Evidence map›Paper›PMID 25256257›Full record

ArticleArthritis research & therapy2014

Expansion of regulatory GITR+CD25 low/-CD4+ T cells in systemic lupus erythematosus patients.

Giuseppe Nocentini, Alessia Alunno, Maria Grazia Petrillo, Onelia Bistoni, Elena Bartoloni, Sara Caterbi, Simona Ronchetti, Graziella Migliorati, Carlo Riccardi, Roberto Gerli

Open access · goldAbstract read
In one paragraph

Article in Arthritis research & therapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.0field-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

22 citing papers in PubMed, 47 citations in OpenAlex.

  1. Decoding TNF receptor superfamily control of CD4Cell communication and signaling : CCS · 2026
    Review
  2. Article
  3. Article
  4. Review
  5. Evaluation of CD4Advanced biomedical research · 2024
    Article
  6. Article
  7. Review
  8. CD8Rheumatology and immunology research · 2021
    Review
  9. Article
  10. Review
  11. Significant association of CD4Annals of translational medicine · 2019
    Article
  12. CD4Frontiers in immunology · 2019
    Article
  13. Generation and Immune Regulation of CD4Frontiers in immunology · 2019
    Article
  14. Review
  15. Tregs in SLE: an Update.Current rheumatology reports · 2018
    Review
  16. Article
  17. The role of GITR single-positive cells in immune homeostasis.Immunity, inflammation and disease · 2017
    Article
  18. Article
  19. Review
  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

10 authors at 1 institution in 1 country.

Giuseppe Nocentini
Alessia Alunno
Maria Grazia Petrillo
Onelia Bistoni
Elena Bartoloni
Sara Caterbi
Simona Ronchetti
Graziella Migliorati
Carlo Riccardi
Roberto Gerli
University of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCD4+CD25 low/-GITR+ T lymphocytes expressing forkhead box protein P3 (FoxP3) and showing regulatory activity have been recently described in healthy donors. The objective of the study was to evaluate the proportion of CD4+CD25 low/-GITR+ T lymphocytes within CD4+ T cells and compare their phenotypic and functional profile with that of CD4+CD25 high GITR- T lymphocytes in systemic lupus erythematosus (SLE) patients.

methodsThe percentage of CD4+CD25 low/-GITR+ cells circulating in the peripheral blood (PB) of 32 patients with SLE and 25 healthy controls was evaluated with flow cytometry. CD4+CD25 low/-GITR+ cells were isolated with magnetic separation, and their phenotype was compared with that of CD4+CD25 high GITR- cells. Regulatory activity of both cell subsets was tested in autologous and heterologous co-cultures after purification through a negative sorting strategy.

resultsResults indicated that CD4+CD25 low/-GITR+ cells are expanded in the PB of 50% of SLE patients. Expansion was observed only in patients with inactive disease. Phenotypic analysis demonstrated that CD4+CD25 low/-GITR+ cells display regulatory T-cell (Treg) markers, including FoxP3, cytotoxic T-lymphocyte-associated protein 4 (CTLA-4), transforming growth factor-beta (TGF-β), and interleukin (IL)-10. In contrast, CD4+CD25 high GITR- cells appear to be activated and express low levels of Treg markers. Functional experiments demonstrated that CD4+CD25 low/-GITR+ cells exert a higher inhibitory activity against both autologous and heterologous cells as compared with CD4+CD25 high GITR- cells. Suppression is independent of cell contact and is mediated by IL-10 and TGF-β.

conclusionsPhenotypic and functional data demonstrate that in SLE patients, CD4+CD25 low/-GITR+ cells are fully active Treg cells, possibly representing peripheral Treg (pTreg) that are expanded in patients with inactive disease. These data may suggest a key role of this T-cell subset in the modulation of the abnormal immune response in SLE. Strategies aimed at expanding this Treg subset for therapeutic purpose deserve to be investigated.

Indexed as

Cell ProliferationAdultFemaleFlow CytometryGlucocorticoid-Induced TNFR-Related ProteinHumansImmunophenotypingInterleukin-2 Receptor alpha SubunitLupus Erythematosus, SystemicLymphocyte CountMaleMiddle AgedT-Lymphocytes, RegulatoryGlucocorticoid-Induced TNFR-Related ProteinIL2RA protein, humanInterleukin-2 Receptor alpha SubunitTNFRSF18 protein, human

Identifiers

PMID25256257
PMCPMC4209023
OpenAlexW2166256145

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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.