Evidence map›Paper›PMID 26347518›Full record

ArticleGut and liver2016

Phenotypic Characteristics of PD-1 and CTLA-4 Expression in Symptomatic Acute Hepatitis A.

Hyosun Cho, Hyojeung Kang, Chang Wook Kim, Hee Yeon Kim, Jeong Won Jang, Seung Kew Yoon, Chang Don Lee

Open access · diamondAbstract read
In one paragraph

Article in Gut and liver, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

14 citing papers in PubMed, 16 citations in OpenAlex.

  1. The PD-1/PD-L1 pathway and Epstein-Barr virus.European journal of medical research · 2025
    Review
  2. Article
  3. Drug-Induced Liver Injury Associated With Emerging Cancer Therapies.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Review
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  5. Article
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  13. Immune mechanisms of idiosyncratic drug-induced liver injury.Journal of clinical and translational research · 2017
    Review
  14. 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

7 authors at 3 institutions in 1 country.

Hyosun ChoDepartment of Pharmacy, Duksung Women's University College of Pharmacy, Seoul, Korea.
Hyojeung KangDepartment of Pharmacy, Kyungpook National University College of Pharmacy, Daegu, Korea.
Chang Wook KimDepartment of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Hee Yeon KimDepartment of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Jeong Won JangDepartment of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Seung Kew YoonDepartment of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Chang Don LeeDepartment of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
Catholic University of Korea · KRDuksung Women's University · KRKyungpook National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsThe immunoregulatory molecules programmed death 1 (PD-1) and cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) are associated with the dysfunction of antiviral effector T-cells, which leads to T-cell exhaustion and persistent viral infection in patients with chronic hepatitis C and chronic hepatitis B. Little is known about the role of PD-1 and CTLA-4 in patients with symptomatic acute hepatitis A (AHA).

methodsPeripheral blood mononuclear cells were isolated from seven patients with AHA and from six patients with nonviral acute toxic hepatitis (ATH) during the symptomatic and convalescent phases of the respective diseases; five healthy subjects acted as controls. The expression of PD-1 and CTLA-4 on T-cells was measured by flow cytometry.

resultsPD-1 and CTLA-4 expression during the symptomatic phase was significantly higher in the T-cells of AHA patients than in those of ATH patients or healthy controls (PD-1 18.3% vs 3.7% vs 1.6%, respectively, p<0.05; CTLA-4 23.5% vs 6.1% vs 5.9%, respectively, p<0.05). The levels of both molecules decreased dramatically during the convalescent phase of AHA, whereas a similar pattern was not seen in ATH.

conclusionsOur findings are consistent with a viral-protective effect of PD-1 and CTLA-4 as inhibitory molecules that suppress cytotoxic T-cells and thereby prevent the destruction of virus-infected hepatocytes in AHA.

Indexed as

PhenotypeAcute DiseaseAdultCase-Control StudiesCTLA-4 AntigenFemaleFlow CytometryHepatitisHepatitis AHepatitis A Virus, HumanHumansMaleProgrammed Cell Death 1 ReceptorT-LymphocytesCTLA-4 AntigenCTLA4 protein, humanPDCD1 protein, humanProgrammed Cell Death 1 ReceptorAcute hepatitis ACytotoxic T lymphocyte-associated antigen 4Programmed death 1

Identifiers

PMID26347518
PMCPMC4780460
OpenAlexW1465957707

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.