Evidence map›Paper›PMID 29758052›Full record

Trial reportPloS one2018

Decreased circulating T regulatory lymphocytes in obese patients undergoing bariatric surgery.

Claudia Agabiti-Rosei, Valentina Trapletti, Silvia Piantoni, Paolo Airò, Angela Tincani, Carolina De Ciuceis, Claudia Rossini, Francesco Mittempergher, Amin Titi, Nazario Portolani and 10 more

Abstract readClinical Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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. Article
  2. Review
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  6. Article
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  10. Article
  11. Review
  12. Article
  13. Translating MSC Therapy in the Age of Obesity.Frontiers in immunology · 2022
    Review
  14. Article
  15. Obesity and immune status in children.Current opinion in pediatrics · 2020
    Review
  16. Article
  17. Review
  18. Article
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

20 authors.

Claudia Agabiti-RoseiClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Valentina TraplettiClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Silvia PiantoniChair of Rheumatology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Paolo AiròChair of Rheumatology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Angela TincaniChair of Rheumatology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Carolina De CiuceisClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Claudia RossiniClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Francesco MittempergherClinica Chirurgica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Amin TitiClinica Chirurgica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Nazario PortolaniClinica Chirurgica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Stefano CalettiClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Maria Antonietta CoschignanoClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Enzo PorteriClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Guido A M TiberioClinica Chirurgica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Paola PileriClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Leonardo SolainiClinica Chirurgica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Rajesh KumarChair of Rheumatology, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Silvia MinistriniClinica Chirurgica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Enrico Agabiti RoseiClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Damiano RizzoniClinica Medica, Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.ORCID 0000-0002-1253-0186

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIt has been previously demonstrated that T lymphocytes may be involved in the development of hypertension and microvascular remodeling, and that circulating T effector lymphocytes may be increased in hypertension. In particular, Th1 and Th 17 lymphocytes may contribute to the progression of hypertension and microvascular damage while T-regulatory (Treg) lymphocytes seem to be protective in this regard. However, no data is available about patients with severe obesity, in which pronounced microvascular alterations were observed. DESIGN AND

methodsWe have investigated 32 severely obese patients undergoing bariatric surgery, as well as 24 normotensive lean subjects and 12 hypertensive lean subjects undergoing an elective surgical intervention. A peripheral blood sample was obtained before surgery for assessment of CD4+ T lymphocyte subpopulations. Lymphocyte phenotype was evaluated by flow cytometry in order to assess T-effector and Treg lymphocytes.

resultsA marked reduction of several Treg subpopulations was observed in obese patients compared with controls, together with an increased in CD4+ effector memory T-effector cells.

conclusionIn severely obese patients, Treg lymphocytes are clearly reduced and CD4+ effector memory cells are increased. It may be hypothesized that they might contribute to the development of marked microvascular alterations previously observed in these patients.

Indexed as

Bariatric SurgeryImmunologic MemoryObesity, AbdominalTh17 CellsT-Lymphocytes, RegulatoryAdultAgedFemaleHumansMaleMiddle AgedSeverity of Illness Index

Identifiers

PMID29758052
PMCPMC5951588

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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.