Evidence map›Paper›PMID 27468085›Full record

ArticlePloS one2016

B-Cell Dysregulation in Crohn's Disease Is Partially Restored with Infliximab Therapy.

Wilhelmina M C Timmermans, Jan A M van Laar, Tim B van der Houwen, Lieke S J Kamphuis, Sophinus J W Bartol, King H Lam, Rob J Ouwendijk, Miles P Sparrow, Peter R Gibson, P Martin van Hagen and 1 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
4.8field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 51 citations in OpenAlex.

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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

11 authors at 3 institutions in 2 countries.

Wilhelmina M C TimmermansDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Jan A M van LaarDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Tim B van der HouwenDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Lieke S J KamphuisDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Sophinus J W BartolDepartment of Immunology, Erasmus MC, Rotterdam, The Netherlands.
King H LamDepartment of Pathology, Erasmus MC, Rotterdam, The Netherlands.
Rob J OuwendijkDepartment of Gastroenterology, Ikazia Hospital, Rotterdam, The Netherlands.
Miles P SparrowDepartment of Gastroenterology, Alfred Hospital, Monash University and Alfred Health, Melbourne, VIC, Australia.
Peter R GibsonDepartment of Gastroenterology, Alfred Hospital, Monash University and Alfred Health, Melbourne, VIC, Australia.
P Martin van HagenDepartment of Internal Medicine, Erasmus MC, Rotterdam, The Netherlands.
Menno C van ZelmDepartment of Immunology, Erasmus MC, Rotterdam, The Netherlands.ORCID http://orcid.org/0000-0003-4161-1919
Erasmus MC · NLThe Alfred Hospital · AUIkazia Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundB-cell depletion can improve a variety of chronic inflammatory diseases, but does not appear beneficial for patients with Crohn's disease.

objectiveTo elucidate the involvement of B cells in Crohn's disease, we here performed an 'in depth' analysis of intestinal and blood B-cells in this chronic inflammatory disease.

methodsPatients with Crohn's disease were recruited to study B-cell infiltrates in intestinal biopsies (n = 5), serum immunoglobulin levels and the phenotype and molecular characteristics of blood B-cell subsets (n = 21). The effects of infliximab treatment were studied in 9 patients.

resultsGranulomatous tissue showed infiltrates of B lymphocytes rather than Ig-secreting plasma cells. Circulating transitional B cells and CD21low B cells were elevated. IgM memory B cells were reduced and natural effector cells showed decreased replication histories and somatic hypermutation (SHM) levels. In contrast, IgG and IgA memory B cells were normally present and their Ig gene transcripts carried increased SHM levels. The numbers of transitional and natural effector cells were normal in patients who responded clinically well to infliximab.

conclusionsB cells in patients with Crohn's disease showed signs of chronic stimulation with localization to granulomatous tissue and increased molecular maturation of IgA and IgG. Therapy with TNFα-blockers restored the defect in IgM memory B-cell generation and normalized transitional B-cell levels, making these subsets candidate markers for treatment monitoring. Together, these results suggest a chronic, aberrant B-cell response in patients with Crohn's disease, which could be targeted with new therapeutics that specifically regulate B-cell function.

Indexed as

AdultB-LymphocytesCrohn DiseaseFemaleHumansInfliximabMaleMiddle AgedYoung AdultInfliximab

Identifiers

PMID27468085
PMCPMC4965034
OpenAlexW2485257959

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.