Evidence map›Paper›PMID 23230000›Full record

ArticleThe Journal of experimental medicine2012

Programmed death 1 protects from fatal circulatory failure during systemic virus infection of mice.

Helge Frebel, Veronika Nindl, Reto A Schuepbach, Thomas Braunschweiler, Kirsten Richter, Johannes Vogel, Carsten A Wagner, Dominique Loffing-Cueni, Michael Kurrer, Burkhard Ludewig and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 147 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 2 pooled it
4.8field-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

147 citing papers in PubMed, 2 syntheses or guidelines pooled it, 202 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Review
  8. Efficacy of Immune Checkpoint Inhibitors and Oncoviruses in Solid Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  9. Article
  10. Article
  11. Memory-like CD8Frontiers in immunology · 2026
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. The PD-1/PD-L1 pathway and Epstein-Barr virus.European journal of medical research · 2025
    Review
  20. One Step Ahead: Preventing Tumor Adaptation to Immune Therapy.American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting · 2025
    Review

87 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

11 authors at 5 institutions in 2 countries.

Helge FrebelInstitute of Microbiology, ETH Zurich, 8093 Zurich, Switzerland.
Veronika Nindl
Reto A Schuepbach
Thomas Braunschweiler
Kirsten Richter
Johannes Vogel
Carsten A Wagner
Dominique Loffing-Cueni
Michael Kurrer
Burkhard Ludewig
Annette Oxenius
ETH Zurich · CHUniversity of Zurich · CHUniversity of St. Gallen · CHCzech Academy of Sciences, Institute of Physiology · CZUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The inhibitory programmed death 1 (PD-1)-programmed death ligand 1 (PD-L1) pathway contributes to the functional down-regulation of T cell responses during persistent systemic and local virus infections. The blockade of PD-1-PD-L1-mediated inhibition is considered as a therapeutic approach to reinvigorate antiviral T cell responses. Yet previous studies reported that PD-L1-deficient mice develop fatal pathology during early systemic lymphocytic choriomeningitis virus (LCMV) infection, suggesting a host protective role of T cell down-regulation. As the exact mechanisms of pathology development remained unclear, we set out to delineate in detail the underlying pathogenesis. Mice deficient in PD-1-PD-L1 signaling or lacking PD-1 signaling in CD8 T cells succumbed to fatal CD8 T cell-mediated immunopathology early after systemic LCMV infection. In the absence of regulation via PD-1, CD8 T cells killed infected vascular endothelial cells via perforin-mediated cytolysis, thereby severely compromising vascular integrity. This resulted in systemic vascular leakage and a consequential collapse of the circulatory system. Our results indicate that the PD-1-PD-L1 pathway protects the vascular system from severe CD8 T cell-mediated damage during early systemic LCMV infection, highlighting a pivotal physiological role of T cell down-regulation and suggesting the potential development of immunopathological side effects when interfering with the PD-1-PD-L1 pathway during systemic virus infections.

Indexed as

AnimalsB7-H1 AntigenCapillary PermeabilityCD8-Positive T-LymphocytesDisease Models, AnimalEndothelium, VascularH-2 AntigensHistocompatibility Antigen H-2DHypotensionLymphocytic ChoriomeningitisMiceMice, Inbred C57BLMice, KnockoutMice, TransgenicPore Forming Cytotoxic ProteinsProgrammed Cell Death 1 ReceptorB7-H1 AntigenCd274 protein, mouseH-2 AntigensHistocompatibility Antigen H-2DPdcd1 protein, mouseperforin, mousePore Forming Cytotoxic ProteinsProgrammed Cell Death 1 Receptor

Identifiers

PMID23230000
PMCPMC3526355
OpenAlexW2135153698

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.