Evidence map›Paper›PMID 24155968›Full record

ArticlePloS one2013

Kinetics of IL-6 production defines T effector cell responsiveness to regulatory T cells in multiple sclerosis.

Bettina Trinschek, Felix Luessi, Felix Lüssi, Jürgen Haas, Brigitte Wildemann, Frauke Zipp, Heinz Wiendl, Christian Becker, Helmut Jonuleit

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 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 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

35 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Heliyon · 2024
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Bystander activation of microglia byFrontiers in immunology · 2023
    Article
  10. Review
  11. Article
  12. Treg-Resistant Cytotoxic CD4International journal of molecular sciences · 2021
    Article
  13. Review
  14. Article
  15. Review
  16. Splenic Capture andACS nano · 2020
    Article
  17. Article
  18. CD8Nature communications · 2019
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

  • Erratum issued
    Lüssi, Felix [corrected to Luessi, Felix]
5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

Bettina TrinschekDepartment of Dermatology, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Felix Luessi
Felix Lüssi
Jürgen Haas
Brigitte Wildemann
Frauke Zipp
Heinz Wiendl
Christian Becker
Helmut Jonuleit
University Medical Center of the Johannes Gutenberg University Mainz · DEHeidelberg University · DEJohannes Gutenberg University Mainz · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In multiple sclerosis (MS) autoaggressive T effector cells (Teff) are not efficiently controlled by regulatory T cells (Treg) but the underlying mechanisms are incompletely understood. Proinflammatory cytokines are key factors facilitating Teff activity in chronic inflammation. Here we investigated the influence of IL-6 on Treg sensitivity of Teff from therapy-naïve MS patients with or without active disease. Compared to healthy volunteers and independent of disease course CD4(+) and especially CD8(+) MS-Teff were insensitive against functional active Treg from healthy controls. This unresponsiveness was caused by accelerated production of IL-6, elevated IL-6 receptor expression and phosphorylation of protein kinase B (PKB)/c-Akt in MS-Teff. In a positive feedback loop, IL-6 itself induced its accelerated synthesis and enhanced phosphorylation of PKB/c-Akt that finally mediated Treg resistance. Furthermore, accelerated IL-6 release especially by CD8(+) Teff prevented control of surrounding Teff, described here as "bystander resistance". Blockade of IL-6 receptor signaling or direct inhibition of PKB/c-Akt phosphorylation restored Treg responsiveness of Teff and prevented bystander resistance. In Teff of healthy controls (HC) exogenous IL-6 also changed the kinetics of IL-6 production and induced Treg unresponsiveness. This modulation was only transient in Teff from healthy volunteers, whereas accelerated IL-6 production in MS-Teff maintained also in absence of IL-6. Hence, we showed that the kinetics of IL-6 production instead of elevated IL-6 levels defines the Teff responsiveness in early Treg-T cell communication in MS independent of their disease course and propose IL-6 and associated PKB/c-Akt activation as effective therapeutic targets for modulation of Teff activity in MS.

Indexed as

AdultBystander EffectCase-Control StudiesClonal AnergyDisease ProgressionFeedback, PhysiologicalForkhead Transcription FactorsHumansInterleukin-6KineticsMiddle AgedMultiple SclerosisReceptors, Interleukin-6T-Lymphocytes, RegulatoryUp-RegulationYoung AdultForkhead Transcription FactorsFOXP3 protein, humanIL6 protein, humanInterleukin-6Receptors, Interleukin-6

Identifiers

PMID24155968
PMCPMC3796502
OpenAlexW2056991195

What OpenQuestion holds

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LicenceCC BY
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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.