Evidence map›Paper›PMID 38552313›Full record

ArticleRheumatology (Oxford, England)2024

Systemic sclerosis-associated pulmonary arterial hypertension is characterized by a distinct peripheral T helper cell profile.

Theodoros Ioannis Papadimitriou, Jacqueline M J Lemmers, Arjan P M van Caam, Jacqueline L Vos, Elly L Vitters, Lizan Stinissen, Sander I van Leuven, Marije I Koenders, P M van der Kraan, Hans J P M Koenen and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology (Oxford, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

8 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. 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

14 authors at 1 institution in 1 country.

Theodoros Ioannis PapadimitriouDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0003-4198-4838
Jacqueline M J LemmersDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0003-1183-5049
Arjan P M van CaamDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.
Jacqueline L VosDepartment of Cardiology, Radboudumc, Nijmegen, The Netherlands.
Elly L VittersDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.
Lizan StinissenDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.
Sander I van LeuvenDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0003-1432-069X
Marije I KoendersDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.
P M van der KraanDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.
Hans J P M KoenenDepartment of Laboratory Medicine - Medical Immunology, Radboudumc, Nijmegen, The Netherlands.
Ruben L SmeetsDepartment of Laboratory Medicine - Medical Immunology, Radboudumc, Nijmegen, The Netherlands.
Robin NijveldtDepartment of Cardiology, Radboudumc, Nijmegen, The Netherlands.ORCID 0000-0003-1530-6363
Madelon C VonkDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.
Rogier M ThurlingsDepartment of Rheumatology, Radboudumc, Nijmegen, The Netherlands.
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSystemic sclerosis (SSc) is characterized by multiple clinical manifestations. Vasculopathy is a main disease hallmark and ranges in severity from an exacerbated Raynaud phenomenon to pulmonary arterial hypertension (PAH). The potential involvement of the immune system in SSc-associated vascular abnormalities is not clear. Here, we set out to study SSc-related immune parameters and determine whether and which peripheral T cell subsets associate with vascular severity in SSc patients.

methodsPeripheral blood and clinical data were collected from 30 SSc patients, 5 patients with idiopathic PAH and 15 age and sex-matched healthy donors (HD). In this cross-sectional cohort, SSc patients with PAH (n = 15) were matched for their age, sex and medication with SSc patients with no signs of PAH (n = 15). Lymphocyte subsets were quantified by multi-colour flow cytometry.

resultsSSc patients exhibited elevated percentages of T peripheral helper cells (Tph), CD4+GZMB+ T cells and decreased levels of Th1 cells compared with HD. Increased presence of both CD4+ and CD8+ exhausted-like (CD28-) T cells, characterized by raised cytokine and cytotoxic signature, was also observed in SSc compared with HD blood. Furthermore, IL-4 expressing CD4+CD8+ T cells were significantly increased in SSc peripheral blood. Interestingly, the presence of PAH in SSc was accompanied by a distinct T helper profile, characterized by raised percentages of Th17 and Tph cells.

conclusionSSc patients with severe vasculopathy (presence of PAH) exhibited a distinct T cell profile, suggesting a potential role of auto-immune inflammation in SSc vascular complications.

Indexed as

Scleroderma, SystemicAdultAgedCase-Control StudiesCross-Sectional StudiesFemaleFlow CytometryHumansHypertension, PulmonaryMaleMiddle AgedPulmonary Arterial HypertensionT-Lymphocytes, Helper-Inducerbiomarkerspulmonary arterial hypertensionsystemic sclerosisT lymphocytesvasculopathy

Identifiers

PMID38552313
PMCPMC11371376
OpenAlexW4393320159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.