Evidence map›Paper›PMID 23379353›Full record

ArticleThyroid : official journal of the American Thyroid Association2013

Impairment of regulatory T-cell function in autoimmune thyroid disease.

Abigail B Glick, Alaina Wodzinski, Pingfu Fu, Alan D Levine, David N Wald

Open access · greenAbstract read
In one paragraph

Article in Thyroid : official journal of the American Thyroid Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% 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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 136 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
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  5. Trial
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. The diverseFrontiers in immunology · 2025
    Article
  12. Observational
  13. Article
  14. Regulatory T Cells in the Pathogenesis of Graves' Disease.International journal of molecular sciences · 2023
    Review
  15. Characterizing the Interplay of Lymphocytes in Graves' Disease.International journal of molecular sciences · 2023
    Review
  16. Article
  17. Observational
  18. Review
  19. Article
  20. Article
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

5 authors at 2 institutions in 1 country.

Abigail B GlickRainbow Babies and Children's Hospital, Case Western Reserve University, Cleveland, Ohio 44106, USA.
Alaina Wodzinski
Pingfu Fu
Alan D Levine
David N Wald
Case Western Reserve University · USRainbow Babies & Children's Hospital · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
The Extracellular Matrix Inflammatory Bowel DiseaseR01DK054213 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI LEVINE, ALAN DAVID · 1998 to 2010
$2.8M
Research Career Development in Child HealthK12HD057581 · NICHD · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2008 to 2012
$1.4M
Redox regulation of intestinal T cellsR21AI083609 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI LEVINE, ALAN DAVID · 2009 to 2010
$432k
NCATS NIH HHS UL1 TR000439NCATS NIH HHS UL1TR000439NCCIH NIH HHS AT-006I536NCRR NIH HHS UL1RR024989NIAID NIH HHS AI-083609NICHD NIH HHS HD057581-05NIDDK NIH HHS DK-054213
6 · The paper itself

Abstract

backgroundAutoimmune thyroid disease (AITD) pathogenesis may result from a loss of immune tolerance to thyroid antigens. Regulatory T cells (Tregs) control immune responses, prevent excessive inflammation, and may be dysfunctional in AITD. We investigated the role of Tregs in Hashimoto's thyroiditis (HT) and Graves' disease (GD), complicated by Down syndrome (DS). Our goal was to identify differences in CD4(+)CD25(high) Treg function or number in patients with GD and HT, compared to healthy controls (HC).

methodsTreg number was assessed by flow cytometric analysis in samples from 20 AITD patients (seven GD, 13 HT), nine HC, and seven individuals with DS, a genetic disorder associated with multiple autoimmune disorders including AITD. Treg function was assessed by the inhibition of proliferation (radioactive thymidine incorporation into DNA) of blood-derived T effector (Teff) cells by Tregs in a coculture. Various methods of stimulation were contrasted. Cytokine levels were determined in conditioned media from the co-cultures.

resultsNo differences were found in the frequency of Tregs as a percentage of CD4(+) cells between AITD and HC. AITD Tregs were less capable of inhibiting the proliferation of Teff cells when compared to HC; however, the impairment was dependent on the type of stimulation used. DS patients without AITD exhibited normal Treg function. We observed few differences in cytokine production between HC and AITD patients.

conclusionsTregs from AITD patients are partly dysfunctional, possibly explaining their autoimmunity. Future work will elucidate the diagnostic potential and pathophysiology of Tregs in AITD.

Indexed as

AdolescentAdultAutoimmune DiseasesChildCoculture TechniquesDown SyndromeFemaleGraves DiseaseHashimoto DiseaseHumansMaleMiddle AgedT-Lymphocytes, Regulatory

Identifiers

PMID23379353
PMCPMC3704106
OpenAlexW1967839414

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.