Evidence map›Paper›PMID 39496966›Full record

ReviewDiabetologia2025

Targeting the NLRP3 inflammasome-IL-1β pathway in type 2 diabetes and obesity.

Daniel T Meier, Joyce de Paula Souza, Marc Y Donath

Abstract readReview
In one paragraph

Review in Diabetologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  18. Molecules (Basel, Switzerland) · 2026
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8 more citing papers are in PubMed but not listed here.

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

3 authors.

Daniel T MeierClinic of Endocrinology, Diabetes and Metabolism, University Hospital Basel, Basel, Switzerland. daniel.zeman@unibas.ch.
Joyce de Paula SouzaClinic of Endocrinology, Diabetes and Metabolism, University Hospital Basel, Basel, Switzerland.
Marc Y DonathClinic of Endocrinology, Diabetes and Metabolism, University Hospital Basel, Basel, Switzerland. marc.donath@usb.ch.

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung # 320030_214900Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung # 32003B_212319
6 · The paper itself

Abstract

Increased activity of the NACHT, LRR and PYD domains-containing protein 3 (NLRP3) inflammasome-IL-1β pathway is observed in obesity and contributes to the development of type 2 diabetes and its complications. In this review, we describe the pathological activation of IL-1β by metabolic stress, ageing and the microbiome and present data on the role of IL-1β in metabolism. We explore the physiological role of the IL-1β pathway in insulin secretion and the relationship between circulating levels of IL-1β and the development of diabetes and associated diseases. We highlight the paradoxical nature of IL-1β as both a friend and a foe in glucose regulation and provide details on clinical translation, including the glucose-lowering effects of IL-1 antagonism and its impact on disease modification. We also discuss the potential role of IL-1β in obesity, Alzheimer's disease, fatigue, gonadal dysfunction and related disorders such as rheumatoid arthritis and gout. Finally, we address the safety of NLRP3 inhibition and IL-1 antagonists and the prospect of using this therapeutic approach for the treatment of type 2 diabetes and its comorbidities.

Indexed as

Diabetes Mellitus, Type 2InflammasomesInterleukin-1betaNLR Family, Pyrin Domain-Containing 3 ProteinObesityAnimalsHumansSignal TransductionInflammasomesInterleukin-1betaNLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanClinical studyDiabetesIL-1βInflammasomeInflammationInsulinNLRP3ObesityPancreatic isletReview

Identifiers

PMID39496966
PMCPMC11663173

What OpenQuestion holds

Textmetadata
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.