Evidence map›Paper›PMID 21274873›Full record

ArticleHepatology (Baltimore, Md.)2011

B cell depletion therapy exacerbates murine primary biliary cirrhosis.

Amy Dhirapong, Ana Lleo, Guo-Xiang Yang, Koichi Tsuneyama, Robert Dunn, Marilyn Kehry, Thomas A Packard, John C Cambier, Fu-Tong Liu, Keith Lindor and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Hepatology (Baltimore, Md.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

40 citing papers in PubMed, 71 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. The Role of Inflammation in Cholestatic Liver Injury.Journal of inflammation research · 2023
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Animal Models of Autoimmune Liver Diseases: a Comprehensive Review.Clinical reviews in allergy & immunology · 2020
    Review
  12. [Study the role of lysosome-associated membrane protein type 2A for immune-mediated liver injury of primary biliary cholangitis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2018
    Article
  13. Article
  14. Review
  15. Review
  16. Environmental Basis of Autoimmunity.Clinical reviews in allergy & immunology · 2016
    Review
  17. Article
  18. Review
  19. Review
  20. Article
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

13 authors at 8 institutions in 4 countries.

Amy DhirapongDivision of Rheumatology, Allergy, and Clinical Immunology, University of California at Davis, Davis, CA 95616, USA.
Ana Lleo
Guo-Xiang Yang
Koichi Tsuneyama
Robert Dunn
Marilyn Kehry
Thomas A Packard
John C Cambier
Fu-Tong Liu
Keith Lindor
Ross L Coppel
Aftab A Ansari
M Eric Gershwin
University of California, Davis · USBiogen (United States) · USUniversity of Colorado Denver · USEmory University · USFondazione Humanitas per la Ricerca · ITMayo Clinic · USMonash University · AUUniversity of Toyama · JP

Funding

XENOBIOTICS AND PRIMARY BILIARY CIRRHOSISR01DK067003 · NIDDK · UNIVERSITY OF CALIFORNIA DAVIS · PI GERSHWIN, MERRILL E · 2003 to 2017
$4.4M
dnTGF Beta RII Mice and PBCR01DK090019 · NIDDK · UNIVERSITY OF CALIFORNIA AT DAVIS · PI GERSHWIN, MERRILL E, RIDGWAY, WILLIAM M · 2010 to 2017
$3.8M
MECHANISMS AND PATHOGENESIS OF PRIMARY BILIARY CIRRHOSISR37DK039588 · NIDDK · UNIVERSITY OF CALIFORNIA DAVIS · PI GERSHWIN, MERRILL E · 2001 to 2010
$3.5M
NIDDK NIH HHS DK067003NIDDK NIH HHS R01 DK067003NIDDK NIH HHS R01 DK090019NIDDK NIH HHS R37 DK039588
6 · The paper itself

Abstract

unlabelledPrimary biliary cirrhosis (PBC) is considered a model autoimmune disease due to the clinical homogeneity of patients and the classic hallmark of antimitochondrial antibodies (AMAs). Indeed, the presence of AMAs represents the most highly directed and specific autoantibody in autoimmune diseases. However, the contribution of B cells to the pathogenesis of PBC is unclear. Therefore, although AMAs appear to interact with the biliary cell apotope and contribute to biliary pathology, there is no correlation of disease severity and titer of AMAs. The recent development of well-characterized monoclonal antibodies specific for the B cell populations, anti-CD20 and anti-CD79, and the development of a well-defined xenobiotic-induced model of autoimmune cholangitis prompted us to use these reagents and the model to address the contribution of B cells in the pathogenesis of murine PBC. Prior to the induction of autoimmune cholangitis, mice were treated with either anti-CD20, anti-CD79, or isotype-matched control monoclonal antibody and followed for B cell development, the appearance of AMAs, liver pathology, and cytokine production. Results of the studies reported herein show that the in vivo depletion of B cells using either anti-CD20 or anti-CD79 led to the development of a more severe form of cholangitis than observed in control mice, which is in contrast with results from several other autoimmune models that have documented an important therapeutic role of B cell-specific depletion. Anti-CD20/CD79-treated mice had increased liver T cell infiltrates and higher levels of proinflammatory cytokines.

conclusionOur results reflect a novel disease-protective role of B cells in PBC and suggest that B cell depletion therapy in humans with PBC should be approached with caution.

Indexed as

Severity of Illness IndexAnimalsAntibodies, MonoclonalAntigens, CD20B-LymphocytesCD4-Positive T-LymphocytesCD79 AntigensCD8-Positive T-LymphocytesCytokinesDisease Models, AnimalFemaleLiverLiver Cirrhosis, BiliaryLymphocyte DepletionMiceMice, Inbred C57BLAntibodies, MonoclonalAntigens, CD20CD79 AntigensCytokinesXenobiotics

Identifiers

PMID21274873
PMCPMC3058242
OpenAlexW1988536734

What OpenQuestion holds

Textmetadata
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.