Evidence map›Paper›PMID 25378489›Full record

ArticleJournal of virology2015

Cognate CD4 T-cell licensing of dendritic cells heralds anti-cytomegalovirus CD8 T-cell immunity after human allogeneic umbilical cord blood transplantation.

T W H Flinsenberg, L Spel, M Jansen, D Koning, C de Haar, M Plantinga, R Scholman, M M van Loenen, S Nierkens, L Boon and 4 more

Abstract read
In one paragraph

Article in Journal of virology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
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

20 citing papers in PubMed.

  1. Trial
  2. Mechanisms and Determinants of CMV Reactivation in Kidney Transplantation.International journal of molecular sciences · 2026
    Review
  3. Review
  4. Fungal immunization potentiates CD4Frontiers in immunology · 2025
    Article
  5. T cells in health and disease.Signal transduction and targeted therapy · 2023
    Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Review
  12. Article
  13. Review
  14. Review
  15. Article
  16. Infectious Sporozoites ofFrontiers in immunology · 2018
    Article
  17. Review
  18. Article
  19. The Antitumor Efficacy of IL2/IL21-Cultured Polyfunctional Neu-Specific T Cells Is TNFα/IL17 Dependent.Clinical cancer research : an official journal of the American Association for Cancer Research · 2016
    Article
  20. 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

14 authors.

T W H FlinsenbergLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
L SpelLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
M JansenLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
D KoningLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
C de HaarLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
M PlantingaLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
R ScholmanLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
M M van LoenenLaboratory of Hematology, University Medical Centre Leiden, Leiden, The Netherlands.
S NierkensLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
L BoonBioceros BV, Utrecht, The Netherlands.
D van BaarleLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
M H M HeemskerkLaboratory of Hematology, University Medical Centre Leiden, Leiden, The Netherlands.
J J BoelensLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
M BoesLaboratory of Translational Immunology, University Medical Centre Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands mboes@umcutrecht.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledReactivation of human cytomegalovirus (CMV) is hazardous to patients undergoing allogeneic cord blood transplantation (CBT), lowering survival rates by approximately 25%. While antiviral treatment ameliorates viremia, complete viral control requires CD8+ T-cell-driven immunity. Mouse studies suggest that cognate antigen-specific CD4+ T-cell licensing of dendritic cells (DCs) is required to generate effective CD8+ T-cell responses. For humans, this was not fully understood. We here show that CD4+ T cells are essential for licensing of human DCs to generate effector and memory CD8+ T-cell immunity against CMV in CBT patients. First, we show in CBT recipients that clonal expansion of CMV-pp65-specific CD4+ T cells precedes the rise in CMV-pp65-specific CD8+ T cells. Second, the elicitation of CMV-pp65-specific CD8+ T cells from rare naive precursors in cord blood requires DC licensing by cognate CMV-pp65-specific CD4+ T cells. Finally, also CD8+ T-cell memory responses require CD4+ T-cell-mediated licensing of DCs in our system, by secretion of gamma interferon (IFN-γ) by pp65-specific CD4+ T cells. Together, these data show that human DCs require licensing by cognate antigen-specific CD4+ T cells to elicit effective CD8+ T-cell-mediated immunity and fight off viral reactivation in CBT patients. IMPORTANCE: Survival rates after stem cell transplantation are lowered by 25% when patients undergo reactivation of cytomegalovirus (CMV) that they harbor. Immune protection against CMV is mostly executed by white blood cells called killer T cells. We here show that for generation of optimally protective killer T-cell responses that respond to CMV, the early elicitation of help from a second branch of CMV-directed T cells, called helper T cells, is required.

Indexed as

Cord Blood Stem Cell TransplantationVirus ActivationAdolescentCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesChildChild, PreschoolCytomegalovirusDendritic CellsFemaleHumansInfantInfant, NewbornInterferon-gammaMalePhosphoproteinscytomegalovirus matrix protein 65kDaInterferon-gammaPhosphoproteinsViral Matrix Proteins

Identifiers

PMID25378489
PMCPMC4300625

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.