Evidence map›Paper›PMID 26062018›Full record

ArticleMolecular medicine (Cambridge, Mass.)2015

Pathogenic Transdifferentiation of Th17 Cells Contribute to Perpetuation of Rheumatoid Arthritis during Anti-TNF Treatment.

Karin M E Andersson, Nicola Filluelo Cavallini, Dan Hu, Mikael Brisslert, Ron Cialic, Hadi Valadi, Malin C Erlandsson, Sofia Silfverswärd, Rille Pullerits, Vijay K Kuchroo and 2 more

Open access · goldAbstract read
In one paragraph

Article in Molecular medicine (Cambridge, Mass.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Plasma interleukin-23 and circulating IL-17AArthritis research & therapy · 2022
    Article
  4. Review
  5. Article
  6. Article
  7. Mesenchymal Stem Cell-Based Therapy for Rheumatoid Arthritis.International journal of molecular sciences · 2021
    Review
  8. Aberrant expression of USF2 in refractory rheumatoid arthritis and its regulation of proinflammatory cytokines in Th17 cells.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
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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

12 authors at 3 institutions in 2 countries.

Karin M E AnderssonDepartment of Rheumatology and Inflammation Research, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
Nicola Filluelo CavalliniDepartment of Rheumatology and Inflammation Research, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
Dan HuCenter for Neurologic Diseases, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Mikael BrisslertDepartment of Rheumatology and Inflammation Research, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
Ron CialicCenter for Neurologic Diseases, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Hadi ValadiDepartment of Rheumatology and Inflammation Research, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
Malin C ErlandssonDepartment of Rheumatology and Inflammation Research, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
Sofia SilfverswärdDepartment of Rheumatology and Inflammation Research, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
Rille PulleritsDepartment of Rheumatology and Inflammation Research, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
Vijay K KuchrooCenter for Neurologic Diseases, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Howard L WeinerCenter for Neurologic Diseases, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, United States of America.
Maria I BokarewaDepartment of Rheumatology and Inflammation Research, Sahlgrenska University Hospital, Gothenburg University, Gothenburg, Sweden.
Sahlgrenska University Hospital · SEHarvard University · USBrigham and Women's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

T-helper cells producing interleukin (IL)-17A and IL-17F cytokines (Th17 cells) are considered the source of autoimmunity in rheumatoid arthritis (RA). In this study, we characterized specific pathogenic features of Th17 cells in RA. By using nano-string technology, we analyzed transcription of 419 genes in the peripheral blood CCR6(+)CXCR3(-) CD4(+) cells of 14 RA patients and 6 healthy controls and identified 109 genes discriminating Th17 cells of RA patients from the controls. Th17 cells of RA patients had an aggressive pathogenic profile and in addition to signature cytokines IL-17, IL-23 and IL-21, and transcriptional regulators RAR-related orphan receptor gamma of T cells (RORγt) and Janus kinase 2 (JAK2), they produced high levels of IL-23R, C-C chemokine ligand type 20 (CCL20), granulocyte-monocyte colony-stimulating factor (GM-CSF ) and transcription factor Tbet required for synovial homing. We showed that Th17 cells are enriched with Helios-producing Foxp3- and IL2RA-deficient cells, indicating altered regulatory profile. The follicular T-helper (Tfh) cells presented a functional profile of adaptor molecules, transcriptional regulator Bcl-6 and B-cell activating cytokines IL-21, IL-31 and leukemia inhibitory factor (LIF ). We observed that anti-tumor necrosis factor (TNF) treatment had a limited effect on the transcription signature of Th17 cells. Patients in remission retained the machinery of receptors (IL-23R and IL-1R1), proinflammatory cytokines (IL-17F, IL-23, IL-21 and TNF ) and adaptor molecules (C-X-C chemokine receptor 5 [CXCR5] and cytotoxic T-lymphocyte-associated protein 4 [CTLA-4]), essential for efficient transdifferentiation and accumulation of Th17 cells. This study convincingly shows that the peripheral blood CCR6(+)CXCR3(-) CD4(+) cells of RA patients harbor pathogenic subsets of Th17 and Tfh cells, which may transdifferentiate from Tregs and contribute to perpetuation of the disease.

Indexed as

AdultAgedArthritis, RheumatoidCD4-Positive T-LymphocytesCell TransdifferentiationFemaleHumansInterleukin-17MaleMiddle AgedTh17 CellsT-Lymphocytes, RegulatoryTranscriptomeTumor Necrosis Factor-alphaIL17A protein, humanIL17F protein, humanInterleukin-17Tumor Necrosis Factor-alpha

Identifiers

PMID26062018
PMCPMC4607618
OpenAlexW2178538398

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.