Evidence map›Paper›PMID 40274816›Full record

ArticleNature communications2025

Defective autophagy in CD4 T cells drives liver fibrosis via type 3 inflammation.

Rola Al Sayegh, Jinghong Wan, Charles Caër, Margot Azoulai, Maxime Gasperment, Sukriti Baweja, Marc-Anthony Chouillard, Janany Kandiah, Mathilde Cadoux, Morgane Mabire and 9 more

Abstract read
In one paragraph

Article in Nature communications, 2025. 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. Review
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Autophagy in the liver.Autophagy reports · 2026
    Review
  9. Review
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

19 authors.

Rola Al SayeghUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Jinghong WanUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Charles CaërUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Margot AzoulaiUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Maxime GaspermentUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Sukriti BawejaUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.ORCID http://orcid.org/0000-0002-8677-9857
Marc-Anthony ChouillardUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Janany KandiahUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Mathilde CadouxUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Morgane MabireUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.ORCID http://orcid.org/0000-0002-2614-7452
Camille PignoletUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Tristan Thibault-SogorbUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.ORCID http://orcid.org/0000-0001-6052-5536
Adel HammouteneUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.ORCID http://orcid.org/0000-0001-6928-7431
Valérie ParadisUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Loredana SaveanuUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.ORCID http://orcid.org/0000-0003-3138-7968
Rémy NicolleUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.ORCID http://orcid.org/0000-0001-8084-1173
Hélène GilgenkrantzUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.ORCID http://orcid.org/0000-0001-6770-4561
Emmanuel WeissUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France.
Sophie LotersztajnUniversité Paris Cité, INSERM, U1149, Centre de Recherche sur l'Inflammation (CRI), Paris, France. sophie.lotersztajn@inserm.fr.ORCID http://orcid.org/0000-0002-0053-7807

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Conventional CD4 T cells represent a major source of inflammatory mediators that drive progression of chronic liver disease to fibrosis and to end-stage cirrhosis. Identification of T cell pathways that limits the inflammatory response could thus have therapeutic relevance. Here we show, using both human samples and mouse models, that autophagy is deficient in CD4 T cells from patients with advanced fibrosis, and that loss of autophagy following genomic deletion of ATG5 in T cells is associated with the emergence of pathogenic IL-17A + IFN-γ + Th17 T cells that drive liver fibrosis in mice. Mechanistically, liver CD4 T cells lacking autophagy display a Th17 glycolytic phenotype associated with enhanced type 3 cytokine (i.e., IL-17A and GM-CSF) release, shifting hepatic myofibroblasts, hepatocytes and macrophages toward a proinflammatory phenotype. We also show that autophagy can be rescued in CD4 T cells from patients with extensive liver fibrosis, leading to decreased frequency of pathogenic Th17 cells and reduced GM-CSF levels; in addition, limited fibrosis is observed in mice in which Rubicon, a negative regulator of autophagy, is deleted specifically in their T cells. Our findings thus implicate autophagy in CD4 T cells as a key therapeutic target to control inflammation-driven fibrosis during chronic liver injury.

Indexed as

AutophagyCD4-Positive T-LymphocytesInflammationLiver CirrhosisAnimalsAutophagy-Related Protein 5Disease Models, AnimalFemaleGranulocyte-Macrophage Colony-Stimulating FactorHepatocytesHumansInterferon-gammaInterleukin-17LiverMacrophagesMaleATG5 protein, humanAtg5 protein, mouseAutophagy-Related Protein 5Granulocyte-Macrophage Colony-Stimulating FactorInterferon-gammaInterleukin-17

Identifiers

PMID40274816
PMCPMC12022296

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.