Evidence map›Paper›PMID 11560959›Full record

ArticleThe Journal of clinical investigation2001

Signaling through CD28 and CTLA-4 controls two distinct forms of T cell anergy.

A D Wells, M C Walsh, J A Bluestone, L A Turka

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

49 citing papers in PubMed, 1 synthesis or guideline pooled it, 167 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. T cell exhaustion in parasitic infections.Frontiers in immunology · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Conversion of Anergic T Cells Into Foxp3Frontiers in immunology · 2021
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Review
  18. Review
  19. Article
  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

4 authors at 2 institutions in 1 country.

A D WellsDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104-6144, USA. adwells@mail.med.upenn.edu
M C Walsh
J A Bluestone
L A Turka
University of Pennsylvania · USUniversity of California, San Francisco · US

Funding

T Cell Fate as a Determinant of Alloimmune ResponsesP01AI041521 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI TURKA, LAURENCE A · 1997 to 2011
$15.9M
TOLERANCE INDUCTION BY DST PLUS COSTIMULATORY BLOCKADER01AI037691 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI TURKA, LAURENCE A · 1995 to 2015
$5.3M
IMMUNOPATHOGENESIS OF ALLERGIC ASPERGILLOSISR01AI043626 · NIAID · SAINT LOUIS UNIVERSITY · PI SLAVIN, RAYMOND G · 1999 to 2001
$602k
Immunopathogenesis of Allergic AspergillosisR21AI043626 · NIAID · SAINT LOUIS UNIVERSITY · PI SLAVIN, RAYMOND G · 2003 to 2003
$364k
T CELL DIVISION, SURVIVAL AND MEMORY IN TRANSPLANTATIONK01DK002771 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI WELLS, ANDREW D · 2000 to 2002
$282k
NIAID NIH HHS AI-37691NIAID NIH HHS AI-41521NIAID NIH HHS AI-43626NIAID NIH HHS P01 AI041521NIAID NIH HHS R01 AI037691NIAID NIH HHS R01 AI043626NIAID NIH HHS R21 AI043626NIDDK NIH HHS K01-DK02771-02
6 · The paper itself

Abstract

Primary T cell proliferative responses to TCR ligation plus CD28 costimulation are surprisingly heterogeneous. Many cells that enter G1 fail to progress further through the cell cycle, and some of these cells subsequently fail to divide upon restimulation, even in the presence of IL-2. Such IL-2-refractory anergy is distinct from the IL-2-reversible anergy induced by TCR occupancy in the absence of CD28 costimulation. Here, we focus on the contributions of cell cycle progression and costimulatory (CD28/CTLA-4) signals in the regulation of anergy. We show that CD28 costimulation is not sufficient for anergy avoidance and that activated T cells must progress through the cell cycle in order to escape anergy. Induction of this "division-arrest" form of anergy requires CTLA-4 signaling during the primary response. Also, cell division per se is not sufficient for anergy avoidance: the few T cells that undergo multiple rounds of cell division during overt CD28 costimulatory blockade do not escape the ultimate induction of clonal anergy. Anergy avoidance by primary T cells is thus a multistep process: in order to participate in a productive immune response, an individual T cell activated through its antigen receptor must receive CD28 costimulation and progress through the cell cycle. Anergy may be induced either through a combination of CTLA-4 signaling and the failure of cell cycle progression, or through a proliferation-independent mechanism in which TCR ligation occurs in the absence of CD28.

Indexed as

Clonal AnergyImmunoconjugatesTumor Suppressor ProteinsAbataceptAnimalsAntigens, CDAntigens, DifferentiationCD28 AntigensCD4-Positive T-LymphocytesCell CycleCell Cycle ProteinsCTLA-4 AntigenCyclin-Dependent Kinase Inhibitor p27FemaleHumansInterleukin-2AbataceptAntigens, CDAntigens, DifferentiationCD28 AntigensCdkn1b protein, mouseCell Cycle ProteinsCTLA-4 AntigenCTLA4 protein, humanCtla4 protein, mouseCyclin-Dependent Kinase Inhibitor p27ImmunoconjugatesInterleukin-2Tumor Suppressor Proteins

Identifiers

PMID11560959
PMCPMC200935
OpenAlexW2067600414

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.