Evidence map›Paper›PMID 25224411›Full record

ArticleBlood2014

Human T-follicular helper and T-follicular regulatory cell maintenance is independent of germinal centers.

Elizabeth F Wallin, Elaine C Jolly, Ondřej Suchánek, J Andrew Bradley, Marion Espéli, David R W Jayne, Michelle A Linterman, Kenneth G C Smith

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

64 citing papers in PubMed, 126 citations in OpenAlex.

  1. Trial
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  3. Significant decreased CXCR3Frontiers in immunology · 2026
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  14. Memory T follicular helper cells drive donor-specific antibodies independent of memory B cells and primary germinal center and alloantibody formation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  15. Article
  16. Article
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  18. Immunopathogenesis of idiopathic nephrotic syndrome.Cellular & molecular immunology · 2022
    Article
  19. Article
  20. Article

4 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

8 authors at 2 institutions in 1 country.

Elizabeth F WallinCambridge Institute for Medical Research and Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom;
Elaine C JollyCambridge Institute for Medical Research and Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom;
Ondřej SuchánekCambridge Institute for Medical Research and Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom;
J Andrew BradleyDepartment of Surgery, University of Cambridge School of Clinical Medicine and NIHR Cambridge Biomedical Research Centre, Cambridge, United Kingdom; and.
Marion EspéliCambridge Institute for Medical Research and Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom;
David R W JayneCambridge Institute for Medical Research and Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom;
Michelle A LintermanCambridge Institute for Medical Research and Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom; Lymphocyte Signalling and Development, The Babraham Institute, Cambridge, United Kingdom.
Kenneth G C SmithCambridge Institute for Medical Research and Department of Medicine, University of Cambridge School of Clinical Medicine, Cambridge, United Kingdom;
University of Cambridge · GBNIHR Cambridge Biomedical Research Centre

Funding

Biotechnology and Biological Sciences Research Council BBS/E/B/000C0407Biotechnology and Biological Sciences Research Council BBS/E/B/000C0409Medical Research Council G0900364Medical Research Council MR/L000539/1Wellcome Trust 083650/Z/07/ZWellcome Trust 100140
6 · The paper itself

Abstract

The monoclonal anti-CD20 antibody rituximab (RTX) depletes B cells in the treatment of lymphoma and autoimmune disease, and contributes to alloantibody reduction in transplantation across immunologic barriers. The effects of RTX on T cells are less well described. T-follicular helper (Tfh) cells provide growth and differentiation signals to germinal center (GC) B cells to support antibody production, and suppressive T-follicular regulatory (Tfr) cells regulate this response. In mice, both Tfh and Tfr are absolutely dependent on B cells for their formation and on the GC for their maintenance. In this study, we demonstrate that RTX treatment results in a lack of GC B cells in human lymph nodes without affecting the Tfh or Tfr cell populations. These data demonstrate that human Tfh and Tfr do not require an ongoing GC response for their maintenance. The persistence of Tfh and Tfr following RTX treatment may permit rapid reconstitution of the pathological GC response once the B-cell pool begins to recover. Strategies for maintaining remission after RTX therapy will need to take this persistence of Tfh into account.

Indexed as

AdolescentAdultAgedAntibodies, Monoclonal, Murine-DerivedAntibody FormationAntigens, CD19B-LymphocytesCD57 AntigensCell DifferentiationCells, CulturedCoculture TechniquesFemaleFlow CytometryGerminal CenterHumansImmunologic FactorsAntibodies, Monoclonal, Murine-DerivedAntigens, CD19CD57 AntigensCXCR5 protein, humanImmunologic FactorsReceptors, CXCR5RituximabTumor Necrosis Factor Receptor Superfamily, Member 7

Identifiers

PMID25224411
PMCPMC4208282
OpenAlexW2070674901

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.