Evidence map›Paper›PMID 29757191›Full record

ArticleThe Journal of clinical investigation2018

Disease-driving CD4+ T cell clonotypes persist for decades in celiac disease.

Louise F Risnes, Asbjørn Christophersen, Shiva Dahal-Koirala, Ralf S Neumann, Geir K Sandve, Vikas K Sarna, Knut Ea Lundin, Shuo-Wang Qiao, Ludvig M Sollid

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02464150 (Gluten Challenge in Celiac Disease), which is not on this map. Cited by 66 papers.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed
12.4field-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.

NCT02464150 nacompletednot on this map

Gluten Challenge in Celiac Disease

TypeinterventionalSponsorOslo University HospitalRan2017 to 2025Enrolled99ConditionsCeliac DiseaseArmsGluten challenge
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 127 citations in OpenAlex.

  1. Trial
  2. Gliadin-specific CD4Science advances · 2026
    Article
  3. Article
  4. Functional immune profiling reveals CD4Immunology and cell biology · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Detection of Gliadin-Activated CD4Journal of cellular and molecular medicine · 2025
    Article
  9. Article
  10. Observational
  11. Article
  12. Review
  13. Article
  14. Article
  15. Barley based gluten free beer - A blessing or an uncontrollable risk?Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association · 2024
    Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Louise F RisnesCentre for Immune Regulation, Department of Immunology, Oslo University Hospital, Rikshospitalet, and University of Oslo, Oslo, Norway.
Asbjørn ChristophersenK.G. Jebsen Coeliac Disease Research Centre, Department of Immunology, and.
Shiva Dahal-KoiralaCentre for Immune Regulation, Department of Immunology, Oslo University Hospital, Rikshospitalet, and University of Oslo, Oslo, Norway.
Ralf S NeumannK.G. Jebsen Coeliac Disease Research Centre, Department of Immunology, and.
Geir K SandveK.G. Jebsen Coeliac Disease Research Centre, Department of Immunology, and.
Vikas K SarnaK.G. Jebsen Coeliac Disease Research Centre, Department of Immunology, and.
Knut Ea LundinCentre for Immune Regulation, Department of Immunology, Oslo University Hospital, Rikshospitalet, and University of Oslo, Oslo, Norway.
Shuo-Wang QiaoCentre for Immune Regulation, Department of Immunology, Oslo University Hospital, Rikshospitalet, and University of Oslo, Oslo, Norway.
Ludvig M SollidCentre for Immune Regulation, Department of Immunology, Oslo University Hospital, Rikshospitalet, and University of Oslo, Oslo, Norway.
Oslo University Hospital · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little is known about the repertoire dynamics and persistence of pathogenic T cells in HLA-associated disorders. In celiac disease, a disorder with a strong association with certain HLA-DQ allotypes, presumed pathogenic T cells can be visualized and isolated with HLA-DQ:gluten tetramers, thereby enabling further characterization. Single and bulk populations of HLA-DQ:gluten tetramer-sorted CD4+ T cells were analyzed by high-throughput DNA sequencing of rearranged TCR-α and -β genes. Blood and gut biopsy samples from 21 celiac disease patients, taken at various stages of disease and in intervals of weeks to decades apart, were examined. Persistence of the same clonotypes was seen in both compartments over decades, with up to 53% overlap between samples obtained 16 to 28 years apart. Further, we observed that the recall response following oral gluten challenge was dominated by preexisting CD4+ T cell clonotypes. Public features were frequent among gluten-specific T cells, as 10% of TCR-α, TCR-β, or paired TCR-αβ amino acid sequences of total 1813 TCRs generated from 17 patients were observed in 2 or more patients. In established celiac disease, the T cell clonotypes that recognize gluten are persistent for decades, making up fixed repertoires that prevalently exhibit public features. These T cells represent an attractive therapeutic target.

Indexed as

CD4-Positive T-LymphocytesCeliac DiseaseFemaleFollow-Up StudiesGlutensHLA-DQ AntigensHumansMaleReceptors, Antigen, T-Cell, alpha-betaGlutensHLA-DQ AntigensReceptors, Antigen, T-Cell, alpha-betaAutoimmunityImmunologyT-cell receptorT cells

Identifiers

PMID29757191
PMCPMC5983310
OpenAlexW2800460164

What OpenQuestion holds

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Registered trials

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.