Evidence map›Paper›PMID 40990918›Full record

ArticleThe Journal of experimental medicine2025

Human CD4+ T cells recognize Mycobacterium tuberculosis-infected macrophages amid broader responses.

Volodymyr Stetsenko, Daniel P Gail, Scott M Reba, Vinicius G Suzart, Robert Schauner, Avinaash K Sandhu, Alessandro Sette, Mohammad Haj Dezfulian, Cecilia S Lindestam Arlehamn, Stephen M Carpenter

Abstract read
In one paragraph

Article in The Journal of experimental medicine, 2025. 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
–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

8 citing papers in PubMed.

  1. Article
  2. Restricted MHC-II trafficking inbioRxiv : the preprint server for biology · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Immunodominant Tuberculosis Antigens Recognized by Human CD4Cold Spring Harbor perspectives in medicine · 2026
    Article
  7. Exhausted T cell phenotypes in disseminated coccidioidomycosis.medRxiv : the preprint server for health sciences · 2026
    Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Volodymyr Stetsenko *Division of Infectious Diseases and HIV Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID 0000-0002-0484-5815
Daniel P Gail *Division of Infectious Diseases and HIV Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID 0000-0002-9792-1556
Scott M RebaDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID 0009-0004-1908-6171
Vinicius G SuzartDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID 0000-0002-1033-6080
Robert SchaunerDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID 0000-0002-6336-7331
Avinaash K SandhuDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID 0000-0003-4501-1478
Alessandro SetteDepartment of Medicine, University of California San Diego, La Jolla, CA, USA.ORCID 0000-0001-7013-2250
Mohammad Haj DezfulianDepartment of Pathology and Laboratory Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.ORCID 0009-0005-6119-4018
Cecilia S Lindestam ArlehamnCenter for Vaccine Innovation, La Jolla Institute for Immunology , La Jolla, CA, USA.ORCID 0000-0001-7302-8002
Stephen M CarpenterDivision of Infectious Diseases and HIV Medicine, Department of Medicine, University Hospitals Cleveland Medical Center, Case Western Reserve University School of Medicine, Cleveland, OH, USA.ORCID 0000-0001-9879-327X

Funding

IMMUNE MECHANISMS OF PROTECTION AGAINST MYCOBACTERIUM TUBERCULOSIS CENTER (IMPAC-TB)75N93019C00071 · NIAID · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI FORTUNE, SARAH · 2019 to 2025
$57.3M
WG3: HIV, Co-infections and Co-morbiditiesP30AI036219 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Immaculate Lillian Nankya · 1994 to 2026
$50.0M
Evaluating human T cells specific for Mycobacterium tuberculosis antigens that are processed and presented by infected macrophagesR01AI187662 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Stephen Matthew Carpenter · 2025 to 2026
$1.6M
Determining Protective Features of Human Memory T-cells to Inform Mycobacterium tuberculosis Vaccine DevelopmentK08AI163407 · NIAID · CASE WESTERN RESERVE UNIVERSITY · PI Stephen Matthew Carpenter · 2022 to 2026
$967k
Case Western Reserve UniversityNIAID NIH HHS 75N93019C00071NIAID NIH HHS K08 AI163407NIAID NIH HHS P30 AI036219NIAID NIH HHS R01 AI187662NIH HHS 75N93019C00071NIH HHS K08 AI163407NIH HHS P30 AI036219NIH HHS R01 AI187662University Hospitals Cleveland Medical CenterUniversity of Pittsburgh Rustbelt Center for AIDS Research
6 · The paper itself

Abstract

CD4+ T cell-mediated control of tuberculosis (TB) requires recognition of macrophages infected with Mycobacterium tuberculosis (Mtb). Yet, not all Mtb-specific T cells recognize infected macrophages. Using infected monocyte-derived macrophages and autologous memory CD4+ T cells from individuals with stable latent Mtb infection (LTBI), we quantify the frequency of activated T cells. T cell antigen receptor (TCR) sequencing revealed >70% of unique and >90% of total Mtb-specific TCR clonotypes in LTBI are linked to recognition of infected macrophages, while a subset required exogenous antigen exposure, suggesting incomplete recognition. Clonotypes specific for multiple Mtb antigens, and other pathogens, were identified. Remarkably, antigen screening revealed all TCRs to be specific for type VII secretion system (T7SS) substrates. Mtb-specific clonotypes expressed signature effector functions dominated by IFNγ, TNF, IL-2, and GM-CSF or chemokine production and signaling. We propose that TB vaccines, which elicit T cells specific for T7SS substrates, recognize infected macrophages, and express canonical effector functions, will offer protection against TB.

Indexed as

CD4-Positive T-LymphocytesMacrophagesMycobacterium tuberculosisAdultAntigens, BacterialCytokinesFemaleHumansLatent TuberculosisLymphocyte ActivationReceptors, Antigen, T-CellTuberculosisType VII Secretion SystemsAntigens, BacterialCytokinesReceptors, Antigen, T-CellType VII Secretion Systems

Identifiers

PMID40990918
PMCPMC12459340

What OpenQuestion holds

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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.