Evidence map›Paper›PMID 23981074›Full record

ArticleClinical and experimental immunology2013

Anti-CD40 ligand monoclonal antibody delays the progression of murine autoimmune cholangitis.

H Tanaka, G-X Yang, N Iwakoshi, S J Knechtle, K Kawata, K Tsuneyama, P Leung, R L Coppel, A A Ansari, T Joh and 2 more

Open access · greenAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Review
  9. Review: Pathogenesis of cholestatic liver diseases.World journal of hepatology · 2020
    Review
  10. Article
  11. Article
  12. Review
  13. Adaptive immunity in the liver.Cellular & molecular immunology · 2016
    Review
  14. Review
  15. Article
  16. Gene Therapy for Autoimmune Disease.Clinical reviews in allergy & immunology · 2015
    Review
  17. Unmet challenges in immune-mediated hepatobiliary diseases.Clinical reviews in allergy & immunology · 2015
    Article
  18. Article
  19. Women and primary biliary cirrhosis.Clinical reviews in allergy & immunology · 2015
    Review
  20. Advances in pharmacotherapy for primary biliary cirrhosis.Expert opinion on pharmacotherapy · 2015
    Review
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

12 authors at 6 institutions in 3 countries.

H TanakaDivision of Rheumatology, Allergy and Clinical Immunology, University of California at Davis, Davis, CA, USA; Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
G-X Yang
N Iwakoshi
S J Knechtle
K Kawata
K Tsuneyama
P Leung
R L Coppel
A A Ansari
T Joh
C Bowlus
M E Gershwin
University of California, Davis · USEmory University · USHamamatsu University School of Medicine · JPMonash University · AUNagoya City University · JPUniversity of Toyama · JP

Funding

dnTGF Beta RII Mice and PBCR01DK090019 · NIDDK · UNIVERSITY OF CALIFORNIA AT DAVIS · PI GERSHWIN, MERRILL E, RIDGWAY, WILLIAM M · 2010 to 2017
$3.8M
NIDDK NIH HHS DK090019NIDDK NIH HHS R01 DK090019
6 · The paper itself

Abstract

While there have been significant advances in our understanding of the autoimmune responses and the molecular nature of the target autoantigens in primary biliary cirrhosis (PBC), unfortunately these data have yet to be translated into new therapeutic agents. We have taken advantage of a unique murine model of autoimmune cholangitis in which mice expressing a dominant negative form of transforming growth factor β receptor II (dnTGFβRII), under the control of the CD4 promoter, develop an intense autoimmune cholangitis associated with serological features similar to human PBC. CD40-CD40 ligand (CD40L) is a major receptor-ligand pair that provides key signals between cells of the adaptive immune system, prompting us to determine the therapeutic potential of treating autoimmune cholangitis with anti-CD40L antibody (anti-CD40L; MR-1). Four-week-old dnTGFβRII mice were injected intraperitoneally with either anti-CD40L or control immunoglobulin (Ig)G at days 0, 2, 4 and 7 and then weekly until 12 or 24 weeks of age and monitored for the progress of serological and histological features of PBC, including rigorous definition of liver cellular infiltrates and cytokine production. Administration of anti-CD40L reduced liver inflammation significantly to 12 weeks of age. In addition, anti-CD40L initially lowered the levels of anti-mitochondrial autoantibodies (AMA), but these reductions were not sustained. These data indicate that anti-CD40L delays autoimmune cholangitis, but the effect wanes over time. Further dissection of the mechanisms involved, and defining the events that lead to the reduction in therapeutic effectiveness will be critical to determining whether such efforts can be applied to PBC.

Indexed as

AnimalsAntibodies, MonoclonalAutoantigensAutoimmune DiseasesAutoimmunityCD40 AntigensCD40 LigandCD4 AntigensCholangitisCytokinesDisease Models, AnimalDisease ProgressionGenotypeLiverLiver Cirrhosis, BiliaryMiceAntibodies, MonoclonalAutoantigensCD40 AntigensCD40 LigandCD4 AntigensCytokinesReceptors, Transforming Growth Factor betaanti-CD40 ligand antibodyautoimmunitycholangitisprimary biliary cirrhosis

Identifiers

PMID23981074
PMCPMC3826303
OpenAlexW1692631379

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.