Evidence map›Paper›PMID 34583923›Full record

ArticleAnnals of the rheumatic diseases2022

Novel aspects of regulatory T cell dysfunction as a therapeutic target in giant cell arteritis.

Ignatius Ryan Adriawan, Faranaz Atschekzei, Oliver Dittrich-Breiholz, Panagiotis Garantziotis, Stefanie Hirsch, Linus Maximillian Risser, Maike Kosanke, Reinhold Ernst Schmidt, Torsten Witte, Georgios Sogkas

Open access · hybridAbstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 28 citations in OpenAlex.

  1. Low-dose IL-2 Ameliorates Experimental Autoimmune Myasthenia Gravis in Rats by Restoring the CD4-positive Helper T-cell Balance Via the JAK/STAT5 Pathway.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2026
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  3. CD8Journal of clinical medicine · 2023
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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

10 authors at 1 institution in 1 country.

Ignatius Ryan AdriawanRheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Faranaz AtschekzeiRheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Oliver Dittrich-BreiholzResearch Core Unit Genomics, Hannover Medical School, Hannover, Germany.
Panagiotis GarantziotisRheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Stefanie HirschRheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Linus Maximillian RisserRheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Maike KosankeResearch Core Unit Genomics, Hannover Medical School, Hannover, Germany.
Reinhold Ernst SchmidtRheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Torsten WitteRheumatology and Immunology, Hannover Medical School, Hannover, Germany.
Georgios SogkasRheumatology and Immunology, Hannover Medical School, Hannover, Germany sogkas.georgios@mh-hannover.de.ORCID 0000-0003-0855-2945
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesGiant cell arteritis (GCA) is the most common primary vasculitis, preferentially affecting the aorta and its large-calibre branches. An imbalance between proinflammatory CD4

methodsA total of 41 GCA patients were classified into active disease (n=14) and disease in remission (n=27). GCA patients' and healthy blood donors' (HD) Tregs were sorted and subjected to transcriptome and phenotypic analysis.

resultsTranscriptome analysis revealed 27 genes, which were differentially regulated between GCA-derived and HD-derived Tregs. Among those, we identified transcription factors, glycolytic enzymes and IL-2 signalling mediators. We confirmed the downregulation of forkhead box P3 (FOXP3) and interferon regulatory factor 4 (IRF4) at protein level and identified the ineffective induction of glycoprotein A repetitions predominant (GARP) and CD25 as well as the reduced T cell receptor (TCR)-induced calcium influx as correlates of Treg dysfunction in GCA. Inhibition of glycolysis in HD-derived Tregs recapitulated most identified dysfunctions of GCA Tregs, suggesting the central pathogenic role of the downregulation of the glycolytic enzymes. Separate analysis of the subgroup of tocilizumab-treated patients identified the recovery of the TCR-induced calcium influx and the Treg suppressive function to associate with disease remission.

conclusionsOur findings suggest that low glycolysis and calcium signalling account for Treg dysfunction and inflammation in GCA.

Indexed as

AgedAntibodies, Monoclonal, HumanizedCalciumCalcium SignalingCase-Control StudiesDown-RegulationFemaleForkhead Transcription FactorsGene Expression ProfilingGiant Cell ArteritisGlycolysisHumansImmunomodulating AgentsInterferon Regulatory Factor-4Interferon Regulatory FactorsInterleukin-2 Receptor alpha SubunitAntibodies, Monoclonal, HumanizedCalciumForkhead Transcription FactorsFOXP3 protein, humanIL2RA protein, humanImmunomodulating AgentsInterferon Regulatory Factor-4Interferon Regulatory FactorsInterleukin-2 Receptor alpha SubunitLRRC32 protein, humanMembrane Proteinstocilizumabautoimmunitygiant cell arteritisinflammationT-lymphocyte subsets

Identifiers

PMID34583923
PMCPMC8762021
OpenAlexW3202306950

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.