Evidence map›Paper›PMID 16585503›Full record

Trial reportProceedings of the National Academy of Sciences of the United States of America2006

Regulatory CD56(bright) natural killer cells mediate immunomodulatory effects of IL-2Ralpha-targeted therapy (daclizumab) in multiple sclerosis.

Bibiana Bielekova, Marta Catalfamo, Susan Reichert-Scrivner, Amy Packer, Magdalena Cerna, Thomas A Waldmann, Henry McFarland, Pierre A Henkart, Roland Martin

2 registry-linked trialsOpen access · greenAbstract readClinical Trial
In one paragraph

Trial report in Proceedings of the National Academy of Sciences of the United States of America, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 288 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
288citing papers in PubMed, 2 pooled it
10.6field-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.

NCT00950248 phase1 / phase2completednot on this mapstarted 2009, after this paper: background citation

Double Blind Placebo-Controlled Phase I/II Clinical Trial of Idebenone in Patients With Primary Progressive Multiple Sclerosis

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2009 to 2018Enrolled85ConditionsPrimary Progressive Multiple SclerosisArmsIdebenone, placebo
NCT01143441 phase1completednot on this mapstarted 2010, after this paper: background citation

Investigating Mechanism of Action of DAC HYP in the Treatment of High-Inflammatory Multiple Sclerosis (MS)

TypeinterventionalSponsorNational Institute of Neurological Disorders and Stroke (NINDS)Ran2010 to 2017Enrolled48ConditionsMultiple Sclerosis, Multiple Sclerosis, Relapsing-RemittingArmsDAC-HYP
3 · Its place in the literature

Who cites it

288 citing papers in PubMed, 2 syntheses or guidelines pooled it, 590 citations in OpenAlex.

  1. Pooled it
  2. Daclizumab for relapsing remitting multiple sclerosis.The Cochrane database of systematic reviews · 2013
    Pooled it
  3. Sustained immunotolerance in multiple sclerosis after stem cell transplant.Annals of clinical and translational neurology · 2022
    Trial
  4. A CD8Nature communications · 2021
    Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Daclizumab reduces CD25 levels on T cells through monocyte-mediated trogocytosis.Multiple sclerosis (Houndmills, Basingstoke, England) · 2014
    Trial
  15. Trial
  16. Cancer regression and neurological toxicity following anti-MAGE-A3 TCR gene therapy.Journal of immunotherapy (Hagerstown, Md. : 1997) · 2013
    Trial
  17. Trial
  18. Unconventional functions of natural killer cells in homeostasis and disease.Journal of immunology (Baltimore, Md. : 1950) · 2026
    Review
  19. Taming immune responses to AAV gene therapy by programmed in vivo Treg expansion.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  20. Host immune dysfunction and Mycoplasma pneumoniae immune evasion: dual drivers of pathogenesis in Mycoplasma pneumoniae pneumonia.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review

228 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

9 authors at 3 institutions in 1 country.

Bibiana BielekovaNeuroimmunology Branch, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20892, USA. bibi.bielekova@uc.edu
Marta Catalfamo
Susan Reichert-Scrivner
Amy Packer
Magdalena Cerna
Thomas A Waldmann
Henry McFarland
Pierre A Henkart
Roland Martin
National Institutes of Health · USNational Institute of Neurological Disorders and Stroke · USUniversity of Cincinnati · US

Funding

IL-2:IL-15 : implications for cancer therapy (Investigator -Initiated Project)ZIASC004002 · NCI · DIVISION OF CLINICAL SCIENCES - NCI · PI WALDMANN, THOMAS · 2009 to 2022
$22.9M
Immunoregulatory Cell Receptor Defects--Leukemia/LymphomZ01SC004002 · SC · DIVISION OF CLINICAL SCIENCES - NCI · PI WALDMANN, THOMAS A · 1996 to 2008
$6.1M
INTERACTIONS BETWEEN THE HUMAN IMMUNE SYSTEM AND ANTIGENS IN THE NERVOUS SYSTEMZ01NS002205 · NINDS · NEUROLOGICAL DISORDERS AND STROKE · PI MCFARLAND, HENRY F · 1985 to 2007
$454k
Intramural NIH HHS
6 · The paper itself

Abstract

Administration of daclizumab, a humanized mAb directed against the IL-2Ralpha chain, strongly reduces brain inflammation in multiple sclerosis patients. Here we show that daclizumab treatment leads to only a mild functional blockade of CD4(+) T cells, the major candidate in multiple sclerosis pathogenesis. Instead, daclizumab therapy was associated with a gradual decline in circulating CD4(+) and CD8(+) T cells and significant expansion of CD56(bright) natural killer (NK) cells in vivo, and this effect correlated highly with the treatment response. In vitro studies showed that NK cells inhibited T cell survival in activated peripheral blood mononuclear cell cultures by a contact-dependent mechanism. Positive correlations between expansion of CD56(bright) NK cells and contraction of CD4(+) and CD8(+) T cell numbers in individual patients in vivo provides supporting evidence for NK cell-mediated negative immunoregulation of activated T cells during daclizumab therapy. Our data support the existence of an immunoregulatory pathway wherein activated CD56(bright) NK cells inhibit T cell survival. This immunoregulation has potential importance for the treatment of autoimmune diseases and transplant rejection and toward modification of tumor immunity.

Indexed as

AnimalsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntigens, CDCD56 AntigenDaclizumabDisease Models, AnimalHumansImmunoglobulin GImmunosuppressive AgentsInflammationInterleukin-2Interleukin-2 Receptor alpha SubunitKiller Cells, NaturalLymphocyte ActivationLymphocyte SubsetsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedAntigens, CDCD56 AntigenDaclizumabIL2RA protein, humanIl2ra protein, mouseImmunoglobulin GImmunosuppressive AgentsInterleukin-2Interleukin-2 Receptor alpha SubunitReceptors, Interleukin-2

Identifiers

PMID16585503
PMCPMC1458677
OpenAlexW2113485611

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.