Evidence map›Paper›PMID 15280421›Full record

ArticleThe Journal of experimental medicine2004

Compromised function of regulatory T cells in rheumatoid arthritis and reversal by anti-TNFalpha therapy.

Michael R Ehrenstein, Jamie G Evans, Animesh Singh, Samantha Moore, Gary Warnes, David A Isenberg, Claudia Mauri

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 473 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
473citing papers in PubMed, 1 pooled it
27.5field-weighted citation impact, top 1% 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

473 citing papers in PubMed, 1 synthesis or guideline pooled it, 1,236 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Th17 and CD24Arthritis research & therapy · 2017
    Trial
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Cytokines Associated with Activation of CD4International journal of molecular sciences · 2026
    Review
  11. Article
  12. Article
  13. Review
  14. The Therapeutic Scope of Orofacial Mesenchymal Stem Cells.Bioengineering (Basel, Switzerland) · 2025
    Review
  15. Pathogenic Role of Cytokines in Rheumatoid Arthritis.Journal of clinical medicine · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

413 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Michael R EhrensteinDept. of Medicine, Centre For Rheumatology, Windeyer Institute, University College London, London W1T 4JF, England, UK. m.ehrenstein@ucl.ac.uk
Jamie G Evans
Animesh Singh
Samantha Moore
Gary Warnes
David A Isenberg
Claudia Mauri
University College London · GBCancer Research UK · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

Regulatory T cells have been clearly implicated in the control of disease in murine models of autoimmunity. The paucity of data regarding the role of these lymphocytes in human autoimmune disease has prompted us to examine their function in patients with rheumatoid arthritis (RA). Regulatory (CD4(+)CD25(+)) T cells isolated from patients with active RA displayed an anergic phenotype upon stimulation with anti-CD3 and anti-CD28 antibodies, and suppressed the proliferation of effector T cells in vitro. However, they were unable to suppress proinflammatory cytokine secretion from activated T cells and monocytes, or to convey a suppressive phenotype to effector CD4(+)CD25(-) T cells. Treatment with antitumor necrosis factor alpha (TNFalpha; Infliximab) restored the capacity of regulatory T cells to inhibit cytokine production and to convey a suppressive phenotype to "conventional" T cells. Furthermore, anti-TNFalpha treatment led to a significant rise in the number of peripheral blood regulatory T cells in RA patients responding to this treatment, which correlated with a reduction in C reactive protein. These data are the first to demonstrate that regulatory T cells are functionally compromised in RA, and indicate that modulation of regulatory T cells by anti-TNFalpha therapy may be a further mechanism by which this disease is ameliorated.

Indexed as

Arthritis, RheumatoidCD4 AntigensCytokinesHumansImmune ToleranceInterleukin-10Lymphocyte ActivationLymphocyte DepletionReceptors, Interleukin-2T-Lymphocytes, RegulatoryTumor Necrosis Factor-alphaCD4 AntigensCytokinesInterleukin-10Receptors, Interleukin-2Tumor Necrosis Factor-alpha

Identifiers

PMID15280421
PMCPMC2211983
OpenAlexW2118268169

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.