Evidence map›Paper›PMID 41364306›Full record

ArticleHepatology international2026

Expanded but dysfunctional regulatory T cells in treatment-naïve autoimmune hepatitis.

Mi Hyun Kwon, Eun Ji Jang, Kwon Yong Tak, Hee Sun Cho, Ji Won Han, Eui Soo Han, Younghoon Kim, Hyun Lee, Jeong Won Jang, Sung Hak Lee and 1 more

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Article in Hepatology international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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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.

Mi Hyun KwonDepartment of Biomedicine and Health Sciences, The Catholic University Liver Research Center, College of Medicine, POSTECH-Catholic Biomedical Engineering Institute, Seoul, Republic of Korea.
Eun Ji JangDepartment of Biomedicine and Health Sciences, The Catholic University Liver Research Center, College of Medicine, POSTECH-Catholic Biomedical Engineering Institute, Seoul, Republic of Korea.
Kwon Yong TakThe Catholic University Liver Research Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Hee Sun ChoThe Catholic University Liver Research Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Ji Won HanThe Catholic University Liver Research Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Eui Soo HanDepartment of Surgery, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
Younghoon KimDepartment of Pathology, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
Hyun LeeDepartment of Pathology, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
Jeong Won JangThe Catholic University Liver Research Center, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Sung Hak LeeDepartment of Pathology, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.
Pil Soo SungThe Catholic University Liver Research Center, College of Medicine, The Catholic University of Korea, Seoul, Korea. pssung@catholic.ac.kr.ORCID http://orcid.org/0000-0002-5780-9607

Funding

The National Research Foudation of Korea grant RS-2024-00438542The National Research Foundation of Korea grant RS-2024-00338298
6 · The paper itself

Abstract

backgroundAutoimmune hepatitis (AIH) is a chronic inflammatory liver disease characterized by immune-mediated hepatocellular injury. Regulatory T cells (Tregs) are crucial for maintaining immune tolerance, but their role in AIH remains unclear. This study aimed to evaluate the phenotype, function, and tissue distribution of Tregs in AIH and examine their potential association with immune dysregulation.

methodsPeripheral blood and liver samples were collected from 57 biopsy-confirmed AIH patients. Single-cell RNA sequencing was performed on peripheral blood mononuclear cells (PBMCs) from one individual per group (healthy control, before treatment, and flare after steroid discontinuation). Flow cytometry (PBMCs n = 45; livers n = 37) and immunohistochemistry (IHC, n = 33) assessed Treg frequency and phenotype. Treg suppressive function was evaluated using co-culture assays with effector T cells (Teffs) isolated from PBMCs (n = 25).

resultsIHC revealed marked immune cell infiltration in AIH liver tissues, and FOXP3 + cell counts correlated positively with serum AST levels (p = 0.0096) and portal-peripheral activity severity (p < 0.05). Single-cell RNA sequencing showed expansion of distinct Tregs and transcriptional changes, including IL-7R upregulation suggesting functional instability. Flow cytometry confirmed significantly increased total and activated Tregs in AIH liver samples (both p < 0.0001). However, co-culture assays demonstrated that Tregs from AIH patients had markedly reduced suppressive capacity compared to healthy controls (p < 0.0001).

conclusionsDespite their expansion in liver tissue, Tregs in AIH exhibit impaired suppressive function, indicating functional instability contributes to immune dysregulation in AIH.

Indexed as

Hepatitis, AutoimmuneT-Lymphocytes, RegulatoryAdultAgedCase-Control StudiesFemaleFlow CytometryForkhead Transcription FactorsHumansLiverMaleMiddle AgedForkhead Transcription FactorsBefore treatmentChronic inflammatoryFlow cytometryFunctional instabilityImmune dysregulationImmunohistochemistrySingle-cell RNA sequencing

Identifiers

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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 Socratic graph.