Evidence map›Paper›PMID 35241690›Full record

ArticleNature communications2022

Exploratory study reveals far reaching systemic and cellular effects of verapamil treatment in subjects with type 1 diabetes.

Guanlan Xu, Tiffany D Grimes, Truman B Grayson, Junqin Chen, Lance A Thielen, Hubert M Tse, Peng Li, Matt Kanke, Tai-Tu Lin, Athena A Schepmoes and 6 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
14.2field-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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
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  6. New and emerging therapies in type 1 diabetes mellitus.The Journal of clinical investigation · 2026
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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

16 authors at 3 institutions in 1 country.

Guanlan XuComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Tiffany D GrimesComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Truman B GraysonComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Junqin ChenComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Lance A ThielenComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
Hubert M TseComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.ORCID http://orcid.org/0000-0001-5861-7597
Peng LiComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.ORCID http://orcid.org/0000-0002-9026-9999
Matt KankeDepartment of Biomedical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, 14853, USA.
Tai-Tu LinBiological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, 99352, USA.
Athena A SchepmoesBiological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, 99352, USA.
Adam C SwensenBiological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, 99352, USA.
Vladislav A PetyukBiological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, 99352, USA.ORCID http://orcid.org/0000-0003-4076-151X
Fernando OvalleComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.ORCID http://orcid.org/0000-0002-6711-071X
Praveen SethupathyDepartment of Biomedical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY, 14853, USA.
Wei-Jun QianBiological Sciences Division, Pacific Northwest National Laboratory, Richland, WA, 99352, USA.ORCID http://orcid.org/0000-0002-5393-2827
Anath ShalevComprehensive Diabetes Center, University of Alabama at Birmingham, Birmingham, AL, 35294, USA. shalev@uab.edu.ORCID http://orcid.org/0000-0003-2869-7228
University of Alabama at Birmingham · USPacific Northwest National Laboratory · USCornell University · US

Funding

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
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI W Timothy GARVEY · 2013 to 2026
$19.5M
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
TXNIP REGULATION OF ENDOGENOUS BETA CELL MASSR01DK078752 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI SHALEV, ANATH · 2008 to 2021
$4.4M
Pathways and Regulators Driving Progressive Islet Cell Dysfunction in Type 1 DiabetesR01DK122160 · NIDDK · BATTELLE PACIFIC NORTHWEST LABORATORIES · PI ROHIT N. KULKARNI, CLAYTON E MATHEWS · 2019 to 2026
$3.7M
Development of an early diagnostic biomarker and novel treatment strategy for T1DU01DK120379 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SHALEV, ANATH · 2018 to 2021
$2.2M
Serum protein biomarkers for predicting type 1 diabetesDP3DK110844 · NIDDK · BATTELLE PACIFIC NORTHWEST LABORATORIES · PI QIAN, WEI-JUN · 2016 to 2016
$1.8M
NIDDK NIH HHS DP3 DK110844NIDDK NIH HHS P30 DK079626NIDDK NIH HHS R01 DK078752NIDDK NIH HHS R01 DK122160NIDDK NIH HHS U01 DK120379NIDDK NIH HHS U24 DK098085NIDDK NIH HHS UC4 DK098085
6 · The paper itself

Abstract

Currently, no oral medications are available for type 1 diabetes (T1D). While our recent randomized placebo-controlled T1D trial revealed that oral verapamil had short-term beneficial effects, their duration and underlying mechanisms remained elusive. Now, our global T1D serum proteomics analysis identified chromogranin A (CHGA), a T1D-autoantigen, as the top protein altered by verapamil and as a potential therapeutic marker and revealed that verapamil normalizes serum CHGA levels and reverses T1D-induced elevations in circulating proinflammatory T-follicular-helper cell markers. RNA-sequencing further confirmed that verapamil regulates the thioredoxin system and promotes an anti-oxidative, anti-apoptotic and immunomodulatory gene expression profile in human islets. Moreover, continuous use of oral verapamil delayed T1D progression, promoted endogenous beta-cell function and lowered insulin requirements and serum CHGA levels for at least 2 years and these benefits were lost upon discontinuation. Thus, the current studies provide crucial mechanistic and clinical insight into the beneficial effects of verapamil in T1D.

Indexed as

Diabetes Mellitus, Type 1HumansImmunologic FactorsImmunotherapyInsulinVerapamilImmunologic FactorsInsulinVerapamil

Identifiers

PMID35241690
PMCPMC8894430
OpenAlexW4221072896

What OpenQuestion holds

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LicenceCC BY
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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.