Evidence map›Paper›PMID 22461703›Full record

Trial reportJournal of immunology (Baltimore, Md. : 1950)2012

Type 1 diabetes-associated IL2RA variation lowers IL-2 signaling and contributes to diminished CD4+CD25+ regulatory T cell function.

Garima Garg, Jennifer R Tyler, Jennie H M Yang, Antony J Cutler, Kate Downes, Marcin Pekalski, Gwynneth L Bell, Sarah Nutland, Mark Peakman, John A Todd and 2 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of immunology (Baltimore, Md. : 1950), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02772679 (A Phase 1 Trial of CD4+CD127lo/-CD25+ Polyclonal Treg Adoptive Immunotherapy With Interleukin-2 for the Treatment of Type 1 Diabetes), which is not on this map. Cited by 127 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 3 pooled it
13.9field-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.

NCT02772679 phase1completednot on this mapstarted 2016, after this paper: background citation

A Phase 1 Trial of CD4+CD127lo/-CD25+ Polyclonal Treg Adoptive Immunotherapy With Interleukin-2 for the Treatment of Type 1 Diabetes

TypeinterventionalSponsorJeffrey BluestoneRan2016 to 2021Enrolled16ConditionsType 1 Diabetes MellitusArmsPolyTregs+IL-2
3 · Its place in the literature

Who cites it

127 citing papers in PubMed, 3 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Association ofFrontiers in immunology · 2025
    Pooled it
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  7. Immunogenicity and safety of HBAI20 Hepatitis B vaccine in non-responders: Double-blinded, randomised, controlled phase 2 trial.Liver international : official journal of the International Association for the Study of the Liver · 2021
    Trial
  8. Risk variants disrupting enhancers of TProceedings of the National Academy of Sciences of the United States of America · 2019
    Trial
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  12. Article
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  14. Pathogenesis and advances in immunotherapy for type 1 diabetes treatment.Biotechnology reports (Amsterdam, Netherlands) · 2026
    Review
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  16. Article
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  19. Article
  20. Article

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

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

12 authors at 7 institutions in 2 countries.

Garima GargDepartment of Immunobiology, School of Medicine, King's College London, London SE1 9RT, United Kingdom.
Jennifer R Tyler
Jennie H M Yang
Antony J Cutler
Kate Downes
Marcin Pekalski
Gwynneth L Bell
Sarah Nutland
Mark Peakman
John A Todd
Linda S Wicker
Timothy I M Tree
King's College London · GBJuvenile Diabetes Research Foundation · GBNational Health Service · GBWellcome Trust · GBAddenbrooke's Hospital · GBJuvenile Diabetes Research Foundation · CAUniversity of Cambridge · GB

Funding

Medical Research Council MR/J006742/1Wellcome Trust 061858Wellcome Trust 079895Wellcome Trust 091157
6 · The paper itself

Abstract

Numerous reports have demonstrated that CD4(+)CD25(+) regulatory T cells (Tregs) from individuals with a range of human autoimmune diseases, including type 1 diabetes, are deficient in their ability to control autologous proinflammatory responses when compared with nondiseased, control individuals. Treg dysfunction could be a primary, causal event or may result from perturbations in the immune system during disease development. Polymorphisms in genes associated with Treg function, such as IL2RA, confer a higher risk of autoimmune disease. Although this suggests a primary role for defective Tregs in autoimmunity, a link between IL2RA gene polymorphisms and Treg function has not been examined. We addressed this by examining the impact of an IL2RA haplotype associated with type 1 diabetes on Treg fitness and suppressive function. Studies were conducted using healthy human subjects to avoid any confounding effects of disease. We demonstrated that the presence of an autoimmune disease-associated IL2RA haplotype correlates with diminished IL-2 responsiveness in Ag-experienced CD4(+) T cells, as measured by phosphorylation of STAT5a, and is associated with lower levels of FOXP3 expression by Tregs and a reduction in their ability to suppress proliferation of autologous effector T cells. These data offer a rationale that contributes to the molecular and cellular mechanisms through which polymorphisms in the IL-2RA gene affect immune regulation, and consequently upon susceptibility to autoimmune and inflammatory diseases.

Indexed as

Diabetes Mellitus, Type 1FemaleHaplotypesHumansInterleukin-2Interleukin-2 Receptor alpha SubunitMalePolymorphism, GeneticSignal TransductionSTAT5 Transcription FactorT-Lymphocytes, RegulatoryTumor Suppressor ProteinsIL2 protein, humanIL2RA protein, humanInterleukin-2Interleukin-2 Receptor alpha SubunitSTAT5A protein, humanSTAT5 Transcription FactorTumor Suppressor Proteins

Identifiers

PMID22461703
PMCPMC3378653
OpenAlexW1652175895

What OpenQuestion holds

Textmetadata
LicenceTDM
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.