Evidence map›Paper›PMID 34635725›Full record

Observational studyScientific reports2021

Immunometabolic factors in adolescent chronic disease are associated with Th1 skewing of invariant Natural Killer T cells.

Francesca A Ververs, Suzanne E Engelen, Roos Nuboer, Bas Vastert, Cornelis K van der Ent, Belinda Van't Land, Johan Garssen, Claudia Monaco, Marianne Boes, Henk S Schipper

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

10 authors at 6 institutions in 2 countries.

Francesca A VerversCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Suzanne E EngelenKennedy Institute of Rheumatology, University of Oxford, Oxford, UK.
Roos NuboerDepartment of Pediatrics, Meander Medical Center Amersfoort, Amersfoort, The Netherlands.
Bas VastertCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Cornelis K van der EntDepartment of Pediatric Pulmonology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, The Netherlands.
Belinda Van't LandCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Johan GarssenCenter of Excellence Immunology, Danone Nutricia Research, Utrecht, The Netherlands.
Claudia MonacoKennedy Institute of Rheumatology, University of Oxford, Oxford, UK.
Marianne BoesCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Henk S SchipperCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands. h.s.schipper-3@umcutrecht.nl.
University of Oxford · GBUniversity Medical Center Utrecht · NLWilhelmina Children's Hospital · NLCancer Genomics Centre · NLDanone Nutricia Research (Netherlands)Meander Medisch Centrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invariant Natural Killer T (iNKT) cells respond to the ligation of lipid antigen-CD1d complexes via their T-cell receptor and are implicated in various immunometabolic diseases. We considered that immunometabolic factors might affect iNKT cell function. To this end, we investigated iNKT cell phenotype and function in a cohort of adolescents with chronic disease and immunometabolic abnormalities. We analyzed peripheral blood iNKT cells of adolescents with cystic fibrosis (CF, n = 24), corrected coarctation of the aorta (CoA, n = 25), juvenile idiopathic arthritis (JIA, n = 20), obesity (OB, n = 20), and corrected atrial septal defect (ASD, n = 25) as controls. To study transcriptional differences, we performed RNA sequencing on a subset of obese patients and controls. Finally, we performed standardized co-culture experiments using patient plasma, to investigate the effect of plasma factors on iNKT cell function. We found comparable iNKT cell numbers across patient groups, except for reduced iNKT cell numbers in JIA patients. Upon ex-vivo activation, we observed enhanced IFN-γ/IL-4 cytokine ratios in iNKT cells of obese adolescents versus controls. The Th1-skewed iNKT cell cytokine profile of obese adolescents was not explained by a distinct transcriptional profile of the iNKT cells. Co-culture experiments with patient plasma revealed that across all patient groups, obesity-associated plasma factors including LDL-cholesterol, leptin, and fatty-acid binding protein 4 (FABP4) coincided with higher IFN-γ production, whereas high HDL-cholesterol and insulin sensitivity (QUICKI) coincided with higher IL-4 production. LDL and HDL supplementation in co-culture studies confirmed the effects of lipoproteins on iNKT cell cytokine production. These results suggest that circulating immunometabolic factors such as lipoproteins may be involved in Th1 skewing of the iNKT cell cytokine response in immunometabolic disease.

Indexed as

AdolescentArthritis, JuvenileCase-Control StudiesChronic DiseaseCross-Sectional StudiesCystic FibrosisCytokinesFemaleHeart Septal Defects, AtrialHumansInterferon-gammaMaleNatural Killer T-CellsObesityTh1 CellsCytokinesInterferon-gamma

Identifiers

PMID34635725
PMCPMC8505552
OpenAlexW3206451357

What OpenQuestion holds

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LicenceCC BY
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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.