Evidence map›Paper›PMID 33514849›Full record

ArticleCellular & molecular immunology2021

A novel CD4+ CTL subtype characterized by chemotaxis and inflammation is involved in the pathogenesis of Graves' orbitopathy.

Yue Wang, Ziyi Chen, Tingjie Wang, Hui Guo, Yufeng Liu, Ningxin Dang, Shiqian Hu, Liping Wu, Chengsheng Zhang, Kai Ye and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Cellular & molecular immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
11.2field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Frontiers in immunology · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

11 authors at 2 institutions in 2 countries.

Yue Wang *Department of Endocrinology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Ziyi Chen *Department of Endocrinology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.ORCID http://orcid.org/0000-0003-2933-3274
Tingjie Wang *Department of Endocrinology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Hui GuoDepartment of Endocrinology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Yufeng LiuMOE Key Lab for Intelligent Networks & Networks Security, School of Electronic and Information Engineering, Xi'an Jiaotong University, Xi'an, China.
Ningxin DangGenome Institute, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Shiqian HuDepartment of Endocrinology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Liping WuDepartment of Endocrinology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Chengsheng ZhangPrecision Medicine Center, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Kai YeMOE Key Lab for Intelligent Networks & Networks Security, School of Electronic and Information Engineering, Xi'an Jiaotong University, Xi'an, China. kaiye@mail.xjtu.edu.cn.
Bingyin ShiDepartment of Endocrinology, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China. shibingy@126.com.
First Affiliated Hospital of Xi'an Jiaotong University · CNJackson Laboratory · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graves' orbitopathy (GO), the most severe manifestation of Graves' hyperthyroidism (GH), is an autoimmune-mediated inflammatory disorder, and treatments often exhibit a low efficacy. CD4+ T cells have been reported to play vital roles in GO progression. To explore the pathogenic CD4+ T cell types that drive GO progression, we applied single-cell RNA sequencing (scRNA-Seq), T cell receptor sequencing (TCR-Seq), flow cytometry, immunofluorescence and mixed lymphocyte reaction (MLR) assays to evaluate CD4+ T cells from GO and GH patients. scRNA-Seq revealed the novel GO-specific cell type CD4+ cytotoxic T lymphocytes (CTLs), which are characterized by chemotactic and inflammatory features. The clonal expansion of this CD4+ CTL population, as demonstrated by TCR-Seq, along with their strong cytotoxic response to autoantigens, localization in orbital sites, and potential relationship with disease relapse provide strong evidence for the pathogenic roles of GZMB and IFN-γ-secreting CD4+ CTLs in GO. Therefore, cytotoxic pathways may become potential therapeutic targets for GO.

Indexed as

ChemotaxisCD4-Positive T-LymphocytesGraves OphthalmopathyHumansInflammationReceptors, Antigen, T-CellRNA-SeqSingle-Cell AnalysisT-Lymphocytes, CytotoxicReceptors, Antigen, T-CellCD4+ cytotoxic T lymphocytesGraves’ orbitopathysingle-cell RNA sequencing

Identifiers

PMID33514849
PMCPMC8027210
OpenAlexW3122872001

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.