Evidence map›Paper›PMID 34403367›Full record

ArticleJCI insight2021

Metabolic preconditioning in CD4+ T cells restores inducible immune tolerance in lupus-prone mice.

Christopher S Wilson, Blair T Stocks, Emilee M Hoopes, Jillian P Rhoads, Kelsey L McNew, Amy S Major, Daniel J Moore

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Immunometabolism in systemic lupus erythematosus.Nature reviews. Rheumatology · 2025
    Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
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  14. Review
  15. Metabolic reinvigoration of immune tolerance.Nature reviews. Rheumatology · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 4 countries.

Christopher S WilsonIan Burr Division of Endocrinology and Diabetes, Department of Pediatrics.
Blair T StocksDepartment of Pathology, Microbiology, and Immunology; and.
Emilee M HoopesIan Burr Division of Endocrinology and Diabetes, Department of Pediatrics.
Jillian P RhoadsDepartment of Pathology, Microbiology, and Immunology; and.
Kelsey L McNewDepartment of Pathology, Microbiology, and Immunology; and.
Amy S MajorDepartment of Pathology, Microbiology, and Immunology; and.
Daniel J MooreIan Burr Division of Endocrinology and Diabetes, Department of Pediatrics.
Czech Academy of Sciences, Institute of Microbiology · CZDiabetes Australia · AU

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007347 · NIGMS · VANDERBILT UNIVERSITY · PI WILLIAMS, CHRISTOPHER S. · 1985 to 2023
$26.3M
TECHNOLOGY NMR SPECTROSCOPYU24DK100469 · NIDDK · MAYO CLINIC ROCHESTER · PI NAIR, K SREEKUMARAN · 2013 to 2017
$9.0M
Medical Scientist Training ProgramT32GM152284 · NIGMS · VANDERBILT UNIVERSITY · PI Christopher S. Williams · 2024 to 2026
$4.8M
Targeting Tfh Cell Metabolic Regulation in SLE and SLE-Associated AtherosclerosisR01AI153167 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MAJOR, AMY S, RATHMELL, JEFFREY C. · 2020 to 2024
$2.8M
Targeting the T cell immune synapse in autoimmunityR03AI124190 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MAJOR, AMY S · 2017 to 2018
$158k
Disruption of Regulatory T Lymphocytes by B Lymphocytes in Type 1 DiabetesF30DK121438 · NIDDK · VANDERBILT UNIVERSITY · PI MCNEW, KELSEY · 2019 to 2022
$154k
Targeting B lymphocyte Signaling to Reprogram Autoimmunity in Type 1 DiabetesF31DK107321 · NIDDK · VANDERBILT UNIVERSITY · PI WILSON, CHRISTOPHER S. · 2015 to 2017
$84k
Oxidized Low Density Lipoprotein Immune Complexes in AtherosclerosisF31HL128040 · NHLBI · VANDERBILT UNIVERSITY · PI RHOADS, JILLIAN PATRICIA · 2015 to 2016
$56k
BLRD VA I01 BX005333NHLBI NIH HHS F31 HL128040NIAID NIH HHS R01 AI153167NIAID NIH HHS R03 AI124190NIDDK NIH HHS F30 DK121438NIDDK NIH HHS F31 DK107321NIDDK NIH HHS U24 DK100469NIGMS NIH HHS T32 GM007347NIGMS NIH HHS T32 GM152284
6 · The paper itself

Abstract

Autoimmune disease has presented an insurmountable barrier to restoration of durable immune tolerance. Previous studies indicate that chronic therapy with metabolic inhibitors can reduce autoimmune inflammation, but it remains unknown whether acute metabolic modulation enables permanent immune tolerance to be established. In an animal model of lupus, we determined that targeting glucose metabolism with 2-deoxyglucose (2DG) and mitochondrial metabolism with metformin enables endogenous immune tolerance mechanisms to respond to tolerance induction. A 2-week course of 2DG and metformin, when combined with tolerance-inducing therapy anti-CD45RB, prevented renal deposition of autoantibodies for 6 months after initial treatment and restored tolerance induction to allografts in lupus-prone mice. The restoration of durable immune tolerance was linked to changes in T cell surface glycosylation patterns, illustrating a role for glycoregulation in immune tolerance. These findings indicate that metabolic therapy may be applied as a powerful preconditioning to reinvigorate tolerance mechanisms in autoimmune and transplant settings that resist current immune therapies.

Indexed as

AnimalsAntibodiesAntimetabolitesCD4-Positive T-LymphocytesDeoxyglucoseDisease Models, AnimalGlycolysisGlycosylationHypoglycemic AgentsImmune ToleranceKidneyLeukocyte Common AntigensLupus Erythematosus, SystemicMetforminMiceOxidative PhosphorylationAntibodiesAntimetabolitesDeoxyglucoseHypoglycemic AgentsLeukocyte Common AntigensMetforminAutoimmune diseasesAutoimmunityLupusToleranceTransplantation

Identifiers

PMID34403367
PMCPMC8525586
OpenAlexW3196131871

What OpenQuestion holds

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LicenceCC BY
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.