Evidence map›Paper›PMID 26795118›Full record

ArticlePLoS pathogens2016

Neuroinvasive West Nile Infection Elicits Elevated and Atypically Polarized T Cell Responses That Promote a Pathogenic Outcome.

Eddie A James, Theresa J Gates, Rebecca E LaFond, Shinobu Yamamoto, Chester Ni, Duy Mai, Vivian H Gersuk, Kimberly O'Brien, Quynh-Anh Nguyen, Brad Zeitner and 5 more

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.9field-weighted citation impact, top 6% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Japanese Encephalitis Virus-Infected Cells.Sub-cellular biochemistry · 2023
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Dynamics of Tissue-Specific CD8Journal of virology · 2018
    Article
  19. Article
  20. 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

15 authors at 3 institutions in 1 country.

Eddie A JamesBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Theresa J GatesBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Rebecca E LaFondBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Shinobu YamamotoBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Chester NiBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Duy MaiBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Vivian H GersukBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Kimberly O'BrienBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Quynh-Anh NguyenBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Brad ZeitnerBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Marion C LanteriBlood Systems Research Institute, San Francisco, California, United States of America.
Philip J NorrisBlood Systems Research Institute, San Francisco, California, United States of America.
Damien ChaussabelBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Uma MalhotraVirginia Mason Medical Center, Seattle, Washington, United States of America.
William W KwokBenaroya Research Institute at Virginia Mason, Seattle, Washington, United States of America.
Benaroya Research InstituteBlood Systems Research Institute · USVirginia Mason Medical Center · US

Funding

NIAID NIH HHS HHSN272200900043C
6 · The paper itself

Abstract

Most West Nile virus (WNV) infections are asymptomatic, but some lead to neuroinvasive disease with symptoms ranging from disorientation to paralysis and death. Evidence from animal models suggests that neuroinvasive infections may arise as a consequence of impaired immune protection. However, other data suggest that neurologic symptoms may arise as a consequence of immune mediated damage. We demonstrate that elevated immune responses are present in neuroinvasive disease by directly characterizing WNV-specific T cells in subjects with laboratory documented infections using human histocompatibility leukocyte antigen (HLA) class II tetramers. Subjects with neuroinvasive infections had higher overall numbers of WNV-specific T cells than those with asymptomatic infections. Independent of this, we also observed age related increases in WNV-specific T cell responses. Further analysis revealed that WNV-specific T cell responses included a population of atypically polarized CXCR3+CCR4+CCR6- T cells, whose presence was highly correlated with neuroinvasive disease. Moreover, a higher proportion of WNV-specific T cells in these subjects co-produced interferon-γ and interleukin 4 than those from asymptomatic subjects. More globally, subjects with neuroinvasive infections had reduced numbers of CD4+FoxP3+ Tregs that were CTLA4 positive and exhibited a distinct upregulated transcript profile that was absent in subjects with asymptomatic infections. Thus, subjects with neuroinvasive WNV infections exhibited elevated, dysregulated, and atypically polarized responses, suggesting that immune mediated damage may indeed contribute to pathogenic outcomes.

Indexed as

AdultAgedEpitopes, T-LymphocyteFemaleFlow CytometryHumansMaleMiddle AgedT-LymphocytesT-Lymphocyte SubsetsWest Nile FeverYoung AdultEpitopes, T-Lymphocyte

Identifiers

PMID26795118
PMCPMC4721872
OpenAlexW2284316999

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.