Evidence map›Paper›PMID 23432802›Full record

ReviewAmerican journal of reproductive immunology (New York, N.Y. : 1989)2013

Fetal regulatory T cells and peripheral immune tolerance in utero: implications for development and disease.

Trevor D Burt

Open access · bronzeAbstract readReview
In one paragraph

Review in American journal of reproductive immunology (New York, N.Y. : 1989), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

84 citing papers in PubMed, 1 synthesis or guideline pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Prenatal Delivery of Enzyme Replacement Therapy to Fetuses Affected by Early-Onset Lysosomal Storage Diseases.American journal of medical genetics. Part C, Seminars in medical genetics · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Graft Source Choice.Advances in experimental medicine and biology · 2025
    Review
  12. Increased fetal microchimerism in immune and stem cell subsets in preeclampsia.American journal of reproductive immunology (New York, N.Y. : 1989) · 2023
    Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Human CD36Immunology · 2021
    Article
  19. Article
  20. Review

24 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

1 author at 1 institution in 1 country.

Trevor D BurtDivision of Neonatology, Department of Pediatrics, University of California San Francisco, San Francisco, CA 94143, USA. burtt@peds.ucsf.edu
University of San Francisco · US

Funding

Virology CoreP30AI027763 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEVEN Grant DEEKS · 1988 to 2026
$93.6M
Defining Transition from Fetal to Adult T Cell Predominance in the Human FetusK08HD067295 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BURT, TREVOR DEON · 2011 to 2015
$628k
NIAID NIH HHS P30 AI027763NICHD NIH HHS K08 HD067295NICHD NIH HHS K08-HD067295
6 · The paper itself

Abstract

The developing fetus must actively learn to tolerate benign antigens or suffer the consequences of broken tolerance. Tolerance of self-antigens prevents development of autoimmune diseases and is achieved by both deletion of autoreactive T cell clones in the thymus (central tolerance) and by the suppressive influence of CD4(+)  CD25(+)  FoxP3(+) regulatory T cells (Tregs) in the periphery. Fetal CD4(+) T cells have a strong predisposition to differentiate into tolerogenic Tregs that actively promote self-tolerance, as well as tolerance to non-inherited antigens on chimeric maternal cells that reside in fetal tissues. As the fetus nears birth, a crucial transition must occur between the tolerogenic fetal immune system and a more defensive adult-type immune system that is able to combat pathogens. This paper will review the unique tolerogenic nature of fetal T cells and will examine evidence for a novel model of fetal immune development: the layered immune system hypothesis.

Indexed as

Immune ToleranceCD4 AntigensCell DifferentiationFemaleFetusForkhead Transcription FactorsHumansInterleukin-2 Receptor alpha SubunitLymphocyte ActivationPregnancyT-Lymphocytes, RegulatoryCD4 AntigensForkhead Transcription FactorsFOXP3 protein, humanInterleukin-2 Receptor alpha Subunit

Identifiers

PMID23432802
PMCPMC3951896
OpenAlexW2008582581

What OpenQuestion holds

Textmetadata
LicenceTDM
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.