Evidence map›Paper›PMID 26450987›Full record

ArticleBlood2015

Memory B-cell reconstitution following allogeneic hematopoietic stem cell transplantation is an EBV-associated transformation event.

David M Burns, Rose Tierney, Claire Shannon-Lowe, Jo Croudace, Charlotte Inman, Ben Abbotts, Sandeep Nagra, Christopher P Fox, Sridhar Chaganti, Charles F Craddock and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 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
1.6field-weighted citation impact, top 15% 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

20 citing papers in PubMed, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

David M BurnsSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Rose TierneySchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Claire Shannon-LoweSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Jo CroudaceSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Charlotte InmanSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Ben AbbottsSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Sandeep NagraCentre for Clinical Haematology, University Hospitals Birmingham National Health Service Trust, Birmingham, United Kingdom; and.
Christopher P FoxCentre for Clinical Haematology, Nottingham University Hospitals National Health Service Trust, Nottingham, United Kingdom.
Sridhar ChagantiCentre for Clinical Haematology, University Hospitals Birmingham National Health Service Trust, Birmingham, United Kingdom; and.
Charles F CraddockCentre for Clinical Haematology, University Hospitals Birmingham National Health Service Trust, Birmingham, United Kingdom; and.
Paul MossSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Alan B RickinsonSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Martin RoweSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
Andrew I BellSchool for Cancer Sciences, University of Birmingham, Birmingham, United Kingdom;
University of Birmingham · GBNational Health Service · GBNottingham University Hospitals NHS Trust · GB

Funding

Cancer Research UK C5575/A15032Medical Research Council MR/J002046/1Medical Research Council MR/K021192/1Wellcome TrustWellcome Trust 097439/Z/11/Z
6 · The paper itself

Abstract

Allogeneic stem cell transplantation (allo-HSCT) provides a unique opportunity to track Epstein-Barr virus (EBV) infection in the context of the reconstituting B-cell system. Although many allo-HSCT recipients maintain low or undetectable levels of EBV DNA posttransplant, a significant proportion exhibit elevated and rapidly increasing EBV loads which, if left untreated, may lead to potentially fatal EBV-associated posttransplant lymphoproliferative disease. Intriguingly, this high-level EBV reactivation typically arises in the first 3 months posttransplant, at a time when the peripheral blood contains low numbers of CD27+ memory cells which are the site of EBV persistence in healthy immunocompetent donors. To investigate this apparent paradox, we prospectively monitored EBV levels and B-cell reconstitution in a cohort of allo-HSCT patients for up to 12 months posttransplant. In patients with low or undetectable levels of EBV, the circulating B-cell pool consisted predominantly of transitional and naive cells, with a marked deficiency of CD27+ memory cells which lasted >12 months. However, among patients with high EBV loads, there was a significant increase in both the proportion and number of CD27+ memory B cells. Analysis of sorted CD27+ memory B cells from these patients revealed that this population was preferentially infected with EBV, expressed EBV latent transcripts associated with B-cell growth transformation, had a plasmablastic phenotype, and frequently expressed the proliferation marker Ki-67. These findings suggest that high-level EBV reactivation following allo-HSCT may drive the expansion of latently infected CD27+ B lymphoblasts in the peripheral blood.

Indexed as

AdultAgedB-LymphocytesB-Lymphocyte SubsetsCell Transformation, ViralDNA, ViralEpstein-Barr Virus InfectionsFemaleHematopoietic Stem Cell TransplantationHerpesvirus 4, HumanHumansImmunologic MemoryLymphoproliferative DisordersMaleMiddle AgedTransplantation, HomologousDNA, ViralTumor Necrosis Factor Receptor Superfamily, Member 7

Identifiers

PMID26450987
PMCPMC4732759
OpenAlexW2208016779

What OpenQuestion holds

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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.