Evidence map›Paper›PMID 41565657›Full record

ArticleNature communications2026

Evolution of the tuberculin skin test reveals generalisable Mtb-reactive T cell metaclones.

Carolin T Turner, Andreas Tiffeau-Mayer, Joshua Rosenheim, Aneesh Chandran, Rishika Saxena, Ping Zhang, Jana Jiang, Michelle Berkeley, Flora Pang, Imran Uddin and 16 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

26 authors.

Carolin T Turner *Division of Infection and Immunity, University College London, London, UK.ORCID 0000-0002-1905-2834
Andreas Tiffeau-Mayer *Division of Infection and Immunity, University College London, London, UK.ORCID 0000-0002-6643-7622
Joshua RosenheimDivision of Infection and Immunity, University College London, London, UK.ORCID 0000-0003-0171-2053
Aneesh ChandranDivision of Infection and Immunity, University College London, London, UK.
Rishika SaxenaDivision of Infection and Immunity, University College London, London, UK.ORCID 0009-0000-7296-4712
Ping ZhangCentre for Human Genetics, University of Oxford, Oxford, UK.ORCID 0000-0001-7063-7769
Jana JiangDivision of Infection and Immunity, University College London, London, UK.ORCID 0000-0003-3367-9526
Michelle BerkeleyDivision of Infection and Immunity, University College London, London, UK.
Flora PangDivision of Infection and Immunity, University College London, London, UK.
Imran UddinDivision of Infection and Immunity, University College London, London, UK.ORCID 0000-0003-0736-3149
Gayathri NageswaranDivision of Infection and Immunity, University College London, London, UK.ORCID 0009-0005-7449-0924
Suzanne ByrneDivision of Infection and Immunity, University College London, London, UK.ORCID 0009-0009-2779-7922
Akshay KarthikeyanDivision of Infection and Immunity, University College London, London, UK.
Werner SmidtCentre for the AIDS Programme of Research in South Africa, Durban, South Africa.ORCID 0000-0002-6197-4103
Paul OgongoAfrica Health Research Institute, Durban, South Africa.ORCID 0000-0002-0093-5768
Rachel Byng-MaddickDivision of Infection and Immunity, University College London, London, UK.ORCID 0009-0001-6291-3054
Santino CapocciDepartment of Respiratory Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
Marc LipmanDepartment of Respiratory Medicine, Royal Free London NHS Foundation Trust, London, UK.
Heinke KunstQueen Mary & Barts Health Tuberculosis Centre, Blizard Institute, Faculty of Medicine & Dentistry, Queen Mary University London, London, UK.ORCID 0000-0002-0380-1116
Stefan LozewiczDepartment of Respiratory Medicine, North Middlesex University Hospital, London, UK.ORCID 0009-0000-5028-6658
Veron RamsuranCentre for the AIDS Programme of Research in South Africa, Durban, South Africa.ORCID 0000-0003-1590-9893
Gabriele PollaraDivision of Infection and Immunity, University College London, London, UK.ORCID 0000-0001-5772-0322
Julian C KnightCentre for Human Genetics, University of Oxford, Oxford, UK.ORCID 0000-0002-0377-5536
Alasdair LeslieDivision of Infection and Immunity, University College London, London, UK.ORCID 0000-0003-2538-6467
Benjamin M ChainDivision of Infection and Immunity, University College London, London, UK.ORCID 0000-0002-7417-3970
Mahdad NoursadeghiDivision of Infection and Immunity, University College London, London, UK. m.noursadeghi@ucl.ac.uk.ORCID 0000-0002-4774-0853

Funding

Wellcome Trust (Wellcome) 207511/Z/17/ZWellcome Trust (Wellcome) 306550/Z/23/Z
6 · The paper itself

Abstract

T cells contribute to immune protection and pathogenesis in tuberculosis, but measurements of polyclonal responses have failed to resolve correlates of outcome. We report the temporal evaluation of the human in vivo clonal repertoire of Mycobacterium tuberculosis (Mtb)-reactive T cell responses, by T cell receptor (TCR) sequencing at the site of the tuberculin skin test, as a model for a standardised antigenic challenge. Initial non-selective recruitment of T cells is followed by enrichment of Mtb-reactive clones arising from oligoclonal T cell proliferation. We introduce a modular computational pipeline, Metaclonotypist, to sensitively cluster distinct TCRs with shared epitope specificity, which we apply here to establish a catalogue of public Mtb-reactive HLA-restricted T cell metaclones. Although most in vivo Mtb-reactive T cells are private, 10 metaclones were sufficient to identify Mtb-T cell reactivity across our study population (N≥128), indicating striking population level immunodominance of specific TCR-peptide interactions that may inform patient stratification and vaccine development.

Indexed as

Mycobacterium tuberculosisT-LymphocytesTuberculin TestTuberculosisAntigens, BacterialEpitopes, T-LymphocyteHumansReceptors, Antigen, T-CellAntigens, BacterialEpitopes, T-LymphocyteReceptors, Antigen, T-Cell

Identifiers

PMID41565657
PMCPMC12923891

What OpenQuestion holds

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LicenceCC BY
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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.