Evidence map›Paper›PMID 34952938›Full record

ArticlePediatric research2022

Lupus nephritis with corticosteroid responsiveness: molecular changes of CD46-mediated type 1 regulatory T cells.

Yi-Giien Tsai, Jien-Wen Chien, Ying-Ming Chiu, Tzu-Cheng Su, Ping-Fang Chiu, Kai-Hung Hsiao, Ching-Yuang Lin

Abstract read
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Article in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Cytokines Associated with Activation of CD4International journal of molecular sciences · 2026
    Review
  3. Article
  4. Review
  5. Review
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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

7 authors at 4 institutions in 1 country.

Yi-Giien TsaiSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Jien-Wen Chien *Department of Pediatrics, Changhua Christian Children's Hospital, Changhua, Taiwan.
Ying-Ming Chiu *Department of Allergy, Immunology and Rheumatology, Tungs' Taichung Metroharbor Hospital, Taichung, Taiwan.
Tzu-Cheng SuDepartment of Pathology, Changhua Christian Hospital, Changhua, Taiwan.
Ping-Fang ChiuSchool of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Kai-Hung HsiaoDepartment of Allergy, Immunology and Rheumatology, Changhua Christian Hospital, Changhua, Taiwan.
Ching-Yuang LinDivision of Pediatric Nephrology, Children's Hospital, China Medical University Hospital, Taichung, Taiwan. cylin@mail.cmuh.org.tw.
Changhua Christian Hospital · TWChina Medical University Hospital · TWChung Shan Medical University · TWTungs' Taichung MetroHarbor Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe engagement of the complement regulatory proteins CD46 and CD3 in human CD4+ T cells induces the type 1 regulatory T cells (Tr1) and interleukin-10 (IL-10) secretion. This study aimed to elucidate the molecular changes of Tr1 cells through CD46 cytoplasmic Cyt1 tail in lupus nephritis (LN) respond to intravenous methylprednisolone (ivMP) therapy.

methodsWe enrolled 40 pediatric patients with LN and 30 healthy controls. Clinical characteristics and peripheral blood mononuclear cells were collected before and 3 days after the administration of ivMP. Kidney specimens were taken from five LN and five minimal-change nephrotic syndrome patients.

resultsWe found that defective CD46-mediated T-helper type 1 contraction (IL-10 switching) is present in active LN patients. The ivMP therapy enhanced LN remission, restored the production of IL-10, increased the CD46-Cyt1/Cyt2 ratio, AKT, and cAMP-responsive element-binding protein phosphorylation, and induced migration with the expression of chemokine receptor molecules CCR4, CCR6, and CCR7 of CD3/CD46-activated Tr1 cells.

conclusionsPharmacologic interventions that alter the patterns of CD46-Cyt1/Cyt2 expression and the secretion of IL-10 by CD3/CD46-activated Tr1 cells can be used in patients with active LN. IMPACT: In patients with LN, ivMP was associated with increased IL-10 production and increased CD46-Cyt1/Cyt2 ratio and AKT phosphorylation by Tr1 cells, with enhanced potential to migration in response to CCL17. These results suggest that expression levels of CD46 isoforms Cyt1 and Cyt2 in CD4 + CD46 +  Tr1 cells differ in patients with active LN but can be corrected by corticosteroid treatment. Enhancing the expression of functional CD4 + CD46 +  Tr1 cells may be a useful therapeutic approach for LN.

Indexed as

Interleukin-10Lupus NephritisAdrenal Cortex HormonesCD4-Positive T-LymphocytesChildHumansLeukocytes, MononuclearMembrane Cofactor ProteinMethylprednisoloneProtein IsoformsProto-Oncogene Proteins c-aktReceptors, CCR7T-Lymphocytes, RegulatoryAdrenal Cortex HormonesCD46 protein, humanInterleukin-10Membrane Cofactor ProteinMethylprednisoloneProtein IsoformsProto-Oncogene Proteins c-aktReceptors, CCR7

Identifiers

PMID34952938
OpenAlexW4200532133

What OpenQuestion holds

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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.