Evidence map›Paper›PMID 26969086›Full record

ArticleHaematologica2016

A distinct plasmablast and naïve B-cell phenotype in primary immune thrombocytopenia.

Shaun M Flint, Adele Gibson, Geoff Lucas, Raghava Nandigam, Louise Taylor, Drew Provan, Adrian C Newland, Caroline O Savage, Robert B Henderson

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Increasing numbers of CD19 + CD24International journal of hematology · 2021
    Article
  6. Article
  7. Serum B-Cell Maturation Antigen (BCMA) Levels Differentiate Primary Antibody Deficiencies.The journal of allergy and clinical immunology. In practice · 2020
    Article
  8. Article
  9. Article
  10. The Extensive Regulation of MicroRNA in Immune Thrombocytopenia.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Review
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

9 authors at 5 institutions in 1 country.

Shaun M FlintImmunoinflammation TAU, GSK, Stevenage, London, UK Department of Medicine, University of Cambridge, London, UK.
Adele GibsonImmunoinflammation TAU, GSK, Stevenage, London, UK.
Geoff LucasHistocompatibility and Immunogenetics Laboratory, NHS Blood & Transplant, London, UK.
Raghava NandigamDepartment of Haematology, Royal London Hospital, London, UK.
Louise TaylorDepartment of Haematology, Royal London Hospital, London, UK.
Drew ProvanDepartment of Haematology, Royal London Hospital, London, UK.
Adrian C NewlandBarts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Caroline O SavageImmunoinflammation TAU, GSK, Stevenage, London, UK.
Robert B HendersonImmunoinflammation TAU, GSK, Stevenage, London, UK robbie.b.henderson@gsk.com.
Age UK · GBRoyal London Hospital · GBNHS Blood and Transplant · GBQueen Mary University of London · GBUniversity of Cambridge · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Primary immune thrombocytopenia is an autoimmune disorder in which platelet destruction is a consequence of both B- and T-cell dysregulation. Flow cytometry was used to further characterize the B- and T-cell compartments in a cross-sectional cohort of 26 immune thrombocytopenia patients including antiplatelet antibody positive (n=14) and negative (n=12) patients exposed to a range of therapies, and a cohort of matched healthy volunteers. Markers for B-cell activating factor and its receptors, relevant B-cell activation markers (CD95 and CD21) and markers for CD4(+) T-cell subsets, including circulating T-follicular helper-like cells, were included. Our results indicate that an expanded population of CD95(+) naïve B cells correlated with disease activity in immune thrombocytopenia patients regardless of treatment status. A population of CD21-naïve B cells was specifically expanded in autoantibody-positive immune thrombocytopenia patients. Furthermore, the B-cell maturation antigen, a receptor for B-cell activating factor, was consistently and strongly up-regulated on plasmablasts from immune thrombocytopenia patients. These observations have parallels in other autoantibody-mediated diseases and suggest that loss of peripheral tolerance in naïve B cells may be an important component of immune thrombocytopenia pathogenesis. Moreover, the B-cell maturation antigen represents a potential target for plasma cell directed therapies in immune thrombocytopenia.

Indexed as

PhenotypeAdultAutoantibodiesB-Cell Activating FactorBiomarkersBlood PlateletsB-LymphocytesB-Lymphocyte SubsetsCase-Control StudiesCross-Sectional StudiesFemaleHumansImmunophenotypingMaleMiddle AgedPlasma CellsAutoantibodiesB-Cell Activating FactorBiomarkers

Identifiers

PMID26969086
PMCPMC5013956
OpenAlexW2297345677

What OpenQuestion holds

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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.