Evidence map›Paper›PMID 34140950›Full record

ArticleFrontiers in immunology2021

Premature Senescence and Increased Oxidative Stress in the Thymus of Down Syndrome Patients.

Genni Enza Marcovecchio, Francesca Ferrua, Elena Fontana, Stefano Beretta, Marco Genua, Ileana Bortolomai, Anastasia Conti, Davide Montin, Maria Teresa Cascarano, Sonia Bergante and 9 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Research square · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. The Role of Oxidative Stress in Trisomy 21 Phenotype.Cellular and molecular neurobiology · 2023
    Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Editorial: Editor's Pick 2021: Highlights in Cell Death and Survival.Frontiers in cell and developmental biology · 2022
    Article
  17. Observational
  18. 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

19 authors at 10 institutions in 2 countries.

Genni Enza MarcovecchioSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Francesca FerruaSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Elena FontanaHumanitas Clinical and Research Center, Rozzano, Italy.
Stefano BerettaSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Marco GenuaSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Ileana BortolomaiSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Anastasia ContiSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Davide MontinDepartment of Pediatric and Public Health Sciences, University of Torino, Turin, Italy.
Maria Teresa CascaranoCardiochirurgia Pediatrica Ospedale Infantile Regina Margherita (OIRM), AOU Città della Salute e della Scienza di Torino, Turin, Italy.
Sonia BerganteLaboratory of Stem Cells for Tissue Engineering, Istituto di Ricovero e Cura a Carattere Scientifico, Policlinico San Donato, Milan, Italy.
Veronica D'OriaDepartment of Pediatric Cardiac Surgery, IRCCS San Donato Milanese Hospital, San Donato Milanese, Italy.
Alessandro GiambertiDepartment of Congenital Cardiac Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Italy.
Donato AmodioDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Caterina CancriniDepartment of Systems Medicine, University of Rome Tor Vergata, Rome, Italy.
Adriano CarottiDepartment of Pediatric Cardiac Surgery, IRCCS Bambino Gesú Children's Hospital, Rome, Italy.
Raffaella Di MiccoSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Ivan MerelliInstitute for Biomedical Technologies-National Research Council, Segrate, Italy.
Marita BosticardoSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Anna VillaSan Raffaele Telethon Institute for Gene Therapy (SR-TIGET), IRCCS San Raffaele Scientific Institute, Milan, Italy.
Istituto di Ricovero e Cura a Carattere Scientifico San RaffaeleIRCCS Policlinico San Donato · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITBambino Gesù Children's Hospital · ITInstitute of Genetic and Biomedical Research · ITNational Research Council · ITOspedale Regina Margherita · ITThe San Raffaele Telethon Institute for Gene Therapy · ITUniversity of Turin · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Down syndrome (DS) patients prematurely show clinical manifestations usually associated with aging. Their immune system declines earlier than healthy individuals, leading to increased susceptibility to infections and higher incidence of autoimmune phenomena. Clinical features of accelerated aging indicate that trisomy 21 increases the biological age of tissues. Based on previous studies suggesting immune senescence in DS, we hypothesized that induction of cellular senescence may contribute to early thymic involution and immune dysregulation. Immunohistochemical analysis of thymic tissue showed signs of accelerated thymic aging in DS patients, normally seen in older healthy subjects. Moreover, our whole transcriptomic analysis on human Epcam-enriched thymic epithelial cells (hTEC), isolated from three DS children, which revealed disease-specific transcriptomic alterations. Gene set enrichment analysis (GSEA) of DS TEC revealed an enrichment in genes involved in cellular response to stress, epigenetic histone DNA modifications and senescence. Analysis of senescent markers and oxidative stress in hTEC and thymocytes confirmed these findings. We detected senescence features in DS TEC, thymocytes and peripheral T cells, such as increased β-galactosidase activity, increased levels of the cell cycle inhibitor p16, telomere length and integrity markers and increased levels of reactive oxygen species (ROS), all factors contributing to cellular damage. In conclusion, our findings support the key role of cellular senescence in the pathogenesis of immune defect in DS while adding new players, such as epigenetic regulation and increased oxidative stress, to the pathogenesis of immune dysregulation.

Indexed as

Cell ProliferationCellular SenescenceImmunosenescenceOxidative StressAge FactorsCase-Control StudiesChildChild, PreschoolDown SyndromeEpigenesis, GeneticEpithelial CellsFemaleGene Expression ProfilingHumansInfantMaleDown syndromeoxidative stresssenescencethymic epithelial cellsthymus

Identifiers

PMID34140950
PMCPMC8204718
OpenAlexW3166065870

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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.