Evidence map›Paper›PMID 22319445›Full record

ArticlePLoS pathogens2012

The CTLA-4 and PD-1/PD-L1 inhibitory pathways independently regulate host resistance to Plasmodium-induced acute immune pathology.

Julius Clemence R Hafalla, Carla Claser, Kevin N Couper, Georges Emile Grau, Laurent Renia, J Brian de Souza, Eleanor M Riley

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing 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

77 citing papers in PubMed, 114 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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  5. Review
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  18. Mannose inhibitsFrontiers in immunology · 2022
    Article
  19. Memory CD8Immunology · 2021
    Article
  20. Immune Evasion ofPathogens (Basel, Switzerland) · 2021
    Review

17 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

7 authors at 5 institutions in 3 countries.

Julius Clemence R HafallaDepartment of Immunology and Infection, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom. Julius.Hafalla@lshtm.ac.uk
Carla Claser
Kevin N Couper
Georges Emile Grau
Laurent Renia
J Brian de Souza
Eleanor M Riley
London School of Hygiene & Tropical Medicine · GBAgency for Science, Technology and Research · SGSingapore Immunology Network · SGUniversity College London · GBUniversity of Sydney · AU

Funding

Medical Research Council G0900487Wellcome TrustWellcome Trust WT079920
6 · The paper itself

Abstract

The balance between pro-inflammatory and regulatory immune responses in determining optimal T cell activation is vital for the successful resolution of microbial infections. This balance is maintained in part by the negative regulators of T cell activation, CTLA-4 and PD-1/PD-L, which dampen effector responses during chronic infections. However, their role in acute infections, such as malaria, remains less clear. In this study, we determined the contribution of CTLA-4 and PD-1/PD-L to the regulation of T cell responses during Plasmodium berghei ANKA (PbA)-induced experimental cerebral malaria (ECM) in susceptible (C57BL/6) and resistant (BALB/c) mice. We found that the expression of CTLA-4 and PD-1 on T cells correlates with the extent of pro-inflammatory responses induced during PbA infection, being higher in C57BL/6 than in BALB/c mice. Thus, ECM develops despite high levels of expression of these inhibitory receptors. However, antibody-mediated blockade of either the CTLA-4 or PD-1/PD-L1, but not the PD-1/PD-L2, pathways during PbA-infection in ECM-resistant BALB/c mice resulted in higher levels of T cell activation, enhanced IFN-γ production, increased intravascular arrest of both parasitised erythrocytes and CD8(+) T cells to the brain, and augmented incidence of ECM. Thus, in ECM-resistant BALB/c mice, CTLA-4 and PD-1/PD-L1 represent essential, independent and non-redundant pathways for maintaining T cell homeostasis during a virulent malaria infection. Moreover, neutralisation of IFN-γ or depletion of CD8(+) T cells during PbA infection was shown to reverse the pathologic effects of regulatory pathway blockade, highlighting that the aetiology of ECM in the BALB/c mice is similar to that in C57BL/6 mice. In summary, our results underscore the differential and complex regulation that governs immune responses to malaria parasites.

Indexed as

AnimalsAntigens, DifferentiationB7-H1 AntigenCD8-Positive T-LymphocytesCTLA-4 AntigenErythrocytesInterferon-gammaLymphocyte ActivationMalaria, CerebralMiceMice, Inbred BALB CMice, Inbred C57BLPlasmodium bergheiProgrammed Cell Death 1 ReceptorAntigens, DifferentiationB7-H1 AntigenCd274 protein, mouseCTLA-4 AntigenInterferon-gammaPdcd1 protein, mouseProgrammed Cell Death 1 Receptor

Identifiers

PMID22319445
PMCPMC3271068
OpenAlexW1984187736

What OpenQuestion holds

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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.