Evidence map›Paper›PMID 20123959›Full record

Trial reportThe Journal of experimental medicine2010

Chronic mucocutaneous candidiasis in APECED or thymoma patients correlates with autoimmunity to Th17-associated cytokines.

Kai Kisand, Anette S Bøe Wolff, Katarina Trebusak Podkrajsek, Liina Tserel, Maire Link, Kalle V Kisand, Elisabeth Ersvaer, Jaakko Perheentupa, Martina Moter Erichsen, Nina Bratanic and 15 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of experimental medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 331 papers.

0numbers the graph read from it
0cells of the map it votes in
331citing papers in PubMed
35.3field-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

331 citing papers in PubMed, 654 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. A novel heterozygous pathogenicJournal of human immunity · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Human immunity to fungal infections.The Journal of experimental medicine · 2025
    Review
  14. Review
  15. Article
  16. Article
  17. The monogenic landscape of human infectious diseases.The Journal of allergy and clinical immunology · 2025
    Review
  18. Thymic inborn errors of immunity.The Journal of allergy and clinical immunology · 2025
    Review
  19. The emerging fungal pathogenbioRxiv : the preprint server for biology · 2025
    Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 16 institutions in 9 countries.

Kai KisandMolecular Pathology Group, Institute of General and Molecular Pathology, University of Tartu, 50411 Tartu, Estonia. kai.kisand@ut.ee
Anette S Bøe Wolff
Katarina Trebusak Podkrajsek
Liina Tserel
Maire Link
Kalle V Kisand
Elisabeth Ersvaer
Jaakko Perheentupa
Martina Moter Erichsen
Nina Bratanic
Antonella Meloni
Filomena Cetani
Roberto Perniola
Berrin Ergun-Longmire
Noel Maclaren
Kai J E Krohn
Mikulás Pura
Berthold Schalke
Philipp Ströbel
Maria Isabel Leite
Tadej Battelino
Eystein S Husebye
Pärt Peterson
Nick Willcox
Anthony Meager
University of Tartu · EEUniversity of Bergen · NOResearch Centre for Medical Genetics · RUHaukeland University Hospital · NOHeidelberg University · DEInstitute of Experimental Endocrinology of the Slovak Academy of Sciences · SKLjubljana University Medical Centre · SIMRC Weatherall Institute of Molecular Medicine · GBNational Institute for Biological Standards and Control · GBOspedale Microcitemico · ITOspedale Vito Fazzi · ITTampere University · FIUniversity of Helsinki · FIUniversity of Oxford · GBUniversity of Pisa · ITUniversity of Regensburg · DE

Funding

Wellcome Trust
6 · The paper itself

Abstract

Chronic mucocutaneous candidiasis (CMC) is frequently associated with T cell immunodeficiencies. Specifically, the proinflammatory IL-17A-producing Th17 subset is implicated in protection against fungi at epithelial surfaces. In autoimmune polyendocrinopathy candidiasis ectodermal dystrophy (APECED, or autoimmune polyendocrine syndrome 1), CMC is often the first sign, but the underlying immunodeficiency is a long-standing puzzle. In contrast, the subsequent endocrine features are clearly autoimmune, resulting from defects in thymic self-tolerance induction caused by mutations in the autoimmune regulator (AIRE). We report severely reduced IL-17F and IL-22 responses to both Candida albicans antigens and polyclonal stimulation in APECED patients with CMC. Surprisingly, these reductions are strongly associated with neutralizing autoantibodies to IL-17F and IL-22, whereas responses were normal and autoantibodies infrequent in APECED patients without CMC. Our multicenter survey revealed neutralizing autoantibodies against IL-17A (41%), IL-17F (75%), and/ or IL-22 (91%) in >150 APECED patients, especially those with CMC. We independently found autoantibodies against these Th17-produced cytokines in rare thymoma patients with CMC. The autoantibodies preceded the CMC in all informative cases. We conclude that IL-22 and IL-17F are key natural defenders against CMC and that the immunodeficiency underlying CMC in both patient groups has an autoimmune basis.

Indexed as

Antibodies, NeutralizingArthritis, RheumatoidAutoantibodiesAutoimmunityCandidiasis, Chronic MucocutaneousCell DifferentiationHumansInterleukin-17Interleukin-22InterleukinsLupus Erythematosus, SystemicMutationPolyendocrinopathies, AutoimmunePsoriasisSelf ToleranceThymomaAntibodies, NeutralizingAutoantibodiesInterleukin-17Interleukin-22Interleukins

Identifiers

PMID20123959
PMCPMC2822605
OpenAlexW2164082708

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.