Evidence map›Paper›PMID 19666505›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2009

Circulating CD21low B cells in common variable immunodeficiency resemble tissue homing, innate-like B cells.

Mirzokhid Rakhmanov, Baerbel Keller, Sylvia Gutenberger, Christian Foerster, Manfred Hoenig, Gertjan Driessen, Mirjam van der Burg, Jacques J van Dongen, Elisabeth Wiech, Marcella Visentini and 10 more

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 178 papers.

0numbers the graph read from it
0cells of the map it votes in
178citing papers in PubMed
6.4field-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

178 citing papers in PubMed, 330 citations in OpenAlex.

  1. Elevated CD21Journal of clinical immunology · 2022
    Trial
  2. The Antigen Presenting Potential of CD21Frontiers in immunology · 2020
    Trial
  3. Failure of B Cell Tolerance in CVID.Frontiers in immunology · 2019
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. Review
  11. Elevated IL-10 is Linked With the Expansion of T-betJournal of clinical immunology · 2026
    Article
  12. Review
  13. Human CD21Journal of human immunity · 2026
    Review
  14. Article
  15. Review
  16. Article
  17. Do human B-1 lymphocytes truly exist?Frontiers in immunology · 2026
    Review
  18. P75iScience · 2025
    Article
  19. Article
  20. Review

118 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

20 authors at 6 institutions in 4 countries.

Mirzokhid RakhmanovCentre of Chronic Immunodeficiency and Division of Rheumatology and Clinical Immunology, University Medical Center Freiburg, 79106 Freiburg, Germany.
Baerbel Keller
Sylvia Gutenberger
Christian Foerster
Manfred Hoenig
Gertjan Driessen
Mirjam van der Burg
Jacques J van Dongen
Elisabeth Wiech
Marcella Visentini
Isabella Quinti
Antje Prasse
Nadine Voelxen
Ulrich Salzer
Sigune Goldacker
Paul Fisch
Hermann Eibel
Klaus Schwarz
Hans-Hartmut Peter
Klaus Warnatz
University Medical Center Freiburg · DECentre for Chronic Disease Control · INErasmus MC · NLSapienza University of Rome · ITImmungenetics (Germany) · DEUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The homeostasis of circulating B cell subsets in the peripheral blood of healthy adults is well regulated, but in disease it can be severely disturbed. Thus, a subgroup of patients with common variable immunodeficiency (CVID) presents with an extraordinary expansion of an unusual B cell population characterized by the low expression of CD21. CD21(low) B cells are polyclonal, unmutated IgM(+)IgD(+) B cells but carry a highly distinct gene expression profile which differs from conventional naïve B cells. Interestingly, while clearly not representing a memory population, they do share several features with the recently defined memory-like tissue, Fc receptor-like 4 positive B cell population in the tonsils of healthy donors. CD21(low) B cells show signs of previous activation and proliferation in vivo, while exhibiting defective calcium signaling and poor proliferation in response to B cell receptor stimulation. CD21(low) B cells express decreased amounts of homeostatic but increased levels of inflammatory chemokine receptors. This might explain their preferential homing to peripheral tissues like the bronchoalveolar space of CVID or the synovium of rheumatoid arthritis patients. Therefore, as a result of the close resemblance to the gene expression profile, phenotype, function and preferential tissue homing of murine B1 B cells, we suggest that CD21(low) B cells represent a human innate-like B cell population.

Indexed as

AdolescentAdultAgedB-LymphocytesB-Lymphocyte SubsetsBronchiolesCalciumCell ProliferationClone CellsCommon Variable ImmunodeficiencyGene Expression ProfilingHumansImmunity, InnateImmunoglobulin DImmunoglobulin MInflammationCalciumImmunoglobulin DImmunoglobulin MReceptors, Antigen, B-CellReceptors, ChemokineReceptors, Complement 3d

Identifiers

PMID19666505
PMCPMC2726348
OpenAlexW1971833928

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.