Evidence map›Paper›PMID 27484705›Full record

ArticleJournal of translational medicine2016

Rapid reconstitution of CD4 T cells and NK cells protects against CMV-reactivation after allogeneic stem cell transplantation.

Julia Drylewicz, Ingrid M M Schellens, Rogier Gaiser, Nening M Nanlohy, Esther D Quakkelaar, Henny Otten, Suzanne van Dorp, Ronald Jacobi, Leonie Ran, Sanne Spijkers and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 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
2.6field-weighted citation impact, top 10% 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, 36 citations in OpenAlex.

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  16. Comprehensive Analysis of CD4Frontiers in immunology · 2020
    Article
  17. Rapid Acquisition of Cytomegalovirus-Specific T Cells with a Differentiated Phenotype, in Nonviremic Hematopoietic Stem Transplant Recipients Vaccinated with CMVPepVax.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
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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

16 authors at 5 institutions in 1 country.

Julia DrylewiczLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Ingrid M M SchellensLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Rogier GaiserLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Nening M NanlohyLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Esther D QuakkelaarLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Henny OttenLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Suzanne van DorpLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Ronald JacobiLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Leonie RanLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Sanne SpijkersLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Dan KoningLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Rob SchuurmanDepartment of Virology, Utrecht, The Netherlands.
Ellen MeijerDepartment of Haematology, VUMC, Amsterdam, The Netherlands.
Floortje L PietersmaLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Jurgen KuballLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands.
Debbie van BaarleLaboratory of Translational Immunology, Department of Immunology, Utrecht, The Netherlands. Debbie.van.baarle@rivm.nl.
Center for Translational Molecular Medicine · NLUtrecht University · NLAmsterdam UMC Location VUmc · NLUniversity Medical Center Utrecht · NLVirology Education · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEpstein-Barr virus and Cytomegalovirus reactivations frequently occur after allogeneic stem cell transplantation (SCT).

methodsHere we investigated the role of immune cell reconstitution in the onset and subsequent severity of EBV- and CMV-reactivation. To this end, 116 patients were prospectively sampled for absolute T cell (CD4 and CD8), B-cell (CD19) and NK-cell (CD16 and CD56) numbers weekly post-SCT during the first 3 months and thereafter monthly until 6 months post-SCT. Viral load was monitored in parallel.

resultsIn contrast to the general belief, we found that early T-cell reconstitution does not play a role in the onset of viral reactivation. CMV reactivation in the first 7 weeks after SCT however resulted in higher absolute CD8(+) T-cell numbers 6 months post-SCT in patients with high-level reactivation, many of which were CMV-specific. Interestingly, rapid reconstitution of CD4(+) T-cells, as well as NK cells and the presence of donor KIR3DL1, are associated with the absence of CMV-reactivation after SCT, suggestive of a protective role of these cells. In contrast, EBV-reactivations were not affected in any way by the level of immune reconstitution after SCT.

conclusionIn conclusion, these data suggest that CD4(+) T-cells and NK cells, rather than CD8(+) T-cells, are associated with protection against CMV-reactivation.

Indexed as

CytoprotectionStem Cell TransplantationAdolescentAdultAgedCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCytomegalovirusFemaleHumansKiller Cells, NaturalLongitudinal StudiesMaleMiddle AgedPrognosisProportional Hazards ModelsKIR3DL1 protein, humanReceptors, KIR3DL1CMVEBVImmune reconstitutionStem cell transplantation

Identifiers

PMID27484705
PMCPMC4971638
OpenAlexW2481121027

What OpenQuestion holds

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LicenceCC BY
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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.