Evidence map›Paper›PMID 31403472›Full record

ArticleThe Journal of clinical investigation2019

The X-linked histone demethylase Kdm6a in CD4+ T lymphocytes modulates autoimmunity.

Yuichiro Itoh, Lisa C Golden, Noriko Itoh, Macy Akiyo Matsukawa, Emily Ren, Vincent Tse, Arthur P Arnold, Rhonda R Voskuhl

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 1 pooled it
8.2field-weighted citation impact, top 2% 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

110 citing papers in PubMed, 1 synthesis or guideline pooled it, 196 citations in OpenAlex.

  1. Pooled it
  2. Sex- and age-specific associations ofAnnals of medicine · 2026
    Article
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  4. Review
  5. Article
  6. Article
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  8. Review
  9. Article
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  12. Article
  13. Sex and gender-related differences in neurological diseases: current challenges and recommendations for clinical practice.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  14. Review
  15. Deletion of the X-chromosomal geneScience translational medicine · 2025
    Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Yuichiro ItohDepartment of Neurology, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
Lisa C GoldenDepartment of Neurology, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
Noriko ItohDepartment of Neurology, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
Macy Akiyo MatsukawaDepartment of Neurology, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
Emily RenDepartment of Neurology, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
Vincent TseDepartment of Neurology, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
Arthur P ArnoldDepartment of Integrative Biology and Physiology, UCLA, Los Angeles, California, USA.
Rhonda R VoskuhlDepartment of Neurology, David Geffen School of Medicine, UCLA, Los Angeles, California, USA.
University of California, Los Angeles · US

Funding

Women's CancersP30CA016042 · NCI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Samuel Wheeler French · 1985 to 2026
$134.5M
Virology CoreP30AI028697 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI KITCHEN, SCOTT G · 1991 to 2018
$39.9M
Genetic Mechanisms in Klinefelter Syndrome-Related BehaviorsR01HD076125 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARNOLD, ARTHUR P, JENTSCH, J. DAVID · 2014 to 2018
$2.3M
Neuroprotection in MS: A Cell-Specific and Region-Specific Transcriptomics ApproachR01NS109670 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VOSKUHL, RHONDA R · 2018 to 2022
$2.2M
Parental imprinting of the X chromosome: effects on neurodegenerationR01NS096748 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI VOSKUHL, RHONDA R · 2016 to 2020
$1.9M
Epigenetic regulation of myocardial ischemia/reperfusion injury by X chromosomeR01HL131182 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARNOLD, ARTHUR P, EGHBALI, MANSOUREH · 2016 to 2019
$1.5M
NCI NIH HHS P30 CA016042NHLBI NIH HHS R01 HL131182NIAID NIH HHS P30 AI028697NICHD NIH HHS R01 HD076125NINDS NIH HHS R01 NS096748NINDS NIH HHS R01 NS109670Wellcome Trust
6 · The paper itself

Abstract

Multiple sclerosis (MS) is a putative T cell-mediated autoimmune disease. As with many autoimmune diseases, females are more susceptible than males. Sexual dimorphisms may be due to differences in sex hormones, sex chromosomes, or both. Regarding sex chromosome genes, a small percentage of X chromosome genes escape X inactivation and have higher expression in females (XX) compared with males (XY). Here, high-throughput gene expression analysis in CD4+ T cells showed that the top sexually dimorphic gene was Kdm6a, a histone demethylase on the X chromosome. There was higher expression of Kdm6a in females compared with males in humans and mice, and the four core genotypes (FCG) mouse model showed higher expression in XX compared with XY. Deletion of Kdm6a in CD4+ T cells ameliorated clinical disease and reduced neuropathology in the classic CD4+ T cell-mediated autoimmune disease experimental autoimmune encephalomyelitis (EAE). Global transcriptome analysis in CD4+ T cells from EAE mice with a specific deletion of Kdm6a showed upregulation of Th2 and Th1 activation pathways and downregulation of neuroinflammation signaling pathways. Together, these data demonstrate that the X escapee Kdm6a regulates multiple immune response genes, providing a mechanism for sex differences in autoimmune disease susceptibility.

Indexed as

Genes, X-LinkedAnimalsAutoimmunityCD4-Positive T-LymphocytesDisease Models, AnimalEncephalomyelitis, Autoimmune, ExperimentalFemaleGene DeletionGene Expression ProfilingGenotypeHistone DemethylasesHistonesHumansHyaluronan ReceptorsInflammationMaleCd44 protein, mouseHistone DemethylasesHistonesHyaluronan ReceptorsKDM6A protein, humanUtx protein, mouseAutoimmune diseasesAutoimmunityGeneticsMultiple sclerosisT cells

Identifiers

PMID31403472
PMCPMC6715385
OpenAlexW2968552237

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.