Evidence map›Paper›PMID 39446565›Full record

ArticleDiabetes2025

Emerging Concepts and Success Stories in Type 1 Diabetes Research: A Road Map for a Bright Future.

Roberto Mallone, Emily Sims, Peter Achenbach, Chantal Mathieu, Alberto Pugliese, Mark Atkinson, Sanjoy Dutta, Carmella Evans-Molina, David Klatzmann, Anne Koralova and 5 more

Abstract read
In one paragraph

Article in Diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Review
  3. Article
  4. Article
  5. 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

15 authors.

Roberto MalloneInstitut Cochin, CNRS, INSERM, Université Paris Cité, Paris, France.ORCID 0000-0002-9846-8861
Emily SimsDivision of Pediatric Endocrinology and Diabetology, Herman B Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN.ORCID 0000-0002-4393-954X
Peter AchenbachInstitute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Munich, Germany.
Chantal MathieuClinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism (CHROMETA), KU Leuven, Leuven, Belgium.ORCID 0000-0002-6099-2406
Alberto PuglieseDepartment of Diabetes Immunology, Arthur Riggs Diabetes and Metabolism Research Institute, Beckman Research Institute, City of Hope, Duarte, CA.ORCID 0000-0002-7211-0319
Mark AtkinsonDepartment of Pathology, Immunology and Laboratory Medicine, Diabetes Institute, College of Medicine, University of Florida, Gainesville, FL.ORCID 0000-0001-8489-4782
Sanjoy DuttaJDRF, New York, NY.ORCID 0000-0001-8117-1677
Carmella Evans-MolinaCenter for Diabetes and Metabolic Diseases, Indiana University School of Medicine, Indianapolis, IN.ORCID 0000-0001-7764-8663
David KlatzmannClinical Investigation Center for Biotherapies and Inflammation-Immunopathology-Biotherapy Department (i2B), Sorbonne Université, Pitié-Salpêtrière Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.ORCID 0000-0002-0054-3422
Anne KoralovaThe Leona M. and Harry B. Helmsley Charitable Trust, New York, NY.
S Alice LongTranslational Immunology, Benaroya Research Institute, Seattle, WA.ORCID 0000-0002-0281-1240
Lut OverberghClinical and Experimental Endocrinology, Department of Chronic Diseases and Metabolism (CHROMETA), KU Leuven, Leuven, Belgium.
Teresa Rodriguez-CalvoInstitute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Munich, Germany.
Anette-Gabriele ZieglerInstitute of Diabetes Research, Helmholtz Munich, German Center for Environmental Health, Munich, Germany.
Sylvaine YouInstitut Cochin, CNRS, INSERM, Université Paris Cité, Paris, France.ORCID 0000-0002-1578-5205

Funding

Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Sakeneh Zraika · 1986 to 2026
$41.4M
Project 3P01AI042288 · NIAID · UNIVERSITY OF FLORIDA · PI Todd Michael Brusko · 1997 to 2026
$32.9M
The Integrated Stress Response in Human Islets During Early T1DU01DK127786 · NIDDK · UNIVERSITY OF CHICAGO · PI EVANS-MOLINA, CARMELLA, MIRMIRA, RAGHAVENDRA G · 2020 to 2025
$7.1M
Mechanisms of Beta Cell Function in Health and DiseaseR01DK093954 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI EVANS-MOLINA, CARMELLA · 2011 to 2019
$3.5M
Implications of Changes in Islet Exosomal Cargo in Type 1 DiabetesR01DK133881 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI EVANS-MOLINA, CARMELLA, MIRMIRA, RAGHAVENDRA G · 2022 to 2025
$2.7M
Biomarkers Of Beta Cell Stress In Type 1 Diabetes (BetaMarker)UC4DK104166 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI EIZIRIK, DECIO LAKS, EVANS-MOLINA, CARMELLA · 2014 to 2014
$2.4M
Indiana University clinical Center for acute pancreatitis and diabetes clinical research networkU01DK127382 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI Carmella Evans-Molina, Evan L Fogel · 2020 to 2026
$2.4M
Beta cell extracellular vesicles in health and diseaseR01DK121929 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI SIMS, EMILY K · 2020 to 2024
$2.0M
β cell miRNAs Function as Molecular Hubs of Type 1 Diabetes PathogenesisR01DK127308 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI EVANS-MOLINA, CARMELLA · 2021 to 2024
$1.7M
Agence Nationale de la Recherche ANR-19-CE15-0014-01BLRD VA I01 BX001733Breakthrough T1D 2-SRA-2018-493-A-BDoris Duke Charitable Foundation 2021258European Commission 115797Fondation pour la Recherche Médicale EQU20193007831Innovative Medicines Initiative 115797John Templeton Foundation 62288MSDAvenir FoundationNIAID NIH HHS P01 AI042288NIDDK NIH HHS P30 DK017047NIDDK NIH HHS R01 DK093954NIDDK NIH HHS R01 DK121929NIDDK NIH HHS R01 DK127308NIDDK NIH HHS R01 DK133881NIDDK NIH HHS U01 DK127382NIDDK NIH HHS U01 DK127786NIDDK NIH HHS UC4 DK104166NIH HHS AI-42288NIH/NIAIDShowalter Scholar ProgramThe Leona M. and Harry B. Helmsley Charitable Trust 1901-03689Veteran Affairs I01BX001733
6 · The paper itself

Abstract

Type 1 diabetes treatment stands at a crucial and exciting crossroad since the 2022 U.S. Food and Drug Administration approval of teplizumab to delay disease development. In this article, we discuss four major conceptual and practical issues that emerged as key to further advancement in type 1 diabetes research and therapies. First, collaborative networks leveraging the synergy between the type 1 diabetes research and care community members are key to fostering innovation, know-how, and translation into the clinical arena worldwide. Second, recent clinical trials in presymptomatic stage 2 and recent-onset stage 3 disease have shown the promise, and potential pitfalls, of using immunomodulatory and/or β-cell protective agents to achieve sustained remission or prevention. Third, the increasingly appreciated heterogeneity of clinical, immunological, and metabolic phenotypes and disease trajectories is of critical importance to advance the decision-making process for tailored type 1 diabetes care and therapy. Fourth, the clinical benefits of early diagnosis of β-cell autoimmunity warrant consideration of general population screening for islet autoantibodies, which requires further efforts to address the technical, organizational, and ethical challenges inherent to a sustainable program. Efforts are underway to integrate these four concepts into the future directions of type 1 diabetes research and therapy. ARTICLE HIGHLIGHTS:

Indexed as

Diabetes Mellitus, Type 1Biomedical ResearchHumansInsulin-Secreting Cells

Identifiers

PMID39446565
PMCPMC11664023

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.