Evidence map›Paper›PMID 35040474›Full record

ArticleDiabetes2022

Endosomal Sequestration of TLR4 Antibody Induces Myeloid-Derived Suppressor Cells and Reverses Acute Type 1 Diabetes.

Kathryn C S Locker, Kritika Kachapati, Yuehong Wu, Kyle J Bednar, David Adams, Caroline Patel, Hiroki Tsukamoto, Luke S Heuer, Bruce J Aronow, Andrew B Herr and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.2field-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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Review
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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

11 authors at 4 institutions in 2 countries.

Kathryn C S LockerDivision of Immunobiology, Cincinnati Children's Hospital, Cincinnati, OH.
Kritika KachapatiDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.
Yuehong WuDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.
Kyle J BednarDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.
David AdamsDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.
Caroline PatelDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.
Hiroki TsukamotoDepartment of Pharmaceutical Sciences, School of Pharmacy at Fukuoka International University of Health and Welfare, Okawa, Fukuoka, Japan.
Luke S HeuerDivision of Rheumatology, Allergy and Clinical Immunology, University of California, Davis, Davis, CA.
Bruce J AronowDivision of Bioinformatics, Cincinnati Children's Hospital, Cincinnati, OH.
Andrew B HerrDivision of Immunobiology, Cincinnati Children's Hospital, Cincinnati, OH.
William M RidgwayDivision of Immunology, Allergy and Rheumatology, University of Cincinnati College of Medicine, Cincinnati, OH.ORCID 0000-0002-9569-3932
University of Cincinnati Medical Center · USCincinnati Children's Hospital Medical Center · USUniversity of California, Davis · USFukuoka International University · JP

Funding

Mechanistic and Therapeutic Role of the CD137-CD137L Axis in Type 1 DiabetesR01DK107541 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI CHEN, YI-GUANG, RIDGWAY, WILLIAM M · 2016 to 2025
$5.6M
Mechanistic and Therapeutic Role of the TLR4 Signaling Pathway in Type 1 DiabetesR01DK136815 · NIDDK · UNIVERSITY OF CALIFORNIA AT DAVIS · PI ANDREW B HERR, William M Ridgway · 2023 to 2026
$2.7M
Mechanism of restored immune tolerance in anti-TLR4 antibody reversal of NOD T1DR21AI120084 · NIAID · UNIVERSITY OF CINCINNATI · PI RIDGWAY, WILLIAM M · 2015 to 2016
$435k
NIAID NIH HHS R21 AI120084NIDDK NIH HHS R01 DK107541NIDDK NIH HHS R01 DK136815
6 · The paper itself

Abstract

We previously showed that treating NOD mice with an agonistic monoclonal anti-TLR4/MD2 antibody (TLR4-Ab) reversed acute type 1 diabetes (T1D). Here, we show that TLR4-Ab reverses T1D by induction of myeloid-derived suppressor cells (MDSCs). Unbiased gene expression analysis after TLR4-Ab treatment demonstrated upregulation of genes associated with CD11b+Ly6G+ myeloid cells and downregulation of T-cell genes. Further RNA sequencing of purified, TLR4-Ab-treated CD11b+ cells showed significant upregulation of genes associated with bone marrow-derived CD11b+ cells and innate immune system genes. TLR4-Ab significantly increased percentages and numbers of CD11b+ cells. TLR4-Ab-induced CD11b+ cells, derived ex vivo from TLR4-Ab-treated mice, suppress T cells, and TLR4-Ab-conditioned bone marrow cells suppress acute T1D when transferred into acutely diabetic mice. Thus, the TLR4-Ab-induced CD11b+ cells, by the currently accepted definition, are MDSCs able to reverse T1D. To understand the TLR4-Ab mechanism, we compared TLR4-Ab with TLR4 agonist lipopolysaccharide (LPS), which cannot reverse T1D. TLR4-Ab remains sequestered at least 48 times longer than LPS within early endosomes, alters TLR4 signaling, and downregulates inflammatory genes and proteins, including nuclear factor-κB. TLR4-Ab in the endosome, therefore, induces a sustained, attenuated inflammatory response, providing an ideal "second signal" for the activation/maturation of MDSCs that can reverse acute T1D.

Indexed as

AnimalsAntibodies, MonoclonalBone Marrow CellsCD11b AntigenDiabetes Mellitus, Type 1EndosomesFemaleGene Expression RegulationMiceMice, Inbred NODMyeloid-Derived Suppressor CellsToll-Like Receptor 4Antibodies, MonoclonalCD11b AntigenTlr4 protein, mouseToll-Like Receptor 4

Identifiers

PMID35040474
PMCPMC8893939
OpenAlexW4206740305

What OpenQuestion holds

Textmetadata
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.