Evidence map›Paper›PMID 32404344›Full record

ArticleAnnals of the rheumatic diseases2020

Normal human enthesis harbours conventional CD4+ and CD8+ T cells with regulatory features and inducible IL-17A and TNF expression.

Abdulla Watad, Hannah Rowe, Tobias Russell, Qiao Zhou, Lisa K Anderson, Almas Khan, Robert Dunsmuir, Peter Loughenbury, Vishal Borse, Abhay Rao and 11 more

Open access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed
12.3field-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

42 citing papers in PubMed, 87 citations in OpenAlex.

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  17. The bone marrow side of axial spondyloarthritis.Nature reviews. Rheumatology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 5 institutions in 6 countries.

Abdulla Watad *University of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.ORCID 0000-0002-1404-8027
Hannah Rowe *University of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.ORCID 0000-0002-7135-3255
Tobias RussellUniversity of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.
Qiao ZhouUniversity of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.
Lisa K AndersonQueensland University of Technology, Institute for Health and Biomedical Innovation, Translational Research Institute, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Almas KhanLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Robert DunsmuirLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Peter LoughenburyLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Vishal BorseLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Abhay RaoLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Peter A MillnerLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Nicola Luigi BragazziUniversita degli Studi di Genova Dipartimento di Medicina Interna e Specialita Mediche, Genova, Liguria, Italy.
Howard AmitalInternal Medicine "B", Sheba Medical Center, Tel Hashomer, Israel.
Richard CuhtbertUniversity of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.
Miriam WittmannUniversity of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.
Kassem SharifUniversity of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.
Tony KennaQueensland University of Technology, Institute for Health and Biomedical Innovation, Translational Research Institute, Princess Alexandra Hospital, Brisbane, Queensland, Australia.
Matthew A BrownQueensland University of Technology, Institute for Health and Biomedical Innovation, Translational Research Institute, Princess Alexandra Hospital, Brisbane, Queensland, Australia.ORCID 0000-0003-0538-8211
Darren NewtonDivision of Haematology and Immunology, University of Leeds, Leeds, West Yorkshire, UK.ORCID 0000-0002-0214-1486
Charlie Bridgewood *University of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK.
Dennis G McGonagle *University of Leeds Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, UK d.g.mcgonagle@leeds.ac.uk.
University of Leeds · GBLeeds Teaching Hospitals NHS Trust · GBTranslational Research Institute · AUTel Aviv University · ILYork University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe human enthesis conventional T cells are poorly characterised.

objectivesTo study the biology of the conventional T cells in human enthesis.

methodsCD4+ and CD8+ T cells were investigated in 25 enthesis samples using immunofluorescence, cytometrically, bulk RNAseq and quantitative real-time PCR following anti-CD3/CD28 bead stimulation to determine interleukin (IL)-17A and tumour necrosis factor (TNF) levels. T-cell receptor (TCR) repertoires were characterised and a search for putative T-cell reactivity was carried out using TCR3 database. The impact of pharmacological antagonism with retinoic acid receptor-related orphan nuclear receptor gamma t inhibitor (RORγti), methotrexate and phosphodiesterase type 4 inhibitor (PDE4i) was investigated.

resultsImmunofluorescence and cytometry suggested entheseal resident CD4+ and CD8+ T cells with a resident memory phenotype (CD69+/CD45RA-) and tissue residency gene transcripts (higher NR4A1/AhR and lower KLF2/T-bet transcripts). Both CD4+ and CD8+ T cells showed increased expression of immunomodulatory genes including IL-10 and TGF-β compared with peripheral blood T cells with entheseal CD8+ T cells having higher CD103, CD49a and lower SIPR1 transcript that matched CD4+ T cells. Following stimulation, CD4+ T cells produced more TNF than CD8+ T cells and IL-17A was produced exclusively by CD4+ T cells. RNAseq suggested both Cytomegalovirus and influenza A virus entheseal resident T-cell clonotype reactivity. TNF and IL-17A production from CD4+ T cells was effectively inhibited by PDE4i, while RORγti only reduced IL-17A secretion.

conclusionsHealthy human entheseal CD4+ and CD8+ T cells exhibit regulatory characteristics and are predicted to exhibit antiviral reactivity with CD8+ T cells expressing higher levels of transcripts suggestive of tissue residency. Inducible IL-17A and TNF production can be robustly inhibited in vitro.

Indexed as

AdultCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesFemaleHumansInterleukin-17Ligaments, ArticularMaleMiddle AgedTendonsT-Lymphocytes, RegulatoryTumor Necrosis Factor-alphaIL17A protein, humanInterleukin-17Tumor Necrosis Factor-alphaankylosing spondylitisspondyloarthritisT cells

Identifiers

PMID32404344
PMCPMC7392498
OpenAlexW3024391321

What OpenQuestion holds

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LicenceCC BY-NC
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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.