Evidence map›Paper›PMID 16998360›Full record

ArticleAnnals of surgery2006

Increased CD4+ CD25+ T regulatory cell activity in trauma patients depresses protective Th1 immunity.

Malcolm P MacConmara, Adrian A Maung, Satoshi Fujimi, Ann M McKenna, Adam Delisle, Peter H Lapchak, Selwyn Rogers, James A Lederer, John A Mannick

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

58 citing papers in PubMed, 129 citations in OpenAlex.

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  12. Immunological approaches and therapy in burns (Review).Experimental and therapeutic medicine · 2020
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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 1 institution in 1 country.

Malcolm P MacConmaraDepartment of Surgery (Immunology), Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02115, USA.
Adrian A Maung
Satoshi Fujimi
Ann M McKenna
Adam Delisle
Peter H Lapchak
Selwyn Rogers
James A Lederer
John A Mannick
Harvard University Press · US

Funding

IMMUNOLOGIC STUDIES OF PATIENTS AFTER TRAUMATIC INJURYR01GM035633 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LEDERER, JAMES A. · 1985 to 2010
$3.3M
INJURY-INDUCED EFFECTS ON THE ADAPTIVE IMMUNE SYSTEMR01GM057664 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LEDERER, JAMES A. · 1999 to 2007
$2.6M
INJURY INDUCED EFFECTS ON THE ADAPTIVE IMMUNE SYSTEMR55GM057664 · NIGMS · BRIGHAM AND WOMEN'S HOSPITAL · PI LEDERER, JAMES A. · 1998 to 1998
–
NIGMS NIH HHS GM35633NIGMS NIH HHS GM57664NIGMS NIH HHS R01 GM035633NIGMS NIH HHS R01 GM057664
6 · The paper itself

Abstract

objectivesWe recently reported increased CD4 CD25 T regulatory (Treg) activity after burn injury in mice. This study sought to determine if Tregs mediate the reduction in TH1-type immunity after serious injury in man and if Treg function is altered by injury.

methodsPeripheral blood was withdrawn from 19 consenting adult patients (35.1 +/- 16.3 years of age) with Injury Severity Scores (ISS) 36.6 +/- 13.9 on days 1 and 7 after trauma and from 5 healthy individuals. CD4 T cells were purified and sorted into Treg (CD25(high)) and Treg-depleted populations. After activation of cells with anti-CD3/CD28 antibody, production of the TH1-type cytokine IFNgamma, TH2-type cytokines (IL-4 and IL-5), and the inhibitory cytokine IL-10 was measured using cytometric bead arrays. Treg activity was measured by in vitro suppression of autologous CD4 T cell proliferation.

resultsAll patients survived, 9 (47%) developed infection postinjury. IFNgamma production by patient CD4 T cells was decreased on day 1 and day 7, when compared with healthy controls. However, when Tregs were depleted from the CD4 T cells, the IFNgamma production increased to control levels. Tregs were the chief source of IL-4 and IL-5 as well as IL-10. Treg suppression of T cell proliferation increased significantly from day 1 to day 7 after injury.

conclusionsWe demonstrate for the first time that human Tregs are increased in potency after severe injury. Most significantly, Tregs are important mediators of the suppression of T cell activation and the reduction in TH1 cytokine production found after injury.

Indexed as

Receptors, Interleukin-2AdolescentAdultAgedCD4-Positive T-LymphocytesFemaleHumansMaleMiddle AgedTh1 CellsT-LymphocytesWounds and InjuriesReceptors, Interleukin-2

Identifiers

PMID16998360
PMCPMC1856576
OpenAlexW2002375003

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.