Evidence map›Paper›PMID 21437870›Full record

ArticleArthritis and rheumatism2011

Calcium signaling in systemic lupus erythematosus T cells: a treatment target.

Vasileios C Kyttaris, Zheng Zhang, Ourania Kampagianni, George C Tsokos

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Arthritis and rheumatism, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01781611 (Dipyridamole Assessment for Flare Reduction in SLE), which is not on this map. Cited by 45 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT01781611 naterminatednot on this mapstarted 2013, after this paper: background citation

Dipyridamole Assessment for Flare Reduction in SLE

TypeinterventionalSponsorOklahoma Medical Research FoundationRan2013 to 2017Enrolled18ConditionsSystemic Lupus ErythematosusArmsextended release dipyridamole 200mg/aspirin 25mg, 81mg aspirin
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. cGAS-STING signaling in melanoma: regulation and therapeutic targeting.Naunyn-Schmiedeberg's archives of pharmacology · 2025
    Review
  3. Article
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  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Recent advances in cutaneous lupus.Journal of autoimmunity · 2022
    Review
  11. Review
  12. Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
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  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Vasileios C KyttarisBeth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. vkyttari@bidmc.harvard.edu
Zheng Zhang
Ourania Kampagianni
George C Tsokos
Beth Israel Deaconess Medical Center · US

Funding

LYMPHOCYTE SIGNALING DEFECTS IN PATIENTS WITH LUPUSR01AI042269 · NIAID · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI TSOKOS, GEORGE C · 1998 to 2017
$6.8M
Gene Transcription In SLER01AI049954 · NIAID · HENRY M. JACKSON FDN FOR THE ADV MIL/MED · PI George C Tsokos · 2002 to 2026
$5.8M
NFAT/AP-1 cooperation in SLE T cellsK23AR055672 · NIAMS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KYTTARIS, VASILEIOS CHRISTOS · 2008 to 2012
$486k
NIAID NIH HHS R01 AI042269NIAID NIH HHS R01 AI049954NIAID NIH HHS R01-AI-42269NIAID NIH HHS R01-AI-49954NIAMS NIH HHS K23 AR055672NIAMS NIH HHS K23-AR-055672
6 · The paper itself

Abstract

objectiveSystemic lupus erythematosus (SLE) T cells display a hyperactive calcineurin/NF-AT pathway. The aim of this study was to determine whether this pathway is responsible for the aberrant SLE T cell function and to test the effectiveness of the recently recognized calcineurin inhibitor dipyridamole in limiting SLE-related pathology.

methodsT cells and mononuclear cells were isolated from the peripheral blood of SLE patients and healthy individuals. Murine cells were isolated from the spleens and lymph nodes of lupus-prone MRL/lpr mice and control MRL/MpJ mice. Cells were treated in vitro with tacrolimus, dipyridamole, or control. MRL/lpr mice were injected intraperitoneally with 50 mg/kg of dipyridamole 3 times a week for 3 weeks.

resultsMRL/lpr T cells, especially CD3+CD4-CD8- cells, displayed a robust calcium influx upon activation and increased levels of NF-ATc1. MRL/lpr T cells (both CD4+ and CD3+CD4-CD8- cells) provided help to B cells to produce immunoglobulin in a calcineurin-dependent manner. Dipyridamole treatment of SLE T cells significantly inhibited CD154 expression, interferon-γ, interleukin-17 (IL-17), and IL-6 production, and T cell-dependent B cell immunoglobulin secretion. Treatment of MRL/lpr mice with dipyridamole alleviated lupus nephritis and prevented the appearance of skin ulcers.

conclusionNF-AT activation is a key step in the activation of SLE T cells and the production of immunoglobulin. Dipyridamole inhibits SLE T cell function and improves pathologic changes of the disease in lupus-prone mice. We propose that dipyridamole can be used in treatment regimens for patients with SLE.

Indexed as

AdultAnimalsBlotting, WesternB-LymphocytesCalciumCalcium SignalingCell ProliferationCytokinesDipyridamoleFemaleHumansLupus Erythematosus, SystemicMaleMiceMiddle AgedPhosphodiesterase InhibitorsCalciumCytokinesDipyridamolePhosphodiesterase Inhibitors

Identifiers

PMID21437870
PMCPMC3128171
OpenAlexW2000181117

What OpenQuestion holds

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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.