Evidence map›Paper›PMID 37309552›Full record

ArticleJournal of diabetes2023

HLA-DR3 mediated CD4 T cell response against GAD65 in type 1 diabetes patients.

Neihenuo Chuzho, Neetu Mishra, Nikhil Tandon, Uma Kanga, Gunja Mishra, Akanksha Sharma, Narinder K Mehra, Neeraj Kumar

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

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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

4 citing papers in PubMed, 5 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Neihenuo ChuzhoIndian Council of Medical Research (ICMR)-National Institute of Pathology, Safdarjung Hospital Campus, New Delhi, India.ORCID https://orcid.org/0000-0001-6635-9882
Neetu MishraSymbiosis School of Biological Sciences, Symbiosis International (Deemed University), Pune, India.
Nikhil TandonDepartment of Endocrinology and Metabolism, All India Institute of Medical Sciences, New Delhi, India.ORCID https://orcid.org/0000-0003-4604-1986
Uma KangaDepartment of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India.
Gunja MishraIndian Council of Medical Research (ICMR)-National Institute of Pathology, Safdarjung Hospital Campus, New Delhi, India.
Akanksha SharmaDepartment of Transplant Immunology and Immunogenetics, All India Institute of Medical Sciences, New Delhi, India.
Narinder K MehraEmeritus Scientist (ICMR), and Former Dean (Research), All India Institute of Medical Sciences, New Delhi, India.
Neeraj KumarIndian Council of Medical Research (ICMR)-National Institute of Pathology, Safdarjung Hospital Campus, New Delhi, India.ORCID https://orcid.org/0000-0002-3535-9019
All India Institute of Medical Sciences · INSafdarjang Hospital · INSymbiosis International University · IN

Funding

Department of Biotechnology (DBT)Indian Council of Medical Research (ICMR)Science and Engineering Research Board (SERB)
6 · The paper itself

Abstract

aimWe planned this study to identify diabetogenic glutamic acid decarboxylase (GAD65) peptides possibly responsible for human leucocyte antigen (HLA)-DR3/DQ2-mediated activation of GAD65-specific CD4 T cells in type 1 diabetes (T1D).

methodsTop 30 GAD65 peptides, found to strongly bind in silico with HLA-DR3/DQ2 molecules, were selected and grouped into four pools. The peptides were used to stimulate CD4 T cells of study subjects in 16-h peripheral blood mononuclear cell culture. CD4 T cells' stimulation in terms of interferon-gamma (IFN-γ), interleukin (IL)-17, tumor necrosis factor-alpha (TNF-α), and IL-10 expression was analyzed using flow cytometry.

resultsAlthough all four GAD65 peptide pools (PP1-4) resulted in significantly higher expression of IFN-γ by CD4 T cells (p = .003, p < .0001, p = .026, and p = .002, respectively), only pool 2 showed significant increase in IL-17 expression (p < .0001) in T1D patients vs healthy controls. Interpeptide group comparison for immunogenicity revealed significantly higher IFN-γ and IL-17 expressions and significantly lower IL-10 expression for PP2 compared to other groups (p < .0001, p = .02, and p = .04, respectively) in patients but not in controls. Further, group 2 peptides resulted in significant increase in CD4 T cells' expression of IFN-γ and IL-17 (p = .002 for both) and significant decrease in IL-10 (p = .04) in HLA-DRB1*03-DQA1*05-DQB1*02+ patients vs HLA-DRB1*03-DQA1*05-DQB1*02+ controls. The CD4 T cells' expression of IL-17 was significantly higher (p = .03) in recently diagnosed vs long-standing HLA-DRB1*03-DQA1*05-DQB1*02+ T1D patients.

conclusionGAD65 peptides, particularly those belonging to PP2, induced CD4 T cells to express IFN-γ and IL-17 cytokines in T1D patients, suggesting that group 2 peptides possibly presented by HLA-DR3 molecule to CD4 T cells shift immune balance toward inflammatory phenotype in patients.

Indexed as

CD4-Positive T-LymphocytesDiabetes Mellitus, Type 1Glutamate DecarboxylaseHLA-DR3 AntigenHLA-DRB1 ChainsHumansInterleukin-10Interleukin-17Leukocytes, MononuclearPeptidesGlutamate DecarboxylaseHLA-DR3 AntigenHLA-DRB1 ChainsInterleukin-10Interleukin-17Peptides1型糖尿病CD4 T cellsCD4 T细胞cytokinesGAD65HLAtype 1 diabetes细胞因子

Identifiers

PMID37309552
PMCPMC10345980
OpenAlexW4380423117

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.