Evidence map›Paper›PMID 25485678›Full record

ArticleThe Journal of clinical investigation2015

Follicular helper T cell signature in type 1 diabetes.

Rupert Kenefeck, Chun Jing Wang, Tauseef Kapadi, Lukasz Wardzinski, Kesley Attridge, Louise E Clough, Frank Heuts, Alexandros Kogimtzis, Sapna Patel, Miranda Rosenthal and 4 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 115 papers.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed
9.1field-weighted citation impact, top 2% 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

115 citing papers in PubMed, 165 citations in OpenAlex.

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  13. GM-CSFTheranostics · 2025
    Review
  14. Article
  15. Control of T-cell immunity by fatty acid metabolism.Annals of pediatric endocrinology & metabolism · 2024
    Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. The immunology of type 1 diabetes.Nature reviews. Immunology · 2024
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 3 countries.

Rupert Kenefeck
Chun Jing Wang
Tauseef Kapadi
Lukasz Wardzinski
Kesley Attridge
Louise E Clough
Frank Heuts
Alexandros Kogimtzis
Sapna Patel
Miranda Rosenthal
Masahiro Ono
David M Sansom
Parth Narendran
Lucy S K Walker
UCL Australia · AUUniversity of Birmingham · GBBipar · FR

Funding

Biotechnology and Biological Sciences Research CouncilDiabetes UK 12/0004477Medical Research Council G0802382Wellcome Trust
6 · The paper itself

Abstract

The strong genetic association between particular HLA alleles and type 1 diabetes (T1D) indicates a key role for CD4+ T cells in disease; however, the differentiation state of the responsible T cells is unclear. T cell differentiation originally was considered a dichotomy between Th1 and Th2 cells, with Th1 cells deemed culpable for autoimmune islet destruction. Now, multiple additional T cell differentiation fates are recognized with distinct roles. Here, we used a transgenic mouse model of diabetes to probe the gene expression profile of islet-specific T cells by microarray and identified a clear follicular helper T (Tfh) cell differentiation signature. Introduction of T cells with a Tfh cell phenotype from diabetic animals efficiently transferred diabetes to recipient animals. Furthermore, memory T cells from patients with T1D expressed elevated levels of Tfh cell markers, including CXCR5, ICOS, PDCD1, BCL6, and IL21. Defects in the IL-2 pathway are associated with T1D, and IL-2 inhibits Tfh cell differentiation in mice. Consistent with these previous observations, we found that IL-2 inhibited human Tfh cell differentiation and identified a relationship between IL-2 sensitivity in T cells from patients with T1D and acquisition of a Tfh cell phenotype. Together, these findings identify a Tfh cell signature in autoimmune diabetes and suggest that this population could be used as a biomarker and potentially targeted for T1D interventions.

Indexed as

AdultAnimalsAutoantigensCase-Control StudiesDiabetes Mellitus, Type 1FemaleHumansImmunologic MemoryInterleukin-2Interleukin-21InterleukinsLymph NodesLymphocyte ActivationMaleMice, Inbred BALB CMice, TransgenicAutoantigensCXCR5 protein, humanInterleukin-2Interleukin-21InterleukinsReceptors, CXCR5

Identifiers

PMID25485678
PMCPMC4382272
OpenAlexW2050928426

What OpenQuestion holds

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Registered trials

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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.