Evidence map›Paper›PMID 11581307›Full record

ArticleThe Journal of clinical investigation2001

Regulation of inherently autoreactive VH4-34 B cells in the maintenance of human B cell tolerance.

A E Pugh-Bernard, G J Silverman, A J Cappione, M E Villano, D H Ryan, R A Insel, I Sanz

Open access · greenAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 168 papers.

0numbers the graph read from it
0cells of the map it votes in
168citing 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

168 citing papers in PubMed, 378 citations in OpenAlex.

  1. Failure of B Cell Tolerance in CVID.Frontiers in immunology · 2019
    Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Article
  7. B1 Cells for Life.Immunological reviews · 2026
    Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. IgMScientific reports · 2025
    Article
  19. Article
  20. Article

108 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

7 authors at 2 institutions in 1 country.

A E Pugh-BernardDepartment of Medicine, University of Rochester Medical Center, Rochester, New York 14642, USA.
G J Silverman
A J Cappione
M E Villano
D H Ryan
R A Insel
I Sanz
University of Rochester Medical Center · USUniversity of California San Diego · US

Funding

Project-004U54CA260563 · NCI · EMORY UNIVERSITY · PI NEISH, ANDREW S · 2020 to 2024
$10.2M
B CELL SUPERANTIGENS AND IMMUNE REGULATIONR01AI040305 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SILVERMAN, GREGG JOSHUA · 1998 to 2008
$2.4M
GENETIC AND FUNCTIONAL STUDY OF HUMAN CDR3 REGIONSR01AG014585 · NIA · UNIVERSITY OF ROCHESTER · PI SANZ, IGNACIO E. · 1996 to 2000
$235k
ENGINEERED B-CELL SUPERANTIGENS AND IMMUNE TOLERANCER03AI046637 · NIAID · UNIVERSITY OF CALIFORNIA SAN DIEGO · PI SILVERMAN, GREGG JOSHUA · 1999 to 2001
$152k
T CELL RECEPTOR REPERTOIRE IN MYASTHENIA GRAVISP01AI033195 · NIAID · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI KROLICK, KEITH A · 1992 to 1995
–
NCI NIH HHS U54 CA260563NIAID NIH HHS AI33195NIAID NIH HHS AI40305NIAID NIH HHS AI46637NIAID NIH HHS R01 AI040305NIA NIH HHS AG14585
6 · The paper itself

Abstract

The study of human B cell tolerance has been hampered by difficulties in identifying a sizable population of autoreactive B lymphocytes whose fate could be readily determined. Hypothesizing that B cells expressing intrinsically autoreactive antibodies encoded by the VH4-34 heavy chain gene (VH4-34 cells) represent such a population, we tracked VH4-34 cells in healthy individuals. Here, we show that naive VH4-34 cells are positively selected and mostly restricted to the follicular mantle zone. Subsequently, these cells are largely excluded from the germinal centers and underrepresented in the memory compartment. In healthy donors but not in patients with systemic lupus erythematosus (SLE), these cells are prevented from differentiating into antibody-producing plasma cells. This blockade can be overcome ex vivo using cultures of naive and memory VH4-34 cells in the presence of CD70, IL-2, and IL-10. VH4-34 cells may therefore represent an experimentally useful surrogate for autoantibody transgenes and should prove valuable in studying human B cell tolerance in a physiological, polyclonal environment. Our initial results suggest that both positive and negative selection processes participate in the maintenance of tolerance in autoreactive human B cells at multiple checkpoints throughout B cell differentiation and that at least some censoring mechanisms are faulty in SLE.

Indexed as

B-LymphocytesBone Marrow CellsCell DifferentiationGerminal CenterHealth StatusHumansImmune ToleranceImmunoglobulin Heavy ChainsImmunoglobulin Variable RegionImmunologic MemoryLupus Erythematosus, SystemicPalatine TonsilImmunoglobulin Heavy ChainsImmunoglobulin Variable Region

Identifiers

PMID11581307
PMCPMC200949
OpenAlexW2080210876

What OpenQuestion holds

Textmetadata
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.