Evidence map›Paper›PMID 21576466›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2011

Control of Toxoplasma reactivation by rescue of dysfunctional CD8+ T-cell response via PD-1-PDL-1 blockade.

Rajarshi Bhadra, Jason P Gigley, Louis M Weiss, Imtiaz A Khan

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 105 papers.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed
6.7field-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

105 citing papers in PubMed, 166 citations in OpenAlex.

  1. Article
  2. T cell exhaustion in parasitic infections.Frontiers in immunology · 2026
    Review
  3. Article
  4. Article
  5. Toxoplasma gondii and the Brain: Frenemies? Or Just Outright Foes?Journal of the Pediatric Infectious Diseases Society · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Protective function and differentiation cues of brain-resident CD8+ T cells during surveillance of latentProceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Effects ofFood and waterborne parasitology · 2023
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article

45 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

4 authors at 2 institutions in 1 country.

Rajarshi BhadraDepartment of Microbiology, George Washington University, Washington, DC 20037, USA.
Jason P Gigley
Louis M Weiss
Imtiaz A Khan
George Washington University · USAlbert Einstein College of Medicine · US

Funding

LONG TERM IMMUNITY AGAINST TOXOPLASMOSISR01AI033325 · NIAID · LOUISIANA STATE UNIV HSC NEW ORLEANS · PI KHAN, IMTIAZ AHMED · 1998 to 2020
$6.2M
Toxoplasma encephalitis in AIDS:Bradyzoite RegulationsR01AI039454 · NIAID · YESHIVA UNIVERSITY · PI WEISS, LOUIS M. · 1996 to 2009
$3.1M
Toxoplasma gondii: cyst wallR01AI095094 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI WEISS, LOUIS M. · 2012 to 2016
$2.1M
LONG TERM IMMUNITY AGAINST TOXOPLASMOSISR21AI033325 · NIAID · DARTMOUTH COLLEGE · PI KHAN, IMTIAZ AHMED · 1997 to 1997
–
TOXOPLASMA GONDII MEDIATED IMMUNOSUPPRESSIONR29AI033325 · NIAID · DARTMOUTH COLLEGE · PI KHAN, IMTIAZ AHMED · 1992 to 1996
–
NIAID NIH HHS AI-33325NIAID NIH HHS R01 AI033325NIAID NIH HHS R01 AI039454NIAID NIH HHS R01 AI095094
6 · The paper itself

Abstract

In this study, we document that Toxoplasma gondii differentiation and reactivation are mediated by systemic CD8 T-cell dysfunction during chronic infection. We demonstrate that CD8(+) T-cell exhaustion occurs despite control of parasitemia during early-chronic toxoplasmosis. During later phases, these cells become exhausted, leading to parasite reactivation and mortality. Concomitant with increased CD8(+) T-cell apoptosis and decreased effector response, this dysfunction is characterized by a graded elevation in expression of inhibitory receptor PD-1 on these cells in both lymphoid and nonlymphoid tissue. Blockade of the PD-1-PDL-1 pathway reinvigorates this suboptimal CD8(+) T-cell response, resulting in control of parasite reactivation and prevention of mortality in chronically infected animals. To the best of our knowledge, this report is unique in showing that exposure to a persistent pathogen despite initial control of parasitemia can lead to CD8(+) T-cell dysfunction and parasite reactivation.

Indexed as

Adaptive ImmunityAnimalsAntigens, DifferentiationApoptosisB7-1 AntigenB7-H1 AntigenCD8-Positive T-LymphocytesCell DifferentiationHumansLymphocyte ActivationMembrane GlycoproteinsMiceMice, Inbred C57BLModels, BiologicalPeptidesProgrammed Cell Death 1 ReceptorAntigens, DifferentiationB7-1 AntigenB7-H1 AntigenCd274 protein, mouseMembrane GlycoproteinsPdcd1 protein, mousePeptidesProgrammed Cell Death 1 ReceptorReceptors, Immunologic

Identifiers

PMID21576466
PMCPMC3107287
OpenAlexW2052954033

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.