Evidence map›Paper›PMID 23927943›Full record

ArticleTranslational research : the journal of laboratory and clinical medicine2014

Impaired CD4+ and T-helper 17 cell memory response to Streptococcus pneumoniae is associated with elevated glucose and percent glycated hemoglobin A1c in Mexican Americans with type 2 diabetes mellitus.

Perla J Martinez, Christine Mathews, Jeffrey K Actor, Shen-An Hwang, Eric L Brown, Heather K De Santiago, Susan P Fisher Hoch, Joseph B McCormick, Shaper Mirza

Open access · greenAbstract read
In one paragraph

Article in Translational research : the journal of laboratory and clinical medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  16. The Pattern of Hemoglobin A1C Trajectories and Risk of Herpes Zoster Infection: A Follow-Up Study.International journal of environmental research and public health · 2022
    Article
  17. Review
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  20. The Effects of Type 2 Diabetes and Postoperative Pneumonia on the Mortality in Inpatients with Surgery.Diabetes, metabolic syndrome and obesity : targets and therapy · 2019
    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

9 authors at 2 institutions in 1 country.

Perla J MartinezDivision of Epidemiology, Human Genetics and Environmental Health Sciences, School of Public Health, University of Texas Health Science Center, Brownsville Regional Campus, Brownsville, Tex.
Christine MathewsDivision of Epidemiology, Human Genetics and Environmental Health Sciences, School of Public Health, University of Texas Health Science Center, Brownsville Regional Campus, Brownsville, Tex.
Jeffrey K ActorDepartment of Pathology and Laboratory Medicine, Medical School, University of Texas Health Science Center, Houston, Tex.
Shen-An HwangDepartment of Pathology and Laboratory Medicine, Medical School, University of Texas Health Science Center, Houston, Tex.
Eric L BrownDivision of Epidemiology, Human Genetics and Environmental Health Sciences, School of Public Health, University of Texas Health Science Center Houston, Houston, Tex.
Heather K De SantiagoUniversity of Texas Health Science Center, San-Antonio-Edinburg Regional Academic Health Center, San Antonio, Tex.
Susan P Fisher HochDivision of Epidemiology, Human Genetics and Environmental Health Sciences, School of Public Health, University of Texas Health Science Center, Brownsville Regional Campus, Brownsville, Tex.
Joseph B McCormickDivision of Epidemiology, Human Genetics and Environmental Health Sciences, School of Public Health, University of Texas Health Science Center, Brownsville Regional Campus, Brownsville, Tex.
Shaper MirzaDivision of Epidemiology, Human Genetics and Environmental Health Sciences, School of Public Health, University of Texas Health Science Center, Brownsville Regional Campus, Brownsville, Tex. Electronic address: Shaper.Mirza@uth.tmc.edu.
The University of Texas Health Science Center at Houston · USThe University of Texas Health Science Center at San Antonio · US

Funding

TU SALUD SI CUENTA: A COMMUNITY BASED MEDIA INTERVENTION FOR MEXICAN AMERICANP20MD000170 · NIMHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI RESTREPO, BALANCA · 2003 to 2012
$13.1M
NIMHD NIH HHS P20 MD000170
6 · The paper itself

Abstract

Individuals with type 2 diabetes are significantly more susceptible to pneumococcal infections than healthy individuals of the same age. Increased susceptibility is the result of impairments in both innate and adaptive immune systems. Given the central role of T-helper 17 (Th17) and T-regulatory (Treg) cells in pneumococcal infection and their altered phenotype in diabetes, this study was designed to analyze the Th17 and Treg cell responses to a whole heat-killed capsular type 2 strain of Streptococcus pneumoniae. Patients with diabetes demonstrated a lower frequency of total CD+T-cells, which showed a significant inverse association with elevated fasting blood glucose. Measurement of specific subsets indicated that those with diabetes had, low intracellular levels of interleukin (IL)-17, and lower pathogen-specific memory CD4+ and IL-17+ cell numbers. No significant difference was observed in the frequency of CD4+ and Th17 cells between those with and without diabetes. However, stratification of data by obesity indicated a significant increase in frequency of CD4+ and Th17 cells in obese individuals with diabetes compared with nonobese individual with diabetes. The memory CD+T-cell response was associated inversely with both fasting blood glucose and percent glycated hemoglobin A1c. This study demonstrated that those with type 2 diabetes have a diminished pathogen-specific memory CD4+ and Th17 response, and low percentages of CD+T-cells in response to S. pneumoniae stimulation.

Indexed as

Immunologic MemoryAdultBlood GlucoseCD4-Positive T-LymphocytesDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHumansInterferon-gammaInterleukin-17MaleMexican AmericansMiddle AgedStreptococcus pneumoniaeTh17 CellsT-Lymphocytes, RegulatoryBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanInterferon-gammaInterleukin-17%A1cBMIbody mass indexCameron County Hispanic CohortCCHCcentral memoryCMc-RPMIfasting blood glucoseFBGFBSfetal bovine serumfetal calf serumIFN-γILinterferon γinterleukinmean fasting blood glucoseMFBGPBMCpercent glycated hemoglobin A1cperipheral blood mononuclear cellRAGEreceptors for advanced glycation end productsRoswell Park Memorial Institute mediumRPMIThTh17T helperT-helper 17TregT regulatory

Identifiers

PMID23927943
PMCPMC3954646
OpenAlexW1971046887

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.