Evidence map›Paper›PMID 31408441›Full record

ArticleThe Journal of clinical investigation2019

Myocardial infarction triggers cardioprotective antigen-specific T helper cell responses.

Max Rieckmann, Murilo Delgobo, Chiara Gaal, Lotte Büchner, Philipp Steinau, Dan Reshef, Cristina Gil-Cruz, Ellis N Ter Horst, Malte Kircher, Theresa Reiter and 14 more

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 115 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
115citing papers in PubMed, 1 pooled it
11.6field-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

115 citing papers in PubMed, 1 synthesis or guideline pooled it, 163 citations in OpenAlex.

  1. Myocardial Immune Cells: The Basis of Cardiac Immunology.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Molecular imaging of lymphatic organs provides prognostic value after acute myocardial infarction.European journal of nuclear medicine and molecular imaging · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Molecular contrast agents for post-infarct cardiac remodelling: a contemporary review.European heart journal. Imaging methods and practice · 2026
    Review
  16. Review
  17. Article
  18. Article
  19. The spleen in ischaemic heart disease.Nature reviews. Cardiology · 2025
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 7 institutions in 4 countries.

Max RieckmannDepartment of Internal Medicine III, University Clinic Halle, Halle, Germany.
Murilo DelgoboDepartment of Internal Medicine I, and.
Chiara GaalDepartment of Internal Medicine I, and.
Lotte BüchnerDepartment of Internal Medicine I, and.
Philipp SteinauDepartment of Internal Medicine III, University Clinic Halle, Halle, Germany.
Dan ReshefDepartment of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Cristina Gil-CruzInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Ellis N Ter HorstHeart Center, Amsterdam UMC, location AMC, Amsterdam, Netherlands.
Malte KircherDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Theresa ReiterDepartment of Internal Medicine I, and.
Katrin G HeinzeRudolf Virchow Center for Experimental Biomedicine, University of Würzburg, Würzburg, Germany.
Hans Wm NiessenDepartment of Pathology and Cardiac Surgery, Amsterdam UMC, location VUmc, Amsterdam, Netherlands.
Paul Aj KrijnenDepartment of Pathology and Cardiac Surgery, Amsterdam UMC, location VUmc, Amsterdam, Netherlands.
Anja M van der LaanHeart Center, Amsterdam UMC, location AMC, Amsterdam, Netherlands.
Jan J PiekHeart Center, Amsterdam UMC, location AMC, Amsterdam, Netherlands.
Charlotte KochDepartment of Internal Medicine III, University Clinic Halle, Halle, Germany.
Hans-Jürgen WesterPharmaceutical Radiochemistry, Technical University Munich, Munich, Germany.
Constantin LapaDepartment of Nuclear Medicine, University Hospital Würzburg, Würzburg, Germany.
Wolfgang R BauerDepartment of Internal Medicine I, and.
Burkhard LudewigInstitute of Immunobiology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
Nir FriedmanDepartment of Immunology, Weizmann Institute of Science, Rehovot, Israel.
Stefan FrantzDepartment of Internal Medicine III, University Clinic Halle, Halle, Germany.
Ulrich HofmannDepartment of Internal Medicine III, University Clinic Halle, Halle, Germany.
Gustavo Campos RamosDepartment of Internal Medicine III, University Clinic Halle, Halle, Germany.
Universitätsklinikum Würzburg · DEAmsterdam Neuroscience · NLUniversity Hospital in Halle · DEKantonsspital St. Gallen · CHWeizmann Institute of Science · ILNetherlands Heart Institute · NLUniversity of Würzburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

T cell autoreactivity is a hallmark of autoimmune diseases but can also benefit self-maintenance and foster tissue repair. Herein, we investigated whether heart-specific T cells exert salutary or detrimental effects in the context of myocardial infarction (MI), the leading cause of death worldwide. After screening more than 150 class-II-restricted epitopes, we found that myosin heavy chain alpha (MYHCA) was a dominant cardiac antigen triggering post-MI CD4+ T cell activation in mice. Transferred MYHCA614-629-specific CD4+ T (TCR-M) cells selectively accumulated in the myocardium and mediastinal lymph nodes (med-LN) of infarcted mice, acquired a Treg phenotype with a distinct pro-healing gene expression profile, and mediated cardioprotection. Myocardial Treg cells were also detected in autopsies from patients who suffered a MI. Noninvasive PET/CT imaging using a CXCR4 radioligand revealed enlarged med-LNs with increased cellularity in MI-patients. Notably, the med-LN alterations observed in MI patients correlated with the infarct size and cardiac function. Taken together, the results obtained in our study provide evidence showing that MI-context induces pro-healing T cell autoimmunity in mice and confirms the existence of an analogous heart/med-LN/T cell axis in MI patients.

Indexed as

AnimalsAntigensMiceMice, TransgenicMyocardial InfarctionMyocardiumMyosin Heavy ChainsPositron Emission Tomography Computed TomographyT-Lymphocytes, RegulatoryAntigensmyosin heavy chain-1, mouseMyosin Heavy ChainsAdaptive immunityCardiologyHeart failureImmunologyT cells

Identifiers

PMID31408441
PMCPMC6819128
OpenAlexW2967222929

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.