Evidence map›Paper›PMID 28296931›Full record

ArticlePloS one2017

Helios expression and Foxp3 TSDR methylation of IFNy+ and IFNy- Treg from kidney transplant recipients with good long-term graft function.

Karina Trojan, Christian Unterrainer, Rolf Weimer, Nuray Bulut, Christian Morath, Mostafa Aly, Li Zhu, Gerhard Opelz, Volker Daniel

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 39% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Polysaccharides derived from alkali-extracted vinegar-bakedJournal of traditional and complementary medicine · 2025
    Article
  3. Review
  4. CD4Frontiers in immunology · 2022
    Review
  5. Article
  6. Article
  7. Coexpression of Helios in Foxp3Disease markers · 2021
    Review
  8. Article
  9. Regulatory T Cell Plasticity and Stability and Autoimmune Diseases.Clinical reviews in allergy & immunology · 2020
    Review
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 3 countries.

Karina TrojanTransplantation-Immunology, Institute of Immunology, University Hospital Heidelberg, Heidelberg, Germany.
Christian UnterrainerTransplantation-Immunology, Institute of Immunology, University Hospital Heidelberg, Heidelberg, Germany.
Rolf WeimerDepartment of Internal Medicine, University of Giessen, Giessen, Germany.
Nuray BulutDepartment of Internal Medicine, University of Giessen, Giessen, Germany.
Christian MorathDepartment of Nephrology, University of Heidelberg, Heidelberg, Germany.
Mostafa AlyTransplantation-Immunology, Institute of Immunology, University Hospital Heidelberg, Heidelberg, Germany.
Li ZhuTransplantation-Immunology, Institute of Immunology, University Hospital Heidelberg, Heidelberg, Germany.
Gerhard OpelzTransplantation-Immunology, Institute of Immunology, University Hospital Heidelberg, Heidelberg, Germany.
Volker DanielTransplantation-Immunology, Institute of Immunology, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-8345-1031
Heidelberg University · DEJustus-Liebig-Universität Gießen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is circumstantial evidence that IFNy+ Treg might have clinical relevance in transplantation. IFNy+ Treg express IFNy receptors and are induced by IFNy. In the present study we investigated in kidney transplant recipients with good long-term stable graft function the absolute cell counts of IFNy+ Treg subsets and whether their expression of Foxp3 is stable or transient.

methodHelios expression determined by eight-color-fluorescence flow cytometry and methylation status of the Foxp3 Treg specific demethylation region (TSDR) served as indicators for stability of Foxp3 expression. Methylation status was investigated in enriched IFNy+ and IFNy- Treg preparations originating from peripheral blood using high resolution melt analysis. A total of 136 transplant recipients and 52 healthy controls were studied.

resultsProportions of IFNy+ Treg were similar in patients and healthy controls (0.05% and 0.04% of all CD4+ lymphocytes; p = n.s.). Patients also had similar absolute counts of IFNy producing Helios+ and Helios- Treg (p = n.s.). Most of the IFNy+ and IFNy- Treg in transplant recipients had a methylated Foxp3 TSDR, however, there was a sizeable proportion of IFNy+ and IFNy- Treg with demethylated Foxp3 TSDR. Male and female patients showed more frequently methylated IFNy+ and IFNy- Treg than male and female controls (all p<0.05).

conclusionsKidney transplant recipients with good long-term stable graft function have similar levels of IFNy+ Treg as healthy controls. IFNy+ and IFNy- Treg subsets in patients consist of cells with stable and cells with transient Foxp3 expression; however, patients showed more frequently methylated IFNy+ and IFNy- Treg than controls. The data show increased levels of Treg subsets with stable as well as transient Foxp3 expression in patients with stable allograft acceptance compared to healthy controls.

Indexed as

DNA MethylationKidney TransplantationAdultAgedCase-Control StudiesFemaleForkhead Transcription FactorsHumansIkaros Transcription FactorInterferon-gammaInterferonsKidneyLymphocyte SubsetsMaleMiddle AgedT-Lymphocytes, RegulatoryForkhead Transcription FactorsFOXP3 protein, humanIkaros Transcription FactorIKZF2 protein, humanInterferon-gammaInterferons

Identifiers

PMID28296931
PMCPMC5351987
OpenAlexW2617302193

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LicenceCC BY
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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.