Evidence map›Paper›PMID 24463447›Full record

ArticleThe Journal of clinical investigation2014

Normalizing glycosphingolipids restores function in CD4+ T cells from lupus patients.

Georgia McDonald, Shantal Deepak, Laura Miguel, Cleo J Hall, David A Isenberg, Anthony I Magee, Terry Butters, Elizabeth C Jury

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 91 papers.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed
11.0field-weighted citation impact, top 1% 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

91 citing papers in PubMed, 150 citations in OpenAlex.

  1. Trial
  2. Review
  3. Nutrients · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Immunometabolism in systemic lupus erythematosus.Nature reviews. Rheumatology · 2025
    Review
  8. Review
  9. Taurine corrects lupus CD4Nutrition & metabolism · 2025
    Article
  10. Article
  11. Energy metabolism in health and diseases.Signal transduction and targeted therapy · 2025
    Review
  12. Review
  13. Article
  14. CD38 in SLE CD4 T cells promotes CaNature communications · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review

31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Georgia McDonald
Shantal Deepak
Laura Miguel
Cleo J Hall
David A Isenberg
Anthony I Magee
Terry Butters
Elizabeth C Jury
University of Oxford · GB

Funding

Arthritis Research UK 18106Arthritis Research UK 19607Medical Research Council G0700771Versus Arthritis 18106
6 · The paper itself

Abstract

Patients with the autoimmune rheumatic disease systemic lupus erythematosus (SLE) have multiple defects in lymphocyte signaling and function that contribute to disease pathogenesis. Such defects could be attributed to alterations in metabolic processes, including abnormal control of lipid biosynthesis pathways. Here, we reveal that CD4+ T cells from SLE patients displayed an altered profile of lipid raft-associated glycosphingolipids (GSLs) compared with that of healthy controls. In particular, lactosylceramide, globotriaosylceramide (Gb3), and monosialotetrahexosylganglioside (GM1) levels were markedly increased. Elevated GSLs in SLE patients were associated with increased expression of liver X receptor β (LXRβ), a nuclear receptor that controls cellular lipid metabolism and trafficking and influences acquired immune responses. Stimulation of CD4+ T cells isolated from healthy donors with synthetic and endogenous LXR agonists promoted GSL expression, which was blocked by an LXR antagonist. Increased GSL expression in CD4+ T cells was associated with intracellular accumulation and accelerated trafficking of GSL, reminiscent of cells from patients with glycolipid storage diseases. Inhibition of GSL biosynthesis in vitro with a clinically approved inhibitor (N-butyldeoxynojirimycin) normalized GSL metabolism, corrected CD4+ T cell signaling and functional defects, and decreased anti-dsDNA antibody production by autologous B cells in SLE patients. Our data demonstrate that lipid metabolism defects contribute to SLE pathogenesis and suggest that targeting GSL biosynthesis restores T cell function in SLE.

Indexed as

Gene Expression Regulation1-DeoxynojirimycinAdultAgedAntigens, CDB-LymphocytesCD4-Positive T-LymphocytesFemaleFlow CytometryGlycosphingolipidsG(M1) GangliosideHomeostasisHumansLactosylceramidesLeukocytes, MononuclearLiver X Receptors1-DeoxynojirimycinAntigens, CDCDw17 antigenglobotriaosylceramideGlycosphingolipidsG(M1) GangliosideLactosylceramidesLiver X ReceptorsmiglustatOrphan Nuclear ReceptorsTrihexosylceramides

Identifiers

PMID24463447
PMCPMC3904606
OpenAlexW2087559924

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.