Evidence map›Paper›PMID 27031961›Full record

ArticleCell death & disease2016

Longitudinal characterization of dysfunctional T cell-activation during human acute Ebola infection.

C Agrati, C Castilletti, R Casetti, A Sacchi, L Falasca, F Turchi, N Tumino, V Bordoni, E Cimini, D Viola and 13 more

Open access · goldAbstract read
In one paragraph

Article in Cell death & disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
4.2field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
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  13. Hyperinflammation, apoptosis, and organ damage.Experimental biology and medicine (Maywood, N.J.) · 2022
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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

23 authors at 3 institutions in 4 countries.

C AgratiVirology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
C CastillettiVirology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
R CasettiCellular Immunology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
A SacchiCellular Immunology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
L FalascaMicroscopy Laboratory, INMI "L.Spallanzani", Rome, Italy.
F TurchiCellular Immunology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
N TuminoCellular Immunology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
V BordoniCellular Immunology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
E CiminiCellular Immunology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
D ViolaCellular Immunology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
E LalleVirology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
L BordiVirology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
S LaniniEpidemiology Division, INMI-IRCCS "L.Spallanzani", Rome, Italy.
F MartiniCellular Immunology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
E NicastriClinical Division, INMI-IRCCS "L.Spallanzani", Rome, Italy.
N PetrosilloClinical Division, INMI-IRCCS "L.Spallanzani", Rome, Italy.
V PuroEpidemiology Division, INMI-IRCCS "L.Spallanzani", Rome, Italy.
M PiacentiniMicroscopy Laboratory, INMI "L.Spallanzani", Rome, Italy.
A Di CaroVirology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
G P KobingerNational Laboratory for Zoonotic Diseases and Special Pathogens, Public Health Agency of Canada, Winnipeg, Canada.
A ZumlaDivision of Infection and Immunity, University College London, London, UK.
G IppolitoEpidemiology Division, INMI-IRCCS "L.Spallanzani", Rome, Italy.
M R CapobianchiVirology Laboratory, INMI-IRCCS "L.Spallanzani", Rome, Italy.
Istituto Nazionale per le Malattie Infettive Lazzaro Spallanzani · ITPublic Health Agency of Canada · CAUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Data on immune responses during human Ebola virus disease (EVD) are scanty, due to limitations imposed by biosafety requirements and logistics. A sustained activation of T-cells was recently described but functional studies during the acute phase of human EVD are still missing. Aim of this work was to evaluate the kinetics and functionality of T-cell subsets, as well as the expression of activation, autophagy, apoptosis and exhaustion markers during the acute phase of EVD until recovery. Two EVD patients admitted to the Italian National Institute for Infectious Diseases, Lazzaro Spallanzani, were sampled sequentially from soon after symptom onset until recovery and analyzed by flow cytometry and ELISpot assay. An early and sustained decrease of CD4 T-cells was seen in both patients, with an inversion of the CD4/CD8 ratio that was reverted during the recovery period. In parallel with the CD4 T-cell depletion, a massive T-cell activation occurred and was associated with autophagic/apoptotic phenotype, enhanced expression of the exhaustion marker PD-1 and impaired IFN-gamma production. The immunological impairment was accompanied by EBV reactivation. The association of an early and sustained dysfunctional T-cell activation in parallel to an overall CD4 T-cell decline may represent a previously unknown critical point of Ebola virus (EBOV)-induced immune subversion. The recent observation of late occurrence of EBOV-associated neurological disease highlights the importance to monitor the immuno-competence recovery at discharge as a tool to evaluate the risk of late sequelae associated with resumption of EBOV replication. Further studies are required to define the molecular mechanisms of EVD-driven activation/exhaustion and depletion of T-cells.

Indexed as

ADP-ribosyl Cyclase 1AdultAntibodies, MonoclonalApoptosisCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesEbolavirusEnzyme-Linked Immunospot Assayfas ReceptorFlow CytometryHemorrhagic Fever, EbolaHLA-DR AntigensHumansImmunohistochemistryInterferon-gammaLongitudinal StudiesADP-ribosyl Cyclase 1Antibodies, Monoclonalfas ReceptorHLA-DR AntigensInterferon-gammaPDCD1 protein, humanProgrammed Cell Death 1 ReceptorZMapp

Identifiers

PMID27031961
PMCPMC4823956
OpenAlexW2332226611

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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.