Evidence map›Paper›PMID 18986373›Full record

ArticleAging cell2009

B-cell diversity decreases in old age and is correlated with poor health status.

Kate L Gibson, Yu-Chang Wu, Yvonne Barnett, Orla Duggan, Robert Vaughan, Elli Kondeatis, Bengt-Olof Nilsson, Anders Wikby, David Kipling, Deborah K Dunn-Walters

Open access · bronzeAbstract read
In one paragraph

Article in Aging cell, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 230 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
230citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

230 citing papers in PubMed, 1 synthesis or guideline pooled it, 443 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. What Do We Know About Immune System Aging from Human and Animal Studies?International journal of molecular sciences · 2026
    Review
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  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
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  17. Article
  18. Immunological biomarkers of aging.Journal of immunology (Baltimore, Md. : 1950) · 2025
    Review
  19. Article
  20. Review

170 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

10 authors at 6 institutions in 2 countries.

Kate L GibsonDepartment of Immunobiology, King's College London Medical School, London, UK.
Yu-Chang Wu
Yvonne Barnett
Orla Duggan
Robert Vaughan
Elli Kondeatis
Bengt-Olof Nilsson
Anders Wikby
David Kipling
Deborah K Dunn-Walters
King's College London · GBGuy's Hospital · GBNottingham Trent University · GBCardiff University · GBJönköping University · SELinköping University · SE

Funding

Medical Research Council G0000160The Dunhill Medical Trust R279/0213
6 · The paper itself

Abstract

Older people suffer from a decline in immune system, which affects their ability to respond to infections and to raise efficient responses to vaccines. Effective and specific antibodies in responses from older individuals are decreased in favour of non-specific antibody production. We investigated the B-cell repertoire in DNA samples from peripheral blood of individuals aged 86-94 years, and a control group aged 19-54 years, using spectratype analysis of the IGHV complementarity determining region (CDR)3. We found that a proportion of older individuals had a dramatic collapse in their B-cell repertoire diversity. Sequencing of polymerase chain reaction products from a selection of samples indicated that this loss of diversity was characterized by clonal expansions of B cells in vivo. Statistical analysis of the spectratypes enabled objective comparisons and showed that loss of diversity correlated very strongly with the general health status of the individuals; a distorted spectratype can be used to predict frailty. Correlations with survival and vitamin B12 status were also seen. We conclude that B-cell diversity can decrease dramatically with age and may have important implications for the immune health of older people. B-cell immune frailty is also a marker of general frailty.

Indexed as

AdultAgedAged, 80 and overAgingB-LymphocytesCase-Control StudiesComplementarity Determining RegionsFemaleHealth StatusHumansImmunoglobulin Heavy ChainsImmunoglobulin Variable RegionLeukocytes, MononuclearMaleMiddle AgedPolymerase Chain ReactionComplementarity Determining RegionsImmunoglobulin Heavy ChainsImmunoglobulin Variable Region

Identifiers

PMID18986373
PMCPMC2667647
OpenAlexW2157274762

What OpenQuestion 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 OpenQuestion graph.