Evidence map›Paper›PMID 36625344›Full record

ArticleJCI insight2023

Multicytokine-producing CD4+ T cells characterize the livers of patients with NASH.

Anna Woestemeier, Pasquale Scognamiglio, Yu Zhao, Jonas Wagner, Franziska Muscate, Christian Casar, Francesco Siracusa, Filippo Cortesi, Theodora Agalioti, Simone Müller and 21 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

19 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Systemic Inflammation and Peripheral T Cell Responses Associate With Hepatic Energy Metabolism in Recent-Onset Type 1 Diabetes.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Article
  3. Iturin derived fromiScience · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Review
  18. Review
  19. 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

31 authors at 4 institutions in 5 countries.

Anna WoestemeierDepartment for General, Visceral and Thoracic Surgery.
Pasquale ScognamiglioDepartment for General, Visceral and Thoracic Surgery.
Yu ZhaoInstitute of Medical Systems Biology, Center for Biomedical AI (bAIome), Center for Molecular Neurobiology (ZMNH).
Jonas WagnerDepartment for General, Visceral and Thoracic Surgery.
Franziska MuscateI Department of Medicine.
Christian CasarDepartment for General, Visceral and Thoracic Surgery.
Francesco SiracusaDepartment for General, Visceral and Thoracic Surgery.
Filippo CortesiDepartment for General, Visceral and Thoracic Surgery.
Theodora AgaliotiDepartment for General, Visceral and Thoracic Surgery.
Simone MüllerDepartment for General, Visceral and Thoracic Surgery.
Adrian SagebielDepartment for General, Visceral and Thoracic Surgery.
Leonie KonczallaDepartment for General, Visceral and Thoracic Surgery.
Ramez WahibDepartment for General, Visceral and Thoracic Surgery.
Karl-Frederick KarstensDepartment for General, Visceral and Thoracic Surgery.
Anastasios D GiannouDepartment for General, Visceral and Thoracic Surgery.
Anna DupréeDepartment for General, Visceral and Thoracic Surgery.
Stefan WolterDepartment for General, Visceral and Thoracic Surgery.
Milagros N WongIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Anne K MühligIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Agata A BieleckaDepartment of Immunobiology, School of Medicine, Yale University, New Haven, Connecticut, USA.
Vikas BansalInstitute of Medical Systems Biology, Center for Biomedical AI (bAIome), Center for Molecular Neurobiology (ZMNH).
Tianran ZhangInstitute of Medical Systems Biology, Center for Biomedical AI (bAIome), Center for Molecular Neurobiology (ZMNH).
Oliver MannDepartment for General, Visceral and Thoracic Surgery.
Victor G PuellesIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Tobias B HuberIII. Department of Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ansgar W LohseI Department of Medicine.
Jakob R IzbickiDepartment for General, Visceral and Thoracic Surgery.
Noah W PalmDepartment of Immunobiology, School of Medicine, Yale University, New Haven, Connecticut, USA.
Stefan BonnInstitute of Medical Systems Biology, Center for Biomedical AI (bAIome), Center for Molecular Neurobiology (ZMNH).
Samuel HuberI Department of Medicine.
Nicola GaglianiDepartment for General, Visceral and Thoracic Surgery.
Spencer Foundation · USInstitute for Medical Biology · PLUniversität Hamburg · DEYale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

A role of CD4+ T cells during the progression from nonalcoholic fatty liver disease (NAFLD) to nonalcoholic steatohepatitis (NASH) has been suggested, but which polarization state of these cells characterizes this progression and the development of fibrosis remain unclear. In addition, a gut-liver axis has been suggested to play a role in NASH, but the role of CD4+ T cells in this axis has just begun to be investigated. Combining single-cell RNA sequencing and multiple-parameter flow cytometry, we provide the first cell atlas to our knowledge focused on liver-infiltrating CD4+ T cells in patients with NAFLD and NASH, showing that NASH is characterized by a population of multicytokine-producing CD4+ T cells. Among these cells, only those with a Th17 polarization state were enriched in patients with advanced fibrosis. In parallel, we observed that Bacteroides appeared to be enriched in the intestine of NASH patients and to correlate with the frequency of multicytokine-producing CD4+ T cells. In short, we deliver a CD4+ T cell atlas of NAFLD and NASH, providing the rationale to target CD4+ T cells with a Th17 polarization state to block fibrosis development. Finally, our data offer an early indication to test whether multicytokine-producing CD4+ T cells are part of the gut-liver axis characterizing NASH.

Indexed as

Non-alcoholic Fatty Liver DiseaseCD4-Positive T-LymphocytesFibrosisHumansFibrosisHepatologyImmunologyT cells

Identifiers

PMID36625344
PMCPMC9870087
OpenAlexW4315436354

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.