Evidence map›Paper›PMID 24727948›Full record

ArticlePediatric research2014

High-dose IgG therapy mitigates bile duct-targeted inflammation and obstruction in a mouse model of biliary atresia.

Erika K Fenner, Juri Boguniewicz, Rebecca M Tucker, Ronald J Sokol, Cara L Mack

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

15 citing papers in PubMed, 19 citations in OpenAlex.

  1. Trial
  2. Article
  3. Diseases of bile duct in children.World journal of gastroenterology · 2024
    Review
  4. Article
  5. Review
  6. Review
  7. Adjuvant treatments for biliary atresia.Translational pediatrics · 2020
    Review
  8. Article
  9. Article
  10. Treating Biliary Atresia: The Challenge Continues.Journal of pediatric gastroenterology and nutrition · 2019
    Article
  11. Article
  12. Article
  13. Review
  14. Review
  15. Hepatic Hilar Lymph Node Reactivity at Kasai Portoenterostomy for Biliary Atresia: Correlations With Age, Outcome, and Histology of Proximal Biliary Remnant.Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society
    Article
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

5 authors at 1 institution in 1 country.

Erika K Fenner *Department of Medicine, Division of Allergy and Clinical Immunology, University of Colorado School of Medicine and the Digestive Health Institute, Children's Hospital Colorado (CHCO), Aurora, Colorado (CO).
Juri Boguniewicz *Department of Medicine, Division of Allergy and Clinical Immunology, University of Colorado School of Medicine and the Digestive Health Institute, Children's Hospital Colorado (CHCO), Aurora, Colorado (CO).
Rebecca M TuckerDepartment of Medicine, Division of Allergy and Clinical Immunology, University of Colorado School of Medicine and the Digestive Health Institute, Children's Hospital Colorado (CHCO), Aurora, Colorado (CO).
Ronald J SokolDepartment of Pediatrics, Section of Pediatric Gastroenterology, Hepatology and Nutrition University of Colorado School of Medicine and the Digestive Health Institute, Children's Hospital Colorado (CHCO), Aurora, Colorado (CO).
Cara L MackDepartment of Medicine, Division of Allergy and Clinical Immunology, University of Colorado School of Medicine and the Digestive Health Institute, Children's Hospital Colorado (CHCO), Aurora, Colorado (CO).
University of Colorado Denver · US

Funding

Colorado Clinical and Translational Sciences InstituteUL1TR001082 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2013 to 2017
$48.0M
T Cell-Mediated Mechanisms of Autoimmunity in Murine and Human Biliary AtresiaR01DK078195 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI MACK, CARA LYNN · 2007 to 2011
$1.5M
NCATS NIH HHS UL1 TR001082NIDDK NIH HHS R01 DK078195NIDDK NIH HHS R01DK078195
6 · The paper itself

Abstract

backgroundA proposed etiology of biliary atresia (BA) entails a virus-induced, progressive immune-mediated injury of the biliary system. Intravenous Ig (IVIg) has demonstrated clinical benefit in several inflammatory diseases. The aim of this study was to determine the therapeutic effects of high-dose IgG treatment in the rhesus rotavirus (RRV)-induced mouse model of BA.

methodsNewborn mice were infected with RRV, and jaundiced mice were given high-dose IgG or albumin control. Survival, histology, direct bilirubin, liver immune cell subsets, and cytokine production were analyzed.

resultsThere was no difference in overall survival between RRV-infected groups, however high-dose IgG resulted in decreased bilirubin, bile duct inflammation, and increased extrahepatic bile duct patency. High-dose IgG decreased vascular cell adhesion molecule-1, resulting in limited migration of immune cells to portal tracts. High-dose IgG significantly decreased CD4(+) T cell production of interleukin (IL)-2, interferon (IFN)-γ, and tumor necrosis factor (TNF)-α and CD8(+) T cell production of IFN-γ, as well as increased levels of regulatory T cells.

conclusionHigh-dose IgG therapy in murine BA dramatically decreased Th1 cell-mediated inflammation and biliary obstruction. This study lends support for consideration of IVIg clinical trials in infants with BA, to diminish the progressive intrahepatic bile duct injury.

Indexed as

AlbuminsAnimalsBile DuctsBiliary AtresiaBilirubinCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesDisease Models, AnimalImmunoglobulin GImmunoglobulins, IntravenousInflammationInterferon-gammaInterleukin-2MiceRotavirusTumor Necrosis Factor-alphaAlbuminsBilirubinImmunoglobulin GImmunoglobulins, IntravenousInterferon-gammaInterleukin-2Tumor Necrosis Factor-alphaVascular Cell Adhesion Molecule-1

Identifiers

PMID24727948
PMCPMC4062601
OpenAlexW1972336019

What OpenQuestion holds

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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.