Evidence map›Paper›PMID 24665079›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2014

Citrulline-specific Th1 cells are increased in rheumatoid arthritis and their frequency is influenced by disease duration and therapy.

Eddie A James, Mary Rieck, Jennifer Pieper, John A Gebe, Betty B Yue, Megan Tatum, Melissa Peda, Charlotta Sandin, Lars Klareskog, Vivianne Malmström and 1 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 127 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
127citing papers in PubMed, 1 pooled it
14.8field-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

127 citing papers in PubMed, 1 synthesis or guideline pooled it, 212 citations in OpenAlex.

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  10. Pathogenic Role of Cytokines in Rheumatoid Arthritis.Journal of clinical medicine · 2025
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67 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

11 authors at 3 institutions in 2 countries.

Eddie A JamesBenaroya Research Institute at Virginia Mason, Seattle, Washington.
Mary Rieck
Jennifer Pieper
John A Gebe
Betty B Yue
Megan Tatum
Melissa Peda
Charlotta Sandin
Lars Klareskog
Vivianne Malmström
Jane H Buckner
Benaroya Research InstituteKarolinska Institutet · SEVirginia Mason Medical Center · US

Funding

Virginia Mason/UCHSC Autoimmune Prevention CenterU19AI050864 · NIAID · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2001 to 2011
$29.2M
Prevention Center U01: Early Targets for Antigen-Specific Tolerance Induction in Preclinical Rheumatoid ArthritisU01AI101981 · NIAID · UNIVERSITY OF COLORADO DENVER · PI HOLERS, VERNON MICHAEL · 2012 to 2021
$6.2M
HLA SUSCEPTIBILITY GENES IN RHEUMATOID ARTHRITIS (RA)R01AR037296 · NIAMS · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI NEPOM, GERALD T · 1986 to 2009
$2.9M
NIAID NIH HHS 5 U19-AI-050864NIAID NIH HHS U01 AI101981NIAID NIH HHS U01-AI-101981NIAID NIH HHS U19 AI050864NIAMS NIH HHS 5 R01-AR-037296NIAMS NIH HHS R01 AR037296
6 · The paper itself

Abstract

objectiveRheumatoid arthritis (RA) is thought to be a T cell-mediated disease, based on its strong association with HLA class II alleles, clinical responsiveness to T cell-directed therapies, and the presence of CD4+ T cells in rheumatoid joints. The presence of anti-citrullinated protein antibodies (ACPAs) in RA serum and the association of these antibodies with HLA-DR4 alleles implicate citrulline-specific autoreactive T cells in the development and progression of RA. The goal of this study was to determine the characteristics and specificity of autoreactive T cell responses in RA.

methodsWe developed a panel of HLA-DRB1*04:01 tetramers, selecting citrullinated peptides from synovial antigens and verifying their immunogenicity in DRB1*04:01-transgenic mice. Seven tetramers were used to examine the ex vivo frequency and surface phenotype of citrulline-specific (Cit-specific) T cells in patients with RA and healthy subjects with DRB1*04:01 haplotypes, using a magnetic enrichment procedure.

resultsCit-specific T cells were detectable in peripheral blood samples from both healthy subjects and RA patients. In comparison to healthy subjects, RA patients had significantly higher frequencies of Cit-specific T cells, and a greater proportion of these cells displayed a Th1 memory phenotype. Among RA patients, the frequency of Cit-specific T cells was highest within the first 5 years after diagnosis of RA and was decreased in patients taking biologic agents, irrespective of disease duration.

conclusionThese findings link the presence of ACPAs in RA with Th1 cells specific for citrullinated epitopes and provide tools for disease-specific immunomonitoring of autoreactive T cells.

Indexed as

AdultAgedAged, 80 and overAnimalsArthritis, RheumatoidBiological FactorsCitrullineEpitopes, T-LymphocyteHaplotypesHLA-DRB1 ChainsHumansImmunologic MemoryImmunophenotypingMiceMice, Inbred C57BLMice, TransgenicBiological FactorsCitrullineEpitopes, T-LymphocyteHLA-DRB1*04:01 antigenHLA-DRB1 ChainsVimentin

Identifiers

PMID24665079
PMCPMC4248674
OpenAlexW1523144803

What OpenQuestion holds

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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.