Evidence map›Paper›PMID 20400961›Full record

ArticleNature medicine2010

A CD8+ T cell transcription signature predicts prognosis in autoimmune disease.

Eoin F McKinney, Paul A Lyons, Edward J Carr, Jane L Hollis, David R W Jayne, Lisa C Willcocks, Maria Koukoulaki, Alvis Brazma, Vojislav Jovanovic, D Michael Kemeny and 4 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 220 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
220citing papers in PubMed, 3 pooled it
10.7field-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

220 citing papers in PubMed, 3 syntheses or guidelines pooled it, 373 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. A CD8Nature communications · 2021
    Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Review
  13. Article
  14. Cross-presentation of citrullinated antigens drives cytotoxic CD8bioRxiv : the preprint server for biology · 2026
    Article
  15. Review
  16. Cellular Metabolic Signatures of Long COVID-19.Infectious disease reports · 2026
    Article
  17. Article
  18. Review
  19. Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 2 countries.

Eoin F McKinneyDepartment of Medicine, University of Cambridge School of Clinical Medicine, Cambridge Institute for Medical Research, Addenbrooke's Hospital, Cambridge, UK.
Paul A Lyons
Edward J Carr
Jane L Hollis
David R W Jayne
Lisa C Willcocks
Maria Koukoulaki
Alvis Brazma
Vojislav Jovanovic
D Michael Kemeny
Andrew J Pollard
Paul A Macary
Afzal N Chaudhry
Kenneth G C Smith
Addenbrooke's Hospital · GBUniversity of Cambridge · GBNational University of Singapore · SGEuropean Bioinformatics Institute · GBUniversity of Oxford · GB

Funding

Arthritis Research UK 16305Medical Research Council G0400929Medical Research Council G0400929(71747)Wellcome Trust 079895Wellcome Trust 083650Wellcome Trust 083650/Z/07/Z
6 · The paper itself

Abstract

Autoimmune diseases are common and debilitating, but their severe manifestations could be reduced if biomarkers were available to allow individual tailoring of potentially toxic immunosuppressive therapy. Gene expression-based biomarkers facilitating such tailoring of chemotherapy in cancer, but not autoimmunity, have been identified and translated into clinical practice. We show that transcriptional profiling of purified CD8(+) T cells, which avoids the confounding influences of unseparated cells, identifies two distinct subject subgroups predicting long-term prognosis in two autoimmune diseases, antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), a chronic, severe disease characterized by inflammation of medium-sized and small blood vessels, and systemic lupus erythematosus (SLE), characterized by autoantibodies, immune complex deposition and diverse clinical manifestations ranging from glomerulonephritis to neurological dysfunction. We show that the subset of genes defining the poor prognostic group is enriched for genes involved in the interleukin-7 receptor (IL-7R) pathway and T cell receptor (TCR) signaling and those expressed by memory T cells. Furthermore, the poor prognostic group is associated with an expanded CD8(+) T cell memory population. These subgroups, which are also found in the normal population and can be identified by measuring expression of only three genes, raise the prospect of individualized therapy and suggest new potential therapeutic targets in autoimmunity.

Indexed as

Antibodies, Antineutrophil CytoplasmicAutoimmune DiseasesAutoimmunityCD8-Positive T-LymphocytesCohort StudiesDose-Response Relationship, DrugGene ExpressionHumansImmunosuppressive AgentsInflammationInterleukin-7Lupus Erythematosus, SystemicPrognosisReceptors, Antigen, T-CellSignal TransductionT-LymphocytesAntibodies, Antineutrophil CytoplasmicImmunosuppressive AgentsInterleukin-7Receptors, Antigen, T-Cell

Identifiers

PMID20400961
PMCPMC3504359
OpenAlexW2092644774

What OpenQuestion holds

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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.