Evidence map›Paper›PMID 40706797›Full record

ArticleMolecular metabolism2025

Inhibition of pyrimidine de novo synthesis fosters Treg cells and reduces diabetes development in models of Type 1 Diabetes.

Hannah Hipp, Camilla Tondello, Hanna Gmehling, Lena K Scholz, Antigoni Stavridou, Maike Becker, Anne-Marie Bührer, Edith Hintermann, Sandra M Dirschl, Till M Johannsmann and 5 more

Abstract read
In one paragraph

Article in Molecular metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Review
  2. Oral GAD65-Microorganisms · 2026
    Article
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.

Hannah HippResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Camilla TondelloResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Hanna GmehlingResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Lena K ScholzPharmazentrum Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany.
Antigoni StavridouCenter for Regenerative Therapies Dresden (CRTD), Technische Universität Dresden, Dresden, Germany; Faculty of Life Sciences and Medicine, Department of Immunobiology, King's College London, London, UK.
Maike BeckerResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Anne-Marie BührerResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Edith HintermannPharmazentrum Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany.
Sandra M DirschlResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Till M JohannsmannResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Martin G SchermResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Hella KohlhofImmunic AG, Gräfelfing, Germany.
Isabelle SerrResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany.
Urs ChristenPharmazentrum Frankfurt, Goethe University Frankfurt, Frankfurt am Main, Germany.
Carolin DanielResearch Unit Type 1 Diabetes Immunology, Helmholtz Diabetes Center at Helmholtz Zentrum München, Munich, Germany; Deutsches Zentrum für Diabetesforschung (DZD), Munich, Germany; Division of Clinical Pharmacology, Department of Medicine IV, Ludwig-Maximilians-Universität München, Munich, Germany. Electronic address: carolin.daniel@helmholtz-munich.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn autoimmune Type 1 Diabetes (T1D), aberrant immune activation promotes regulatory T cell (Treg) impairments thereby boosting progression of islet autoimmunity. Consequently, there is a progressive destruction of the insulin-producing beta cells in the pancreas. Controlling overshooting immune activation represents a relevant approach to allow for efficient Treg-targeting by broadening the window of opportunity to induce Tregs.

methodsWe investigated the effect of restricting pyrimidine de novo synthesis during islet autoimmunity and T1D by Dihydroorotate dehydrogenase (DHODH) inhibition using the next-generation DHODH inhibitor Vidofludimus calcium. We assessed Treg-inducing features of DHODH inhibition in T cells from ongoing murine islet autoimmunity and human T1D in vitro. To dissect the functional relevance of these observations, we tested the impact of DHODH inhibition on interfering with autoimmune activation and disease progression in pre-clinical models of T1D in vivo.

resultsWe show that DHODH inhibition results in enhanced Treg induction in vitro especially during increased immune activation and reduced T cell proliferation. In addition, Vidofludimus calcium reduced T1D incidence in two mouse models. On the cellular level, treated mice showed reduced T cell activation accompanied by increased Treg frequencies.

conclusionsWe demonstrate that restricting pyrimidine de novo synthesis by next-generation DHODH inhibition is a strategy to interfere with autoimmune activation while fostering Tregs.

Indexed as

Diabetes Mellitus, Type 1PyrimidinesT-Lymphocytes, RegulatoryAnimalsAutoimmunityCell ProliferationDihydroorotate DehydrogenaseDisease Models, AnimalFemaleHumansMiceMice, Inbred C57BLMice, Inbred NODOxidoreductases Acting on CH-CH Group DonorsDihydroorotate DehydrogenaseOxidoreductases Acting on CH-CH Group DonorspyrimidinePyrimidinesAutoimmunityDHODH inhibitionImmunomodulationRegulatory T cellsType 1 diabetesVidofludimus calcium

Identifiers

PMID40706797
PMCPMC12791205

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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.