Evidence map›Paper›PMID 23925905›Full record

ArticleArthritis and rheumatism2013

The percentage of FoxP3+Helios+ Treg cells correlates positively with disease activity in systemic lupus erythematosus.

Amit Golding, Sarfaraz Hasni, Gabor Illei, Ethan M Shevach

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Arthritis and rheumatism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
4.8field-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

57 citing papers in PubMed, 96 citations in OpenAlex.

  1. Expansion of multiple CD4The Journal of allergy and clinical immunology · 2025
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  2. Review
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  13. Helios Expression Is Downregulated on CD8Frontiers in immunology · 2022
    Article
  14. Review
  15. Impaired Differentiation of Highly Proliferative ICOSInternational journal of molecular sciences · 2021
    Article
  16. Article
  17. Article
  18. Review
  19. Coexpression of Helios in Foxp3Disease markers · 2021
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Amit GoldingNational Institute of Allergy and Infectious Diseases, NIH, Bethesda, Maryland.
Sarfaraz Hasni
Gabor Illei
Ethan M Shevach
National Institute of Allergy and Infectious Diseases · USNational Institute of Arthritis and Musculoskeletal and Skin Diseases · USNational Institute of Dental and Craniofacial Research · US

Funding

Clinical Support Services for the NIAMS Intramural Research ProgramZIDAR041180 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$119.2M
Clinical Training in RheumatologyZIEAR041176 · NIAMS · NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES · PI COLBERT, ROBERT · 2009 to 2025
$29.8M
Studies of Human T Regulatory CellsZIAAI001046 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI SHEVACH, ETHAN · 2009 to 2025
$10.5M
Investigation of Regulatory T Cells in Veterans with Rheumatologic DiseaseIK2CX000649 · VA · BALTIMORE VA MEDICAL CENTER · PI GOLDING, AMIT · 2012 to 2015
–
CSRD VA IK2 CX000649Intramural NIH HHS Z99 AA999999Intramural NIH HHS Z99 AR999999Intramural NIH HHS Z99 DA999999
6 · The paper itself

Abstract

objectiveTo assess the use of Helios in combination with FoxP3 as a superior method for identifying non-cytokine-producing human Treg cells in patients with systemic lupus erythematosus (SLE) and to determine if FoxP3+Helios+ Treg cells are maintained at normal levels in patients with clinically active disease.

methodsPeripheral blood mononuclear cells (PBMCs) were purified from the blood of healthy volunteer donors and from 52 consecutive patients with SLE of varying clinical activity (Systemic Lupus Erythematosus Disease Activity Index scores of 0, 2-4, and ≥ 5). PBMCs (either fresh or after 4 hours of stimulation for cytokine production) were then analyzed by flow cytometry for the expression of cell surface markers (CD4, CD25, CD127, and CD45RA) and transcription factors (FoxP3 and Helios), as well as for the production of cytokines (interleukin-2 and interferon-γ).

resultsFoxP3+Helios+ Treg cells were found to be non-cytokine producing in both SLE patients and healthy controls. Patients with clinically active SLE had higher percentages of FoxP3+Helios+ Treg cells than did patients with inactive SLE or healthy controls. When corrected for the total CD4 cell count, the absolute numbers of FoxP3+Helios+ Treg cells in patients with moderately-to-highly active SLE were normal.

conclusionPrevious reports of a deficiency in Treg cell number or function in SLE are limited by their use of CD25, either alone or in combination with other markers, to identify human Treg cells. Helios in combination with FoxP3 is a superior method for detecting all non-cytokine-producing Treg cells, irrespective of CD25 or CD45RA expression. Using this method, we showed that FoxP3+Helios+ Treg cell numbers are not reduced in patients with clinically active SLE.

Indexed as

AdultBiomarkersDisease ProgressionFemaleForkhead Transcription FactorsHumansIkaros Transcription FactorLupus Erythematosus, SystemicMaleMethylationMiddle AgedT-Lymphocytes, RegulatoryYoung AdultBiomarkersForkhead Transcription FactorsFOXP3 protein, humanIkaros Transcription FactorIKZF2 protein, human

Identifiers

PMID23925905
PMCPMC3891045
OpenAlexW1518295571

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.