Evidence map›Paper›PMID 26517304›Full record

ArticleAmerican journal of respiratory and critical care medicine2016

Dysregulation of Antiviral Function of CD8(+) T Cells in the Chronic Obstructive Pulmonary Disease Lung. Role of the PD-1-PD-L1 Axis.

Richard T McKendry, C Mirella Spalluto, Hannah Burke, Ben Nicholas, Doriana Cellura, Aymen Al-Shamkhani, Karl J Staples, Tom M A Wilkinson

Abstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 138 citations in OpenAlex.

  1. The role of CD8 + T lymphocytes in chronic obstructive pulmonary disease: a systematic review.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2021
    Pooled it
  2. Nemiralisib in Patients with an Acute Exacerbation of COPD: Placebo-Controlled, Dose-Ranging Study.International journal of chronic obstructive pulmonary disease · 2021
    Trial
  3. Review
  4. Article
  5. Hallmarks of the ageing lung: 10 years later.The European respiratory journal · 2026
    Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. Review
  12. Article
  13. Viruses in bronchiectasis.ERJ open research · 2025
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Review
  19. PD-L1: From cancer immunotherapy to therapeutic implications in multiple disorders.Molecular therapy : the journal of the American Society of Gene Therapy · 2024
    Review
  20. Article

25 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Richard T McKendry1 University of Southampton Faculty of Medicine, Sir Henry Wellcome Laboratories, and.
C Mirella Spalluto1 University of Southampton Faculty of Medicine, Sir Henry Wellcome Laboratories, and.
Hannah Burke1 University of Southampton Faculty of Medicine, Sir Henry Wellcome Laboratories, and.
Ben Nicholas1 University of Southampton Faculty of Medicine, Sir Henry Wellcome Laboratories, and.
Doriana Cellura1 University of Southampton Faculty of Medicine, Sir Henry Wellcome Laboratories, and.
Aymen Al-Shamkhani1 University of Southampton Faculty of Medicine, Sir Henry Wellcome Laboratories, and.
Karl J Staples1 University of Southampton Faculty of Medicine, Sir Henry Wellcome Laboratories, and.
Tom M A Wilkinson1 University of Southampton Faculty of Medicine, Sir Henry Wellcome Laboratories, and.
Southampton General Hospital · GB

Funding

Cancer Research UK 13211Cancer Research UK 19502Cancer Research UK 21621Medical Research Council
6 · The paper itself

Abstract

rationalePatients with chronic obstructive pulmonary disease (COPD) are susceptible to respiratory viral infections that cause exacerbations. The mechanisms underlying this susceptibility are not understood. Effectors of the adaptive immune response-CD8(+) T cells that clear viral infections-are present in increased numbers in the lungs of patients with COPD, but they fail to protect against infection and may contribute to the immunopathology of the disease.

objectivesCD8(+) function and signaling through the programmed cell death protein (PD)-1 exhaustion pathway were investigated as a potential key mechanism of viral exacerbation of the COPD lung.

methodsTissue from control subjects and patients with COPD undergoing lung resection was infected with live influenza virus ex vivo. Viral infection and expression of lung cell markers were analyzed using flow cytometry. MEASUREMENTS AND MAIN

resultsThe proportion of lung CD8(+) T cells expressing PD-1 was greater in COPD (mean, 16.2%) than in controls (4.4%, P = 0.029). Only epithelial cells and macrophages were infected with influenza, and there was no difference in the proportion of infected cells between controls and COPD. Infection up-regulated T-cell PD-1 expression in control and COPD samples. Concurrently, influenza significantly up-regulated the marker of cytotoxic degranulation (CD107a) on CD8(+) T cells (P = 0.03) from control subjects but not on those from patients with COPD. Virus-induced expression of the ligand PD-L1 was decreased on COPD macrophages (P = 0.04) with a corresponding increase in IFN-γ release from infected COPD explants compared with controls (P = 0.04).

conclusionsThis study has established a signal of cytotoxic immune dysfunction and aberrant immune regulation in the COPD lung that may explain both the susceptibility to viral infection and the excessive inflammation associated with exacerbations.

Indexed as

AgedCD8-Positive T-LymphocytesFemaleFlow CytometryHumansInfluenza, HumanLungMaleMiddle AgedProgrammed Cell Death 1 ReceptorPulmonary Disease, Chronic ObstructiveSignal TransductionUp-RegulationPDCD1 protein, humanProgrammed Cell Death 1 Receptorchronic obstructive pulmonary diseasemacrophagePD-1T cellviral infection

Identifiers

PMID26517304
PMCPMC4824936
OpenAlexW2298641969

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.