Evidence map›Paper›PMID 19006693›Full record

ArticleImmunity2008

IRAK-4- and MyD88-dependent pathways are essential for the removal of developing autoreactive B cells in humans.

Isabelle Isnardi, Yen-Shing Ng, Iva Srdanovic, Roja Motaghedi, Sergei Rudchenko, Horst von Bernuth, Shen-Ying Zhang, Anne Puel, Emmanuelle Jouanguy, Capucine Picard and 10 more

Open access · greenAbstract read
In one paragraph

Article in Immunity, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

124 citing papers in PubMed, 212 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Failure of early B cell tolerance and possible BCR signaling dysregulation underlie NF155-mediated autoimmune nodopathies.Proceedings of the National Academy of Sciences of the United States of America · 2026
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  17. Immunogenetics of Lupus Erythematosus.Advances in experimental medicine and biology · 2022
    Article
  18. Article
  19. Review
  20. Identification ofPathogens (Basel, Switzerland) · 2021
    Article

64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 10 institutions in 5 countries.

Isabelle IsnardiLaboratory of Biochemistry and Molecular Immunology, Hospital for Special Surgery, New York, NY 10021, USA.
Yen-Shing Ng
Iva Srdanovic
Roja Motaghedi
Sergei Rudchenko
Horst von Bernuth
Shen-Ying Zhang
Anne Puel
Emmanuelle Jouanguy
Capucine Picard
Ben-Zion Garty
Yildiz Camcioglu
Rainer Doffinger
Dinakantha Kumararatne
Graham Davies
John I Gallin
Soichi Haraguchi
Noorbibi K Day
Jean-Laurent Casanova
Eric Meffre
Hospital for Special Surgery · USHuman Genetic of Infectious Diseases · FRAddenbrooke's Hospital · GBCornell University · USInserm · FRUniversity of South Florida St. Petersburg · USIstanbul University · TRNational Institutes of Health · USSchneider Children's Medical Center · ILUniversity College London · GB

Funding

Regulation of IgA class switching in the intestinal mucosaP01AI061093 · NIAID · MOUNT SINAI SCHOOL OF MEDICINE OF NYU · PI FURTADO, GLAUCIA C · 2004 to 2021
$29.8M
Loss of B Cell Tolerance in Rheumatoid ArthritisR01AI071087 · NIAID · YALE UNIVERSITY · PI MEFFRE, ERIC · 2006 to 2016
$4.3M
Clinical Studies Of Abnormal Host DefenseZIAAI000155 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI GALLIN, JOHN I · 2009 to 2022
$3.1M
Effect Of Cytokines In Host Defense And InflammationZIAAI000521 · NIAID · NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES · PI GALLIN, JOHN I · 2009 to 2015
$1.1M
Impact of regulatory T cells on human peripheral B cell toleranceR21AI095848 · NIAID · YALE UNIVERSITY · PI MEFFRE, ERIC · 2012 to 2013
$457k
EXTRAMURAL RESEARCH FACILITIES CONSTRUCTIONC06RR012538 · NCRR · HOSPITAL FOR SPECIAL SURGERY · PI BOSKEY, ADELE L · 1997 to 1997
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NCRR NIH HHS C06 RR012538NCRR NIH HHS C06-RR12538-01NIAID NIH HHS AI061093NIAID NIH HHS AI071087NIAID NIH HHS P01 AI061093NIAID NIH HHS R01 AI071087NIAID NIH HHS R21 AI095848
6 · The paper itself

Abstract

Most autoreactive B cells are normally counterselected during early B cell development. To determine whether Toll-like receptors (TLRs) regulate the removal of autoreactive B lymphocytes, we tested the reactivity of recombinant antibodies from single B cells isolated from patients deficient for interleukin-1 receptor-associated kinase 4 (IRAK-4), myeloid differentiation factor 88 (MyD88), and UNC-93B. Indeed, all TLRs except TLR3 require IRAK-4 and MyD88 to signal, and UNC-93B-deficient cells are unresponsive to TLR3, TLR7, TLR8, and TLR9. All patients suffered from defective central and peripheral B cell tolerance checkpoints, resulting in the accumulation of large numbers of autoreactive mature naive B cells in their blood. Hence, TLR7, TLR8, and TLR9 may prevent the recruitment of developing autoreactive B cells in healthy donors. Paradoxically, IRAK-4-, MyD88-, and UNC-93B-deficient patients did not display autoreactive antibodies in their serum or develop autoimmune diseases, suggesting that IRAK-4, MyD88, and UNC-93B pathway blockade may thwart autoimmunity in humans.

Indexed as

AutoimmunitySelf ToleranceAntibodies, AntinuclearAutoantibodiesB-LymphocytesChildFemaleGene Expression ProfilingHumansInfantInterleukin-1 Receptor-Associated KinasesLymphocyte ActivationMaleMembrane Transport ProteinsMyeloid Differentiation Factor 88Oligonucleotide Array Sequence AnalysisAntibodies, AntinuclearAutoantibodiesInterleukin-1 Receptor-Associated KinasesIRAK4 protein, humanMembrane Transport ProteinsMYD88 protein, humanMyeloid Differentiation Factor 88Recombinant ProteinsToll-Like ReceptorsUNC93B1 protein, human

Identifiers

PMID19006693
PMCPMC2666307
OpenAlexW2047865956

What OpenQuestion holds

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LicenceTDM
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.