Evidence map›Paper›PMID 34902055›Full record

ReviewCurrent diabetes reports2021

Autoimmune Inflammation and Insulin Resistance: Hallmarks So Far and Yet So Close to Explain Diabetes Endotypes.

Alessandra Petrelli, Anna Giovenzana, Vittoria Insalaco, Brett E Phillips, Massimo Pietropaolo, Nick Giannoukakis

Abstract readReview
In one paragraph

Review in Current diabetes reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Latent autoimmune diabetes in youth.Frontiers in immunology · 2025
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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

6 authors.

Alessandra PetrelliSan Raffaele Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy. petrelli.alessandra@hsr.it.ORCID 0000-0002-5639-9415
Anna GiovenzanaSan Raffaele Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Vittoria InsalacoSan Raffaele Diabetes Research Institute, IRCCS Ospedale San Raffaele, Milan, Italy.
Brett E PhillipsInstitute of Cellular Therapeutics, Allegheny Health Network, Pittsburgh, PA, USA.
Massimo PietropaoloDivision of Diabetes Endocrinology and Metabolism, Department of Medicine, Baylor College of Medicine, Houston, TX, USA.
Nick GiannoukakisInstitute of Cellular Therapeutics, Allegheny Health Network, Pittsburgh, PA, USA.

Funding

Juvenile Diabetes Research Foundation United States of America 3-APF-2019-744-A-N to AP
6 · The paper itself

Abstract

purpose of reviewDiabetes mellitus can be categorized into two major variants, type 1 and type 2. A number of traits such as clinical phenotype, age at disease onset, genetic background, and underlying pathogenesis distinguish the two forms. RECENT

findingsRecent evidence indicates that type 1 diabetes can be accompanied by insulin resistance and type 2 diabetes exhibits self-reactivity. These two previously unknown conditions can influence the progression and outcome of the disease. Unlike most conventional considerations, diabetes appears to consist of a spectrum of intermediate phenotypes that includes monogenic and polygenic loci linked to inflammatory processes including autoimmunity, beta cell impairment, and insulin resistance. Here we discuss why a shift of the classical bi-modal view of diabetes (autoimmune vs. non-autoimmune) is necessary in favor of a model of an immunological continuum of endotypes lying between the two extreme "insulin-resistant" and "autoimmune beta cell targeting," shaped by environmental and genetic factors which contribute to determine specific immune-conditioned outcomes.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Insulin ResistanceAutoimmunityHumansInflammationAdipose tissueAutoimmune inflammationAutoreactive T cellsDiabetes endotypesInsulin resistance

Identifiers

PMID34902055
PMCPMC8668851

What OpenQuestion holds

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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.