Evidence map›Paper›PMID 24391505›Full record

ArticlePLoS pathogens2014

Enhancing virus-specific immunity in vivo by combining therapeutic vaccination and PD-L1 blockade in chronic hepadnaviral infection.

Jia Liu, Ejuan Zhang, Zhiyong Ma, Weimin Wu, Anna Kosinska, Xiaoyong Zhang, Inga Möller, Pia Seiz, Dieter Glebe, Baoju Wang and 3 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 126 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
126citing papers in PubMed, 1 pooled it
21.0field-weighted citation impact, top 1% 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

126 citing papers in PubMed, 1 synthesis or guideline pooled it, 247 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Nanocarrier-based immunotherapy for viral diseases.International journal of pharmaceutics: X · 2025
    Review
  6. Review
  7. Functional Cure for Hepatitis B Virus: Challenges and Achievements.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Article
  10. PD-L1: From cancer immunotherapy to therapeutic implications in multiple disorders.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. New Treatment Options in Chronic Hepatitis B: How Close Are We to Cure?Infectious diseases & clinical microbiology · 2023
    Review
  17. Article
  18. Article
  19. Article
  20. Review

66 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

13 authors at 4 institutions in 2 countries.

Jia LiuInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.
Ejuan ZhangInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.
Zhiyong MaInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.
Weimin WuInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.
Anna KosinskaInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.
Xiaoyong ZhangInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany ; Hepatology Unit and Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Inga MöllerInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.
Pia SeizInstitute for Medical Virology, Justus-Liebig University Giessen, Giessen, Germany.
Dieter GlebeInstitute for Medical Virology, Justus-Liebig University Giessen, Giessen, Germany.
Baoju WangDepartment of Infectious Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Dongliang YangDepartment of Infectious Diseases, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Mengji LuInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.
Michael RoggendorfInstitute for Virology, University Hospital of Essen, University of Duisburg-Essen, Essen, Germany.
University of Duisburg-Essen · DEUniversity of Giessen · DEHuazhong University of Science and Technology · CNUnion Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hepatitis B virus (HBV) persistence is facilitated by exhaustion of CD8 T cells that express the inhibitory receptor programmed cell death-1 (PD-1). Improvement of the HBV-specific T cell function has been obtained in vitro by inhibiting the PD-1/PD-ligand 1 (PD-L1) interaction. In this study, we examined whether in vivo blockade of the PD-1 pathway enhances virus-specific T cell immunity and leads to the resolution of chronic hepadnaviral infection in the woodchuck model. The woodchuck PD-1 was first cloned, characterized, and its expression patterns on T cells from woodchucks with acute or chronic woodchuck hepatitis virus (WHV) infection were investigated. Woodchucks chronically infected with WHV received a combination therapy with nucleoside analogue entecavir (ETV), therapeutic DNA vaccination and woodchuck PD-L1 antibody treatment. The gain of T cell function and the suppression of WHV replication by this therapy were evaluated. We could show that PD-1 expression on CD8 T cells was correlated with WHV viral loads during WHV infection. ETV treatment significantly decreased PD-1 expression on CD8 T cells in chronic carriers. In vivo blockade of PD-1/PD-L1 pathway on CD8 T cells, in combination with ETV treatment and DNA vaccination, potently enhanced the function of virus-specific T cells. Moreover, the combination therapy potently suppressed WHV replication, leading to sustained immunological control of viral infection, anti-WHs antibody development and complete viral clearance in some woodchucks. Our results provide a new approach to improve T cell function in chronic hepatitis B infection, which may be used to design new immunotherapeutic strategies in patients.

Indexed as

AnimalsAntiviral AgentsB7-H1 AntigenCD8-Positive T-LymphocytesGuanineHepatitis B, ChronicHepatitis B Virus, WoodchuckMarmotaMiceProgrammed Cell Death 1 ReceptorVaccinationVaccines, DNAViral VaccinesVirus ReplicationAntiviral AgentsB7-H1 AntigenCd274 protein, mouseentecavirGuaninePdcd1 protein, mouseProgrammed Cell Death 1 ReceptorVaccines, DNAViral Vaccines

Identifiers

PMID24391505
PMCPMC3879364
OpenAlexW1999770898

What OpenQuestion holds

Textmetadata
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.