Evidence map›Paper›PMID 27162345›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2016

Impaired NK-mediated regulation of T-cell activity in multiple sclerosis is reconstituted by IL-2 receptor modulation.

Catharina C Gross, Andreas Schulte-Mecklenbeck, Anna Rünzi, Tanja Kuhlmann, Anita Posevitz-Fejfár, Nicholas Schwab, Tilman Schneider-Hohendorf, Sebastian Herich, Kathrin Held, Matea Konjević and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 114 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
114citing papers in PubMed, 1 pooled it
10.4field-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

114 citing papers in PubMed, 1 synthesis or guideline pooled it, 178 citations in OpenAlex.

  1. Pooled it
  2. A CD8Nature communications · 2021
    Trial
  3. Trial
  4. Trial
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Peripheral HLA-DRNeurology(R) neuroimmunology & neuroinflammation · 2025
    Article
  11. Butyrate enhances CD56Genes and immunity · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Natural killer cells in multiple sclerosis: foe or friends?Frontiers in cellular neuroscience · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. CNS Resident Innate Immune Cells: Guardians of CNS Homeostasis.International journal of molecular sciences · 2024
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 3 institutions in 1 country.

Catharina C GrossDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany; catharina.gross@ukmuenster.de heinz.wiendl@ukmuenster.de.
Andreas Schulte-MecklenbeckDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany;
Anna RünziDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany;
Tanja KuhlmannInstitute of Neuropathology, University Hospital Münster, Muenster D-48149, Germany;
Anita Posevitz-FejfárDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany;
Nicholas SchwabDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany;
Tilman Schneider-HohendorfDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany;
Sebastian HerichDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany;
Kathrin HeldInstitute of Clinical Neuroimmunology, Ludwig Maximilian University of Munich, Planegg-Martinsried D-82152, Germany;
Matea KonjevićInstitute of Clinical Neuroimmunology, Ludwig Maximilian University of Munich, Planegg-Martinsried D-82152, Germany;
Marvin HartwigDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany;
Klaus DornmairInstitute of Clinical Neuroimmunology, Ludwig Maximilian University of Munich, Planegg-Martinsried D-82152, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich D-81377, Germany;
Reinhard HohlfeldInstitute of Clinical Neuroimmunology, Ludwig Maximilian University of Munich, Planegg-Martinsried D-82152, Germany; Munich Cluster for Systems Neurology (SyNergy), Munich D-81377, Germany;
Tjalf ZiemssenDepartment of Neurology, University Hospital Dresden, Dresden D-01307 Germany;
Luisa KlotzDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany;
Sven G MeuthDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany; Cluster of Excellence EXC 1003, Cells in Motion, Westfälische Wilhelms-University, 48149 Muenster, Germany.
Heinz WiendlDepartment of Neurology, University Hospital Münster, Muenster D-48149, Germany; Cluster of Excellence EXC 1003, Cells in Motion, Westfälische Wilhelms-University, 48149 Muenster, Germany catharina.gross@ukmuenster.de heinz.wiendl@ukmuenster.de.
University Hospital Münster · DELudwig-Maximilians-Universität München · DEMunich Cluster for Systems Neurology · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Multiple sclerosis (MS) is a chronic inflammatory autoimmune disease of the central nervous system (CNS) resulting from a breakdown in peripheral immune tolerance. Although a beneficial role of natural killer (NK)-cell immune-regulatory function has been proposed, it still needs to be elucidated whether NK cells are functionally impaired as part of the disease. We observed NK cells in active MS lesions in close proximity to T cells. In accordance with a higher migratory capacity across the blood-brain barrier, CD56(bright) NK cells represent the major intrathecal NK-cell subset in both MS patients and healthy individuals. Investigating the peripheral blood and cerebrospinal fluid of MS patients treated with natalizumab revealed that transmigration of this subset depends on the α4β1 integrin very late antigen (VLA)-4. Although no MS-related changes in the migratory capacity of NK cells were observed, NK cells derived from patients with MS exhibit a reduced cytolytic activity in response to antigen-activated CD4(+) T cells. Defective NK-mediated immune regulation in MS is mainly attributable to a CD4(+) T-cell evasion caused by an impaired DNAX accessory molecule (DNAM)-1/CD155 interaction. Both the expression of the activating NK-cell receptor DNAM-1, a genetic alteration consistently found in MS-association studies, and up-regulation of the receptor's ligand CD155 on CD4(+) T cells are reduced in MS. Therapeutic immune modulation of IL-2 receptor restores impaired immune regulation in MS by increasing the proportion of CD155-expressing CD4(+) T cells and the cytolytic activity of NK cells.

Indexed as

Lymphocyte ActivationAntigens, Differentiation, T-LymphocyteBlood-Brain BarrierCD4-Positive T-LymphocytesCell MovementFemaleHumansK562 CellsKiller Cells, NaturalMaleMultiple SclerosisNatalizumabReceptors, Interleukin-2Receptors, VirusT Lineage-Specific Activation Antigen 1Antigens, Differentiation, T-LymphocyteNatalizumabpoliovirus receptorReceptors, Interleukin-2Receptors, VirusT Lineage-Specific Activation Antigen 1daclizumabDNAM-1IL-2 receptormultiple sclerosisNK cells

Identifiers

PMID27162345
PMCPMC4889377
OpenAlexW2382956165

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.