Evidence map›Paper›PMID 15902303›Full record

Trial reportThe Journal of clinical investigation2005

Unmutated and mutated chronic lymphocytic leukemias derive from self-reactive B cell precursors despite expressing different antibody reactivity.

Maxime Hervé, Kai Xu, Yen-Shing Ng, Hedda Wardemann, Emilia Albesiano, Bradley T Messmer, Nicholas Chiorazzi, Eric Meffre

Open access · bronzeAbstract readClinical TrialRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical investigation, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 2 pooled it
8.9field-weighted citation impact, top 2% 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

150 citing papers in PubMed, 2 syntheses or guidelines pooled it, 330 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
  4. Trial
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  6. Review
  7. Article
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  15. Review
  16. Expression Cloning of Antibodies from Single Human B Cells.Methods in molecular biology (Clifton, N.J.) · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Review

90 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

8 authors at 3 institutions in 1 country.

Maxime HervéLaboratory of Biochemistry and Molecular Immunology, Hospital for Special Surgery, New York, New York 10021, USA.
Kai Xu
Yen-Shing Ng
Hedda Wardemann
Emilia Albesiano
Bradley T Messmer
Nicholas Chiorazzi
Eric Meffre
Hospital for Special Surgery · USNorthwell Health · USRockefeller University · US

Funding

WHITE MATTER STRUCTURAL DEFICITS IN HIGH FUNCTIONING CHILDREN WITH AUTISM SPEM01RR018535 · NCRR · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI SCHWARTZ, GUY · 2003 to 2010
$19.5M
B CELL REPERTOIRES IN CHRONIC LYMPHOCYTIC LEUKEMIAR01CA081554 · NCI · NORTH SHORE UNIVERSITY HOSPITAL · PI CHIORAZZI, NICHOLAS · 2000 to 2012
$2.7M
B CLL SUBGROUPS--MATURATION STAGE AND GENE EXPRESSIONR01CA087956 · NCI · NORTH SHORE UNIVERSITY HOSPITAL · PI CHIORAZZI, NICHOLAS · 2001 to 2004
$1.2M
NCI NIH HHS R01 CA081554NCI NIH HHS R01 CA087956NCI NIH HHS R01 CA 81554NCI NIH HHS R01 CA 87956NCRR NIH HHS M01 RR018535
6 · The paper itself

Abstract

B cell chronic lymphocytic leukemia (CLL) is a disease of expanding monoclonal B cells whose B cell receptor (BCR) mutational status defines 2 subgroups; patients with mutated BCRs have a more favorable prognosis than those with unmutated BCRs. CLL B cells express a restricted BCR repertoire including antibodies with quasi-identical complementarity-determining region 3 (CDR3), which suggests specific antigen recognition. The antigens recognized by CLL antibodies may include autoantigens since about half of CLL B cells produce autoreactive antibodies. However, the distribution of autoreactive antibodies between Ig heavy-chain variable-unmutated (IgV-unmutated) CLL (UM-CLL) and IgV-mutated CLL (M-CLL) is unknown. To determine the role of antibody reactivity and the impact of somatic hypermutation (SHM) on CLL antibody specificity, we cloned and expressed in vitro recombinant antibodies from M- and UM-CLL B cells and tested their reactivity by ELISA. We found that UM-CLL B cells expressed highly polyreactive antibodies whereas most M-CLL B cells did not. When mutated nonautoreactive CLL antibody sequences were reverted in vitro to their germline counterparts, they encoded polyreactive and autoreactive antibodies. We concluded that both UM-CLLs and M-CLLs originate from self-reactive B cell precursors and that SHM plays an important role in the development of the disease by altering original BCR autoreactivity.

Indexed as

B-LymphocytesNeoplastic Stem CellsAutoantibodiesBase SequenceCell LineageCohort StudiesComplementarity Determining RegionsFemaleHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMolecular Sequence DataReceptors, Antigen, B-CellSomatic Hypermutation, ImmunoglobulinAutoantibodiesComplementarity Determining RegionsReceptors, Antigen, B-Cell

Identifiers

PMID15902303
PMCPMC1088018
OpenAlexW2051321376

What OpenQuestion holds

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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.