Evidence map›Paper›PMID 9874793›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America1999

A two-step, two-signal model for the primary activation of precursor helper T cells.

P A Bretscher

Registry-linked trialAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00505375 (Effects of CTLA-4 Ig), which is not on this map. Cited by 161 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
161citing papers in PubMed, 1 pooled it
–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.

NCT00505375 phase2completednot on this mapstarted 2008, after this paper: background citation

Effects of CTLA-4 Ig (Abatacept) On The Progression of Type 1 Diabetes In New Onset Subjects

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran2008 to 2012Enrolled112ConditionsType 1 Diabetes MellitusArmsCTLA-4 Ig, Placebo
3 · Its place in the literature

Who cites it

161 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Do Metastatic Cells Arise from PD-L1International journal of molecular sciences · 2026
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  11. Review
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  13. Review
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  15. Harnessing mRNA-lipid nanoparticles as innovative therapies for autoimmune diseases.Molecular therapy. Methods & clinical development · 2025
    Review
  16. Gut microbiota affects PD-L1 therapy and its mechanism in melanoma.Cancer immunology, immunotherapy : CII · 2025
    Review
  17. Article
  18. Review
  19. Article
  20. Production of mRNA-Loaded Dendritic Cell Cancer Vaccines.Methods in molecular biology (Clifton, N.J.) · 2025
    Article

101 more citing papers are in PubMed but not listed here.

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

1 author.

P A BretscherDepartment of Microbiology and Immunology, University of Saskatchewan, 107 Wiggins Road, Saskatoon, Saskatchewan, S7N 5E5 Canada. bretschr@duke.usak.ca

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

I present here a new model for the primary activation of precursor helper T cells. Observations demonstrate that the immune system learns not to respond to extrathymic, organ-specific self-antigens because of their early appearance in development. The immune system thus discriminates between peripheral self-antigens and foreign antigens and, when mature, usually makes an immune response against only the latter. Contemporary models for the activation and inactivation of T helper (Th) function do not account for such discrimination. The model proposed here is consistent with contemporary findings and incorporates a mechanism of peripheral self-nonself discrimination.

Indexed as

Immune ToleranceLymphocyte ActivationModels, ImmunologicalAntigen PresentationEpitopesHistocompatibility Antigens Class IISignal TransductionTh1 CellsTh2 CellsT-Lymphocytes, Helper-InducerEpitopesHistocompatibility Antigens Class II

Identifiers

PMID9874793
PMCPMC15114

What OpenQuestion holds

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Registered trials

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.