Evidence map›Paper›PMID 36792985›Full record

ArticleBMC cardiovascular disorders2023

Reduced numbers of regulatory T cells in chronic heart failure seems not to be restored by cardiac resynchronization therapy.

Sílvia Martins, Natália António, Tiago Carvalheiro, Paula Laranjeira, Ricardo Rodrigues, Lino Gonçalves, Cândida Tomaz, Artur Paiva

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. CD8Nature cardiovascular research · 2024
    Article
  8. Review
  9. 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

8 authors.

Sílvia Martins *Health Sciences Research Centre, University of Beira Interior (CICS-UBI), 6200-506, Covilhã, Portugal.ORCID 0000-0002-0571-0250
Natália António *Cardiology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.ORCID 0000-0003-3103-4353
Tiago CarvalheiroCentro do Sangue e da Transplantação de Coimbra, Instituto Português do Sangue e da Transplantação, Coimbra, Portugal.ORCID 0000-0002-3187-2288
Paula LaranjeiraUniversity of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal.ORCID 0000-0002-1136-6118
Ricardo RodriguesDepartment of Clinical Pathology, Unidade Local de Saúde de Castelo Branco, 6000-085, Castelo Branco, Portugal.
Lino GonçalvesCardiology Department, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.ORCID 0000-0001-9255-3064
Cândida TomazHealth Sciences Research Centre, University of Beira Interior (CICS-UBI), 6200-506, Covilhã, Portugal.ORCID 0000-0002-0927-2331
Artur PaivaUniversity of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), University of Coimbra, Coimbra, Portugal. artur.paiva@chuc.min-saude.pt.ORCID 0000-0002-6562-5859

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundT cells have been implicated in the development and progression of inflammatory processes in chronic heart failure (CHF). Cardiac resynchronization therapy (CRT) has beneficial effects on symptoms and cardiac remodeling in CHF. However, its impact on the inflammatory immune response remains controversial. We aimed to study the impact of CRT on T cells in heart failure (HF) patients.

methodsThirty-nine HF patients were evaluated before CRT (T0) and six months later (T6). Quantification of T cells, their subsets, and their functional characterization, after in vitro stimulation, were evaluated by flow cytometry.

resultsT regulatory (Treg) cells were decreased in CHF patients (healthy group (HG): 1.08 ± 0.50 versus (heart failure patients (HFP)-T0: 0.69 ± 0.40, P = 0.022) and remaining diminished after CRT (HFP-T6: 0.61 ± 0.29, P = 0.003). Responders (R) to CRT presented a higher frequency of T cytotoxic (Tc) cells producing IL-2 at T0 compared with non-responders (NR) (R: 36.52 ± 12.55 versus NR: 24.71 ± 11.66, P = 0.006). After CRT, HF patients presented a higher percentage of Tc cells expressing TNF-α and IFN-γ (HG: 44.50 ± 16.62 versus R: 61.47 ± 20.54, P = 0.014; and HG: 40.62 ± 15.36 versus R: 52.39 ± 18.66, P = 0.049, respectively).

conclusionThe dynamic of different functional T cell subpopulations is significantly altered in CHF, which results in an exacerbated pro-inflammatory response. Even after CRT, it seems that the inflammatory condition underlying CHF continues to evolve with the progression of the disease. This could be due, at least in part, to the inability to restore Treg cells levels.

trial registrationObservational and prospective study with no trial registration.

Indexed as

Cardiac Resynchronization TherapyHeart FailureChronic DiseaseHeartHumansProspective StudiesT-Lymphocytes, RegulatoryTreatment OutcomeCardiac resynchronization TherapyChronic heart failureImmune responseT cells, cytokines profile

Identifiers

PMID36792985
PMCPMC9933267

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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.