · 2026
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Amanda M AndersonBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO 80045.ORCID 0000-0001-9746-1257
Laurie G LandryBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO 80045.ORCID 0000-0002-4064-9109
Aimon A AlkananiBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO 80045.
Laura PyleBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO 80045.ORCID 0000-0001-5577-8221
Alvin C PowersDivision of Diabetes, Endocrinology and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN 37232.ORCID 0000-0003-1941-5786
Mark A AtkinsonDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, FL 32610.
Clayton E MathewsDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, University of Florida, Gainesville, FL 32610.
Bart O RoepDepartment of Diabetes Immunology, Diabetes and Metabolism Research Institute, Beckman Research Institute of City of Hope, Duarte, CA 91010.ORCID 0000-0002-3110-7391
Aaron W MichelsBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO 80045.
Maki NakayamaBarbara Davis Center for Childhood Diabetes, University of Colorado School of Medicine, Aurora, CO 80045; maki.nakayama@cuanschutz.edu.ORCID 0000-0002-0009-3687
University of Colorado Denver · USUniversity of Florida · USColorado School of Public Health · USLeiden University Medical Center · NLVanderbilt University · US

Funding

Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 1997 to 2026
$32.9M
Vanderbilt Diabetes Research CenterP30DK020593 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ALVIN C POWERS · 2012 to 2026
$29.3M
The Human Islet Distribution Coordinating Center (UC4)UC4DK098085 · NIDDK · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI EVANS-MOLINA, CARMELLA, NILAND, JOYCE CAROL · 2012 to 2017
$25.6M
Integrated Islet Distribution Program (U24) - 2021U24DK098085 · NIDDK · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI Carmella Evans-Molina, Joyce Carol Niland · 2021 to 2026
$17.8M
University of Colorado Anschutz Medical Campus DRCP30DK116073 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI LORI SUSSEL · 2020 to 2026
$10.8M
Multiple Autoantigens/Multiple Epitopes of Type 1DMR01DK032083 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MICHELS, AARON W · 1986 to 2025
$6.9M
Discovery of Pancreatic Signatures in Type 2 Diabetes MellitusR24DK106755 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI CAI, LONG, CAPRIOLI, RICHARD M · 2015 to 2019
$6.2M
Molecular Dissection of Insulin Targeting in Anti-Islet AutoimmunityR01DK099317 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI AARON W MICHELS, Maki Nakayama · 2013 to 2026
$5.3M
Molecular Mechanisms of Physiologic Beta Cell Growth in Juvenile Human PancreasUC4DK104211 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI KIM, SEUNG K, POWERS, ALVIN C · 2014 to 2015
$4.0M
Insulin Specific T Cell Response Shaped by Diabetes Protective MHC Class II MoleculesR01DK108868 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI AARON W MICHELS · 2017 to 2026
$3.6M
Genetic Regulation of Human Beta Cell DestructionUC4DK104194 · NIDDK · UNIVERSITY OF FLORIDA · PI MATHEWS, CLAYTON E · 2014 to 2014
$3.1M
Engineering a Human Microphysiological System for the Characterization of Islet-Immune InteractionsUH3DK122638 · NIDDK · UNIVERSITY OF FLORIDA · PI AGARWAL, ASHUTOSH, BRUSKO, TODD MICHAEL · 2021 to 2023
$3.0M
BLRD VA I01 BX000666NIAID NIH HHS P01 AI042288NIDDK NIH HHS DP3 DK110845NIDDK NIH HHS P30 DK020593NIDDK NIH HHS P30 DK116073NIDDK NIH HHS R01 DK032083NIDDK NIH HHS R01 DK099317NIDDK NIH HHS R01 DK108868NIDDK NIH HHS R24 DK106755NIDDK NIH HHS U24 DK098085NIDDK NIH HHS UC4 DK098085NIDDK NIH HHS UC4 DK104194NIDDK NIH HHS UC4 DK104211NIDDK NIH HHS UC4 DK104223NIDDK NIH HHS UG3 DK122638NIDDK NIH HHS UH3 DK122638
6 · The paper itself

Abstract

Cytotoxic CD8 T lymphocytes play a central role in the tissue destruction of many autoimmune disorders. In type 1 diabetes (T1D), insulin and its precursor preproinsulin are major self-antigens targeted by T cells. We comprehensively examined preproinsulin specificity of CD8 T cells obtained from pancreatic islets of organ donors with and without T1D and identified epitopes throughout the entire preproinsulin protein and defective ribosomal products derived from preproinsulin messenger RNA. The frequency of preproinsulin-reactive T cells was significantly higher in T1D donors than nondiabetic donors and also differed by individual T1D donor, ranging from 3 to over 40%, with higher frequencies in T1D organ donors with HLA-A*02:01. Only T cells reactive to preproinsulin-related peptides isolated from T1D donors demonstrated potent autoreactivity. Reactivity to similar regions of preproinsulin was also observed in peripheral blood of a separate cohort of new-onset T1D patients. These findings have important implications for designing antigen-specific immunotherapies and identifying individuals that may benefit from such interventions.

Indexed as

AdolescentAdultAutoantigensAutoimmunityCD8-Positive T-LymphocytesChildDiabetes Mellitus, Type 1FemaleHLA-A2 AntigenHumansImmunotherapyInsulinIslets of LangerhansMaleProtein PrecursorsYoung AdultAutoantigensHLA-A*02:01 antigenHLA-A2 AntigenInsulinpreproinsulinProtein PrecursorsantigensCD8 T cellsepitopesinsulintype 1 diabetes

Identifiers

PMID34611019
PMCPMC8521679
OpenAlexW3204623738

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.