Evidence map›Paper›PMID 33452865›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2021

Tissue-Resident Memory CD8+ T Cells From Skin Differentiate Psoriatic Arthritis From Psoriasis.

Emmerik F Leijten, Tessa S van Kempen, Michel A Olde Nordkamp, Juliette N Pouw, Nienke J Kleinrensink, Nanette L Vincken, Jorre Mertens, Deepak M W Balak, Fleurieke H Verhagen, Sarita A Hartgring and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. [Psoriatic arthritis].Innere Medizin (Heidelberg, Germany) · 2026
    Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Evolving role of CD8Frontiers in immunology · 2026
    Review
  13. Review
  14. Review
  15. Review
  16. Circulating CLAJID innovations : skin science from molecules to population health · 2025
    Review
  17. Review
  18. Review
  19. Review
  20. 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

15 authors at 2 institutions in 1 country.

Emmerik F LeijtenUniversity Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0001-7367-0185
Tessa S van KempenUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Michel A Olde NordkampUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Juliette N PouwUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Nienke J KleinrensinkUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Nanette L VinckenUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Jorre MertensUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Deepak M W BalakUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Fleurieke H VerhagenUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Sarita A HartgringUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Erik LubbertsErasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-3566-040X
Janneke TekstraUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Aridaman PanditUniversity Medical Center Utrecht, Utrecht, The Netherlands.ORCID 0000-0003-2057-9737
Timothy R RadstakeUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Marianne BoesUniversity Medical Center Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare immune cell phenotype and function in psoriatic arthritis (PsA) versus psoriasis in order to better understand the pathogenesis of PsA.

methodsIn-depth immunophenotyping of different T cell and dendritic cell subsets was performed in patients with PsA, psoriasis, or axial spondyloarthritis and healthy controls. Subsequently, we analyzed cells from peripheral blood, synovial fluid (SF), and skin biopsy specimens using flow cytometry, along with high-throughput transcriptome analyses and functional assays on the specific cell populations that appeared to differentiate PsA from psoriasis.

resultsCompared to healthy controls, the peripheral blood of patients with PsA was characterized by an increase in regulatory CD4+ T cells and interleukin-17A (IL-17A) and IL-22 coproducing CD8+ T cells. One population specifically differentiated PsA from psoriasis: i.e., CD8+CCR10+ T cells were enriched in PsA. CD8+CCR10+ T cells expressed high levels of DNAX accessory molecule 1 and were effector memory cells that coexpressed skin-homing receptors CCR4 and cutaneous lymphocyte antigen. CD8+CCR10+ T cells were detected under inflammatory and homeostatic conditions in skin, but were not enriched in SF. Gene profiling further revealed that CD8+CCR10+ T cells expressed GATA3, FOXP3, and core transcriptional signature of tissue-resident memory T cells, including CD103. Specific genes, including RORC, IFNAR1, and ERAP1, were up-regulated in PsA compared to psoriasis. CD8+CCR10+ T cells were endowed with a Tc2/22-like cytokine profile, lacked cytotoxic potential, and displayed overall regulatory function.

conclusionTissue-resident memory CD8+ T cells derived from the skin are enhanced in the circulation of patients with PsA compared to patients with psoriasis alone. This may indicate that aberrances in cutaneous tissue homeostasis contribute to arthritis development.

Indexed as

AdultAminopeptidasesAntigens, CDAntigens, Differentiation, T-LymphocyteArthritis, PsoriaticCase-Control StudiesCD8-Positive T-LymphocytesFemaleForkhead Transcription FactorsGATA3 Transcription FactorGene Expression ProfilingHigh-Throughput Nucleotide SequencingHumansImmunologic MemoryImmunophenotypingIntegrin alpha Chains6-sulfo sialyl Lewis Xalpha E integrinsAminopeptidasesAntigens, CDAntigens, Differentiation, T-LymphocyteCCR10 protein, humanCCR4 protein, humanERAP1 protein, humanForkhead Transcription FactorsFOXP3 protein, humanGATA3 protein, humanGATA3 Transcription FactorIFNAR1 protein, humanIL17A protein, humanIntegrin alpha ChainsInterleukin-17Interleukin-22InterleukinsMinor Histocompatibility AntigensNuclear Receptor Subfamily 1, Group F, Member 3OligosaccharidesReceptor, Interferon alpha-betaReceptors, CCR10Receptors, CCR4RORC protein, humanSialyl Lewis X AntigenT Lineage-Specific Activation Antigen 1

Identifiers

PMID33452865
PMCPMC8362143
OpenAlexW3121871976

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.