Evidence map›Paper›PMID 31715619›Full record

ArticlePediatric research2020

Increased frequency of regulatory T cells in pediatric inflammatory bowel disease at diagnosis: a compensative role?

Alessandra Vitale, Caterina Strisciuglio, Serena Vitale, Marianna Santopaolo, Dario Bruzzese, Teresa Micillo, Elena Scarpato, Erasmo Miele, Annamaria Staiano, Riccardo Troncone and 2 more

Abstract read
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In one paragraph

Article in Pediatric research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.9field-weighted citation impact, top 26% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Review
  2. T Regulatory Cells in Inflammatory Bowel Disease-Are They Major Players?International journal of molecular sciences · 2025
    Review
  3. Article
  4. Review
  5. Review
  6. World journal of gastroenterology · 2022
    Article
  7. Article
  8. Article
  9. Intestinal Regulatory T Cells.Advances in experimental medicine and biology · 2021
    Article
  10. The Association of Gut Microbiota and Treg Dysfunction in Autoimmune Diseases.Advances in experimental medicine and biology · 2021
    Article
  11. Review
  12. 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

12 authors at 4 institutions in 1 country.

Alessandra Vitale *Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Caterina Strisciuglio *Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Serena VitaleInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Naples, Italy.
Marianna SantopaoloDepartment of Molecular Medicine and Medical Biotechnology, University "Federico II", Naples, Italy.
Dario BruzzeseDepartment of Public Health, University "Federico II", Naples, Italy.
Teresa MicilloDepartment of Biology, University "Federico II", Naples, Italy.
Elena ScarpatoDepartment of Translational Medical Science (Section of Pediatrics), and European Laboratory for the Investigation of Food-Induced Diseases, University "Federico II", Naples, Italy.
Erasmo MieleDepartment of Translational Medical Science (Section of Pediatrics), and European Laboratory for the Investigation of Food-Induced Diseases, University "Federico II", Naples, Italy.
Annamaria StaianoDepartment of Translational Medical Science (Section of Pediatrics), and European Laboratory for the Investigation of Food-Induced Diseases, University "Federico II", Naples, Italy.
Riccardo TronconeDepartment of Translational Medical Science (Section of Pediatrics), and European Laboratory for the Investigation of Food-Induced Diseases, University "Federico II", Naples, Italy.
Giuseppe MatareseDepartment of Molecular Medicine and Medical Biotechnology, University "Federico II", Naples, Italy.
Carmen GianfraniInstitute of Biochemistry and Cell Biology, National Research Council (IBBC-CNR), Naples, Italy. c.gianfrani@ibp.cnr.it.
Federico II University Hospital · ITUniversity of Campania "Luigi Vanvitelli" · ITInstitute for Experimental Endocrinology and Oncology · ITNational Research Council · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRegulatory T cells (Tregs) play a critical role in maintaining immune homeostasis. We investigated two main types of Tregs, the CD4+FOXP3+ and IL-10+ Tr1, in pediatric subjects with inflammatory bowel disease (IBD) both at diagnosis and after the clinical remission.

methodsPeripheral blood Tregs were analyzed in 16 children with Crohn's disease (CD), 19 with ulcerative colitis (UC), and 14 healthy controls (HC). Two cocktails of fluoresceinated antibodies were used to discriminate between CD4+FOXP3+ and Tr1.

resultsWe observed in both CD and UC groups a higher frequency of Tr1 at diagnosis compared to controls, which decreased at follow-up compared to diagnosis, in particular in UC. Similarly, in UC patients the percentage of CD4+FOXP3+ Tregs markedly decreased at follow-up compared to the same patients at diagnosis and compared to HC. The expression of CTLA-4 in CD4+FOXP3+ Tregs increased in both groups at clinical remission.

conclusionThis study shows that IBD children present at diagnosis an increased frequency of circulating Tregs, probably as a compensative reaction to tissue inflammation. During the clinical remission, the Treg frequency diminishes, and concomitantly, their activation status increases. Notwithstanding, the high Treg density at diagnosis is not sufficient to counteract the inflammation in the childhood IBD.

Indexed as

AdolescentCD4-Positive T-LymphocytesChildFemaleForkhead Transcription FactorsHumansInflammationInflammatory Bowel DiseasesInterleukin-10Leukocytes, MononuclearMaleOsteoprotegerinRemission InductionT-Lymphocytes, RegulatoryForkhead Transcription FactorsFOXP3 protein, humanIL10 protein, humanInterleukin-10OsteoprotegerinTNFRSF11B protein, human

Identifiers

PMID31715619
OpenAlexW2987698348

What OpenQuestion holds

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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.