Evidence map›Paper›PMID 26646713›Full record

ArticleClinical and experimental immunology2016

Extended B cell phenotype in patients with myalgic encephalomyelitis/chronic fatigue syndrome: a cross-sectional study.

F Mensah, A Bansal, S Berkovitz, A Sharma, V Reddy, M J Leandro, G Cambridge

Open access · greenAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 35 citations in OpenAlex.

  1. Trial
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  6. Naturally acquired adaptive immunity toClinical & translational immunology · 2024
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  8. Frontiers in immunology · 2023
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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 2 institutions in 1 country.

F MensahDepartment of Rheumatology Research, Division of Medicine, University College of London.
A BansalDepartment of Immunology, Epsom and St Helier University Hospitals NHS Trust.
S BerkovitzDepartment of Neurology, Royal London Hospital of Integrated Medicine, London, UK.
A SharmaDepartment of Rheumatology Research, Division of Medicine, University College of London.
V ReddyDepartment of Rheumatology Research, Division of Medicine, University College of London.
M J LeandroDepartment of Rheumatology Research, Division of Medicine, University College of London.
G CambridgeDepartment of Rheumatology Research, Division of Medicine, University College of London.
Epsom and St Helier University Hospitals NHS Trust · GBRoyal London Hospital for Integrated Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a heterogeneous condition of unknown aetiology characterized by multiple symptoms including fatigue, post-exertional malaise and cognitive impairment, lasting for at least 6 months. Recently, two clinical trials of B cell depletion therapy with rituximab (anti-CD20) reported convincing improvement in symptoms. A possible but undefined role for B cells has therefore been proposed. Studies of the relative percentages of B cell subsets in patients with ME/CFS have not revealed any reproducible differences from healthy controls (HC). In order to explore whether more subtle alterations in B cell subsets related to B cell differentiation exist in ME/CFS patients we used flow cytometry to immunophenotype CD19⁺ B cells. The panel utilized immunoglobulin (Ig)D, CD27 and CD38 (classical B cell subsets) together with additional markers. A total of 38 patients fulfilling Canadian, Centre for Disease Control and Fukuda ME/CFS criteria and 32 age- and sex-matched HC were included. We found no difference in percentages of classical subsets between ME/CFS patients and HC. However, we observed an increase in frequency (P < 0·01) and expression (MFI; P = 0·03) of CD24 on total B cells, confined to IgD⁺ subsets. Within memory subsets, a higher frequency of CD21⁺ CD38⁻ B cells (> 20%) was associated with the presence of ME/CFS [odds ratio: 3·47 (1·15-10·46); P = 0·03] compared with HC, and there was a negative correlation with disease duration. In conclusion, we identified possible changes in B cell phenotype in patients with ME/CFS. These may reflect altered B cell function and, if confirmed in other patient cohorts, could provide a platform for studies based on clinical course or responsiveness to rituximab therapy.

Indexed as

AdolescentADP-ribosyl Cyclase 1AdultAgedAntigens, CD19Antigens, CD20BiomarkersB-Lymphocyte SubsetsCD24 AntigenCross-Sectional StudiesFatigue Syndrome, ChronicFemaleFlow CytometryHumansImmunoglobulin DImmunologic FactorsADP-ribosyl Cyclase 1Antigens, CD19Antigens, CD20BiomarkersCD24 AntigenCD24 protein, humanCD38 protein, humanImmunoglobulin DImmunologic FactorsMembrane GlycoproteinsReceptors, Complement 3dRituximabTumor Necrosis Factor Receptor Superfamily, Member 7B cellschronic fatigue syndromeflow cytometryhumanmyalgic encephalomyelitis

Identifiers

PMID26646713
PMCPMC4837232
OpenAlexW2195523718

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.