Evidence map›Paper›PMID 24928997›Full record

ArticleJournal of immunology (Baltimore, Md. : 1950)2014

Rituximab efficiently depletes increased CD20-expressing T cells in multiple sclerosis patients.

Arumugam Palanichamy, Sarah Jahn, Dorothee Nickles, Mia Derstine, Aya Abounasr, Stephen L Hauser, Sergio E Baranzini, David Leppert, H-Christian von Büdingen

Abstract read
In one paragraph

Article in Journal of immunology (Baltimore, Md. : 1950), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 150 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 3 pooled it
8.1field-weighted citation impact, top 2% 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

150 citing papers in PubMed, 3 syntheses or guidelines pooled it, 281 citations in OpenAlex.

  1. Pooled it
  2. Ocrelizumab for multiple sclerosis.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
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  8. Trial
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Evolving role of CD8Frontiers in immunology · 2026
    Review
  17. Article
  18. Article
  19. In-Depth Characterization of L1CAMInternational journal of molecular sciences · 2025
    Article
  20. Review

90 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

9 authors at 2 institutions in 2 countries.

Arumugam Palanichamy *University of California, San Francisco, Department of Neurology, San Francisco, CA, USA.
Sarah Jahn *University of California, San Francisco, Department of Neurology, San Francisco, CA, USA.
Dorothee NicklesUniversity of California, San Francisco, Department of Neurology, San Francisco, CA, USA.
Mia DerstineUniversity of California, San Francisco, Department of Neurology, San Francisco, CA, USA.
Aya AbounasrUniversity of California, San Francisco, Department of Neurology, San Francisco, CA, USA.
Stephen L HauserUniversity of California, San Francisco, Department of Neurology, San Francisco, CA, USA.
Sergio E BaranziniUniversity of California, San Francisco, Department of Neurology, San Francisco, CA, USA.
David LeppertDepartment of Neurology, University Hospital, Basel, Switzerland.
H-Christian von BüdingenUniversity of California, San Francisco, Department of Neurology, San Francisco, CA, USA.
University of California, San Francisco · USUniversity Hospital of Basel · CH

Funding

GENE LINKAGE STUDY OF MULTIPLE SCLEROSIS SIBLING PAIRSR01NS026799 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAUSER, STEPHEN L, OKSENBERG, JORGE R. · 1989 to 2018
$6.8M
Antibody Mediated Autoimmunity in Neuromyelitis OpticaK02NS072288 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VON BUEDINGEN, HANS-CHRISTIAN · 2011 to 2015
$879k
NINDS NIH HHS K02 NS072288NINDS NIH HHS K02NS072288NINDS NIH HHS R01 NS026799NINDS NIH HHS R01NS026799
6 · The paper itself

Abstract

In multiple sclerosis (MS), B cell-depleting therapy using monoclonal anti-CD20 Abs, including rituximab (RTX) and ocrelizumab, effectively reduces disease activity. Based on indirect evidence, it is generally believed that elimination of the Ag-presenting capabilities and Ag nonspecific immune functions of B cells underlie the therapeutic efficacy. However, a small subset of T lymphocytes (T cells) was shown to also express CD20, but controversy prevails surrounding the true existence of this T cell subpopulation. Using single-cell imaging flow cytometry and expression profiling of sorted lymphocyte subsets, we unequivocally demonstrate the existence of CD3(+)CD20(dim) T cells. We show that in MS patients, increased levels of CD3(+)CD20(dim) T cells are effectively depleted by RTX. The pathological relevance of this T cell subset in MS remains to be determined. However, given their potential proinflammatory functionality, depletion of CD20-expressing T cells may also contribute to the therapeutic effect of RTX and other mAbs targeting CD20.

Indexed as

Lymphocyte DepletionAdultAgedAntibodies, Monoclonal, Murine-DerivedAntigens, CD19Antigens, CD20B-LymphocytesCD3 ComplexFemaleFlow CytometryHumansImmunophenotypingMaleMiddle AgedMultiple SclerosisOligonucleotide Array Sequence AnalysisAntibodies, Monoclonal, Murine-DerivedAntigens, CD19Antigens, CD20CD3 ComplexRituximab

Identifiers

PMID24928997
PMCPMC4082756
OpenAlexW2126336004

What OpenQuestion holds

Textmetadata
LicenceTDM
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.