Evidence map›Paper›PMID 17944900›Full record

Trial reportImmunology2008

Therapeutic vaccination with a trivalent T-cell receptor (TCR) peptide vaccine restores deficient FoxP3 expression and TCR recognition in subjects with multiple sclerosis.

Arthur A Vandenbark, Nicole E Culbertson, Richard M Bartholomew, Jianya Huan, Marci Agotsch, Dorian LaTocha, Vijayshree Yadav, Michele Mass, Ruth Whitham, Jesus Lovera and 5 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Immunology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Multiple sclerosis: molecular pathogenesis and therapeutic intervention.Signal transduction and targeted therapy · 2025
    Review
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  5. Article
  6. Article
  7. Article
  8. Review
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  18. Article
  19. Neuroimmunotherapies Targeting T Cells: From Pathophysiology to Therapeutic Applications.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2016
    Review
  20. Therapeutic Advances and Future Prospects in Progressive Forms of Multiple Sclerosis.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2016
    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

15 authors at 2 institutions in 1 country.

Arthur A VandenbarkNeuroimmunology Laboratory, Department of Veterans Affairs Medical Center, Portland, OR 97239, USA. vandenba@ohsu.edu
Nicole E Culbertson
Richard M Bartholomew
Jianya Huan
Marci Agotsch
Dorian LaTocha
Vijayshree Yadav
Michele Mass
Ruth Whitham
Jesus Lovera
June Milano
Georgia Theofan
Yuan K Chou
Halina Offner
Dennis N Bourdette
Oregon Health & Science University · USResponse Technologies (United States) · US

Funding

T LYMPHOCYTE LINES SPECIFIC FOR MYELIN BASIC PROTEINR01NS023221 · NINDS · OREGON HEALTH & SCIENCE UNIVERSITY · PI VANDENBARK, ARTHUR A. · 1986 to 2010
$3.7M
REGULATION OF BASIC PROTEIN SPECIFIC T LYMPHOCYTE LINESR01NS023444 · NINDS · OREGON HEALTH AND SCIENCE UNIVERSITY · PI OFFNER, HALINA · 1987 to 2005
$3.0M
NINDS NIH HHS NS23221NINDS NIH HHS NS23444NINDS NIH HHS R01 NS023221NINDS NIH HHS R01 NS023444
6 · The paper itself

Abstract

Therapeutic vaccination using T-cell receptor (TCR) peptides from V genes commonly expressed by potentially pathogenic T cells remains an approach of interest for treatment of multiple sclerosis (MS) and other autoimmune diseases. We developed a trivalent TCR vaccine containing complementarity determining region (CDR) 2 peptides from BV5S2, BV6S5 and BV13S1 emulsified in incomplete Freund's adjuvant that reliably induced high frequencies of TCR-specific T cells. To evaluate induction of regulatory T-cell subtypes, immunological and clinical parameters were followed in 23 treatment-naïve subjects with relapsing-remitting or progressive MS who received 12 monthly injections of the trivalent peptide vaccine over 1 year in an open-label study design. Prior to vaccination, subjects had reduced expression of forkhead box (Fox) P3 message and protein, and reduced recognition of the expressed TCR repertoire by TCR-reactive cells compared with healthy control donors. After three or four injections, most vaccinated MS subjects developed high frequencies of circulating interleukin (IL)-10-secreting T cells specific for the injected TCR peptides and significantly enhanced expression of FoxP3 by regulatory T cells present in both 'native' CD4+ CD25+ and 'inducible' CD4+ CD25- peripheral blood mononuclear cells (PBMC). At the end of the trial, PBMC from vaccinated MS subjects retained or further increased FoxP3 expression levels, exhibited significantly enhanced recognition of the TCR V gene repertoire apparently generated by perturbation of the TCR network, and significantly suppressed neuroantigen but not recall antigen responses. These findings demonstrate that therapeutic vaccination using only three commonly expressed BV gene determinants can induce an expanded immunoregulatory network in vivo that may optimally control complex autoreactive responses that characterize the inflammatory phase of MS.

Indexed as

AdultAgedAutoantigensAutoimmunityComplementarity Determining RegionsFemaleForkhead Transcription FactorsGenes, T-Cell ReceptorHumansImmune ToleranceImmunologic MemoryMaleMiddle AgedMultiple SclerosisNerve Tissue ProteinsReceptors, Antigen, T-CellAutoantigensComplementarity Determining RegionsForkhead Transcription FactorsFOXP3 protein, humanNerve Tissue ProteinsReceptors, Antigen, T-CellVaccines, Subunit

Identifiers

PMID17944900
PMCPMC2433276
OpenAlexW2114845867

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.