Evidence map›Paper›PMID 36347877›Full record

ArticleNature communications2022

Costimulation blockade in combination with IL-2 permits regulatory T cell sparing immunomodulation that inhibits autoimmunity.

Chun Jing Wang, Lina Petersone, Natalie M Edner, Frank Heuts, Vitalijs Ovcinnikovs, Elisavet Ntavli, Alexandros Kogimtzis, Astrid Fabri, Yassin Elfaki, Luke P Houghton and 5 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Nature communications, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 17% 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, 18 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Review
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  6. Article
  7. The immunology of type 1 diabetes.Nature reviews. Immunology · 2024
    Review
  8. Regulatory T Cells for Control of Autoimmunity.Advances in experimental medicine and biology · 2024
    Article
  9. Article
  10. Review
  11. Review
  12. Development and function of FOXP3+ regulators of immune responses.Clinical and experimental immunology · 2023
    Article
  13. Article
  14. Review
  15. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 3 countries.

Chun Jing WangInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.
Lina PetersoneInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.ORCID http://orcid.org/0000-0001-8571-9185
Natalie M EdnerInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.ORCID http://orcid.org/0000-0003-2799-2890
Frank HeutsInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.
Vitalijs OvcinnikovsInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.
Elisavet NtavliInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.
Alexandros KogimtzisInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.
Astrid FabriInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.
Yassin ElfakiInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.ORCID http://orcid.org/0000-0001-6628-3080
Luke P HoughtonInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.
Ralf J HosseRoche Innovation Center Zurich, Roche Pharma Research & Early Development (pRED), Schlieren, Switzerland.
David A SchubertRoche Innovation Center Basel, Roche Pharma Research & Early Development (pRED), Basel, Switzerland.
Andreas P FreiRoche Innovation Center Basel, Roche Pharma Research & Early Development (pRED), Basel, Switzerland.ORCID http://orcid.org/0000-0002-9996-8251
Ellen M RossInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK.ORCID http://orcid.org/0000-0001-9249-1043
Lucy S K WalkerInstitute of Immunity & Transplantation, Pears Building, University College London Division of Infection & Immunity, London, UK. lucy.walker@ucl.ac.uk.ORCID http://orcid.org/0000-0001-5986-5015
University College London · GBRoche (Switzerland) · CHInstitute of Infection and Immunity · CA

Funding

Medical Research Council MR/N001435/1
6 · The paper itself

Abstract

Blockade of CD28 costimulation with CTLA-4-Ig/Abatacept is used to dampen effector T cell responses in autoimmune and transplantation settings. However, a significant drawback of this approach is impaired regulatory T cell homeostasis that requires CD28 signaling. Therefore, strategies that restrict the effects of costimulation blockade to effector T cells would be advantageous. Here we probe the relative roles of CD28 and IL-2 in maintaining Treg. We find provision of IL-2 counteracts the regulatory T cell loss induced by costimulation blockade while minimally affecting the conventional T cell compartment. These data suggest that combining costimulation blockade with IL-2 treatment may selectively impair effector T cell responses while maintaining regulatory T cells. Using a mouse model of autoimmune diabetes, we show combined therapy supports regulatory T cell homeostasis and protects from disease. These findings are recapitulated in humanised mice using clinically relevant reagents and provide an exemplar for rational use of a second immunotherapy to offset known limitations of the first.

Indexed as

CD28 AntigensT-Lymphocytes, RegulatoryAbataceptAutoimmunityCTLA-4 AntigenImmunomodulationInterleukin-2Lymphocyte ActivationAbataceptCD28 AntigensCTLA-4 AntigenInterleukin-2

Identifiers

PMID36347877
PMCPMC9643453
OpenAlexW4308566761

What OpenQuestion holds

Textmetadata
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.