Evidence map›Paper›PMID 11034605›Full record

ArticleThe Journal of experimental medicine2000

Immunoglobulin heavy chain variable region gene replacement As a mechanism for receptor revision in rheumatoid arthritis synovial tissue B lymphocytes.

K Itoh, E Meffre, E Albesiano, A Farber, D Dines, P Stein, S E Asnis, R A Furie, R I Jain, N Chiorazzi

Open access · greenAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed
12.0field-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

39 citing papers in PubMed, 108 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. VH replacement in primary immunoglobulin repertoire diversification.Proceedings of the National Academy of Sciences of the United States of America · 2015
    Article
  5. Article
  6. Trials and Tribulations with VH Replacement.Frontiers in immunology · 2014
    Review
  7. Article
  8. Article
  9. B cell receptor editing in tolerance and autoimmunity.Annals of the New York Academy of Sciences · 2011
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
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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

10 authors at 3 institutions in 1 country.

K ItohDepartment of Medicine, North Shore University Hospital, Manhasset, New York 11030, USA.
E Meffre
E Albesiano
A Farber
D Dines
P Stein
S E Asnis
R A Furie
R I Jain
N Chiorazzi
North Shore University Hospital · USAlbert Einstein College of Medicine · USRockefeller University · US

Funding

SEROLOGIC, CELLULAR/MOLECULAR STUDIES OF AUTOANTIBODIESR01AI010811 · NIAID · ROCKEFELLER UNIVERSITY · PI CHIORAZZI, NICHOLAS · 1985 to 2000
$311k
NIAID NIH HHS AI10811
6 · The paper itself

Abstract

Mature B cells can alter their antibody repertoires by several mechanisms, including immunoglobulin heavy chain variable region (V(H)) replacement. This process changes the antigen combining site by replacing a portion of the original V(H)/diversity/heavy chain joining region (V(H)DJ(H)) rearrangement with a corresponding portion of a new V(H) segment. This exchange can involve cryptic heptamer-like sequences embedded in the coding regions of V(H) genes. While studying the B lymphocytes that expand in the synovial tissues of patients with rheumatoid arthritis (RA), clones with V(H)DJ(H) variants that were apparently generated by V(H) replacement were identified with surprising frequency (approximately 8%). Examples of multiple independent V(H) replacement events occurring in distinct progeny clones were also identified. These secondary V(H) rearrangements were documented at both the cDNA and genomic DNA levels and involved several heptamer-like sequences at four distinct locations within V(H) (three sites in framework region 3 and one in complementarity determining region 2). The identification of blunt-ended double-stranded DNA breaks at the embedded heptamers and the demonstration of recombinase activating gene (RAG) expression suggested that these rearrangements could occur in the synovial tissues, presumably in pseudo-germinal centers, and that they could be mediated by RAG in a recognition signal sequence-specific manner. The presence of V(H) mutations in the clones that had undergone replacement indicated that these B cells were immunocompetent and could receive and respond to diversification signals. A relationship between these secondary V(H) gene rearrangements and the autoimmunity characteristic of RA should be considered.

Indexed as

Gene Rearrangement, B-Lymphocyte, Heavy ChainGenes, ImmunoglobulinAdultArthritis, RheumatoidBase SequenceB-LymphocytesFemaleGene LibraryGenetic VariationHip JointHumansImmunoglobulin Heavy ChainsImmunoglobulin IsotypesImmunoglobulin MImmunoglobulin Variable RegionKnee JointImmunoglobulin Heavy ChainsImmunoglobulin IsotypesImmunoglobulin MImmunoglobulin Variable Region

Identifiers

PMID11034605
PMCPMC2195868
OpenAlexW2113946177

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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 OpenQuestion graph.