Evidence map›Paper›PMID 37498686›Full record

ArticleJCI insight2023

Human immune phenotyping reveals accelerated aging in type 1 diabetes.

Melanie R Shapiro, Xiaoru Dong, Daniel J Perry, James M McNichols, Puchong Thirawatananond, Amanda L Posgai, Leeana D Peters, Keshav Motwani, Richard S Musca, Andrew Muir and 10 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
10.0field-weighted citation impact, top 2% 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

27 citing papers in PubMed, 32 citations in OpenAlex.

  1. Article
  2. Article
  3. Aberrant immune regulation and enrichment of stem-like CD8bioRxiv : the preprint server for biology · 2026
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  6. Article
  7. Misalignment of age clocks.GeroScience · 2025
    Article
  8. Review
  9. Aging and immunity: the age-old tango.Genes & development · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Autoimmune CD4Immunity · 2024
    Article
  19. Observational
  20. Review
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

20 authors at 2 institutions in 4 countries.

Melanie R ShapiroDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Xiaoru DongDiabetes Institute and.
Daniel J PerryDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
James M McNicholsDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Puchong ThirawatananondDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Amanda L PosgaiDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Leeana D PetersDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Keshav MotwaniDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Richard S MuscaDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Andrew MuirDepartment of Pediatrics, Emory University, Atlanta, Georgia, USA.
Patrick ConcannonDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Laura M JacobsenDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Clayton E MathewsDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Clive H WasserfallDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Michael J HallerDiabetes Institute and.
Desmond A SchatzDiabetes Institute and.
Mark A AtkinsonDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Maigan A BruskoDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Rhonda BacherDiabetes Institute and.
Todd M BruskoDepartment of Pathology, Immunology, and Laboratory Medicine, College of Medicine, and.
Diabetes Australia · AUEmory University · US

Funding

Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 1997 to 2026
$32.9M
The CD226 costimulatory axis in type 1 diabetesR01DK106191 · NIDDK · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 2016 to 2026
$4.4M
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
Engineering a Human Microphysiological System for the Characterization of Islet-Immune InteractionsUG3DK122638 · NIDDK · UNIVERSITY OF FLORIDA · PI AGARWAL, ASHUTOSH, BRUSKO, TODD MICHAEL · 2019 to 2020
$2.1M
Interdisciplinary Graduate Program in Type 1 Diabetes and Biomedical EngineeringT32DK108736 · NIDDK · UNIVERSITY OF FLORIDA · PI MARK A. ATKINSON, Benjamin George Keselowsky · 2017 to 2026
$1.9M
Resolving single-cell analysis challenges via data-driven decision frameworks and novel statistical methodsR35GM146895 · NIGMS · UNIVERSITY OF FLORIDA · PI Rhonda Bacher · 2022 to 2026
$1.9M
Generation of Islet Specific T Follicular Regulatory Like Cells for Autologous Cell Therapy of Type 1 DiabetesF30DK128945 · NIDDK · UNIVERSITY OF FLORIDA · PI THIRAWATANANOND, PUCHONG · 2021 to 2024
$177k
Multi-modal single cell analysis for investigation of T1D pathogenesisF31DK129004 · NIDDK · UNIVERSITY OF FLORIDA · PI PETERS, LEEANA D · 2021 to 2021
$40k
NIAID NIH HHS P01 AI042288NIDDK NIH HHS F30 DK128945NIDDK NIH HHS F31 DK129004NIDDK NIH HHS R01 DK106191NIDDK NIH HHS T32 DK108736NIDDK NIH HHS UG3 DK122638NIDDK NIH HHS UH3 DK122638NIGMS NIH HHS R35 GM146895
6 · The paper itself

Abstract

The proportions and phenotypes of immune cell subsets in peripheral blood undergo continual and dramatic remodeling throughout the human life span, which complicates efforts to identify disease-associated immune signatures in type 1 diabetes (T1D). We conducted cross-sectional flow cytometric immune profiling on peripheral blood from 826 individuals (stage 3 T1D, their first-degree relatives, those with ≥2 islet autoantibodies, and autoantibody-negative unaffected controls). We constructed an immune age predictive model in unaffected participants and observed accelerated immune aging in T1D. We used generalized additive models for location, shape, and scale to obtain age-corrected data for flow cytometry and complete blood count readouts, which can be visualized in our interactive portal (ImmScape); 46 parameters were significantly associated with age only, 25 with T1D only, and 23 with both age and T1D. Phenotypes associated with accelerated immunological aging in T1D included increased CXCR3+ and programmed cell death 1-positive (PD-1+) frequencies in naive and memory T cell subsets, despite reduced PD-1 expression levels on memory T cells. Phenotypes associated with T1D after age correction were predictive of T1D status. Our findings demonstrate advanced immune aging in T1D and highlight disease-associated phenotypes for biomarker monitoring and therapeutic interventions.

Indexed as

Diabetes Mellitus, Type 1AgingAutoantibodiesCross-Sectional StudiesHumansInfantProgrammed Cell Death 1 ReceptorAutoantibodiesProgrammed Cell Death 1 ReceptorAutoimmune diseasesAutoimmunityDiabetesImmunology

Identifiers

PMID37498686
PMCPMC10544250
OpenAlexW4385302724

What OpenQuestion holds

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LicenceCC BY
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.