Evidence map›Paper›PMID 25214713›Full record

ArticleMediators of inflammation2014

Effect of Th17 and Treg axis disorder on outcomes of pulmonary arterial hypertension in connective tissue diseases.

Saren Gaowa, Wenyong Zhou, Lilei Yu, Xiaohui Zhou, Kai Liao, Kang Yang, Zhibin Lu, Hong Jiang, Xiaofeng Chen

Open access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 18% 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

38 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Regulatory T cells in hypoxic environments.Frontiers in immunology · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. Vascular Remodeling: The Multicellular Mechanisms of Pulmonary Hypertension.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review
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 3 institutions in 1 country.

Saren GaowaDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China.ORCID 0000-0003-4620-0860
Wenyong ZhouDepartment of Cardiothoracic Surgery, East Hospital, Tongji University, Shanghai 200120, China.ORCID 0000-0001-9261-025X
Lilei YuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China.
Xiaohui ZhouDepartment of Cardiothoracic Surgery, East Hospital, Tongji University, Shanghai 200120, China.
Kai LiaoDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China.ORCID 0000-0002-6045-4595
Kang YangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China.
Zhibin LuDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China.ORCID 0000-0003-0548-0325
Hong JiangDepartment of Cardiology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, China.ORCID 0000-0002-9365-0517
Xiaofeng ChenDepartment of Cardiothoracic Surgery, Huashan Hospital, Fudan University, Shanghai 200040, China.ORCID 0000-0001-8872-8028
Wuhan University · CNShanghai East Hospital · CNFudan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This prospective cohort study is to verify the hypothesis that the balance of Th17 and Treg cells frequencies in the peripheral circulation is disturbed in patients with varying degrees of connective tissue diseases-associated pulmonary arterial hypertension (CTD-aPAH) and to prove the influence of Th17/Treg imbalance on prognosis. We detected the frequencies and absolute counts of Th17 and Treg cells and related serum cytokines secretion and expressions of key transcription factors in 117 patients with connective tissue diseases (CTD), 53 patients with CTD-aPAH, and 48 healthy volunteers. Moreover, the median value according to levels of Th17/Treg ratios in patients with CTD-aPAH was chosen as basis of group division for survival analysis. CTD-aPAH patients revealed significant increase in peripheral Th17 cells, Th17-related cytokines, and ROR γt mRNA levels. They also presented a significant decrease in Treg cells, Treg-related cytokines, and Foxp3 mRNA levels as compared with CTD patients and healthy controls. More importantly, the Th17/Treg ratio was significantly related to the severity and prognosis of CTD-aPAH. This study indicated that the Th17/Treg axis disorder plays a critical role in CTD-aPAH. Furthermore, the dynamic balance between Th17 and Treg cells was likely to influence prognosis of patients with CTD-aPAH.

Indexed as

AdolescentAdultAgedConnective Tissue DiseasesFemaleForkhead Transcription FactorsHumansHypertension, PulmonaryMaleMiddle AgedNuclear Receptor Subfamily 1, Group F, Member 3Prospective StudiesTh17 CellsT-Lymphocytes, RegulatoryYoung AdultForkhead Transcription FactorsFOXP3 protein, humanNuclear Receptor Subfamily 1, Group F, Member 3

Identifiers

PMID25214713
PMCPMC4158110
OpenAlexW2008279293

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.