Evidence map›Paper›PMID 28899983›Full record

ArticleGut2018

Regulatory NK cells mediated between immunosuppressive monocytes and dysfunctional T cells in chronic HBV infection.

Haijun Li, Naicui Zhai, Zhongfeng Wang, Hongxiao Song, Yang Yang, An Cui, Tianyang Li, Guangyi Wang, Junqi Niu, Ian Nicholas Crispe and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 4% 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

87 citing papers in PubMed, 1 synthesis or guideline pooled it, 156 citations in OpenAlex.

  1. Pooled it
  2. Restoration of HBV-specific CD8Signal transduction and targeted therapy · 2021
    Trial
  3. Occult hepatitis B virus infection.Nature reviews. Gastroenterology & hepatology · 2026
    Review
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  8. Review
  9. Article
  10. Emerging nanomedicine for liver diseases treatment.Journal of nanobiotechnology · 2025
    Review
  11. The role of PD‑1/PD‑L1 axis in liver diseases.Clinical and experimental medicine · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Unveiling low level viremia in chronic hepatitis B: challenges and new horizons.Frontiers in cellular and infection microbiology · 2025
    Review
  20. Review

27 more citing papers are in PubMed but not listed here.

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

12 authors at 2 institutions in 2 countries.

Haijun LiInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
Naicui ZhaiInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
Zhongfeng WangInstitute of Liver Diseases, The First Hospital, Jilin University, Changchun, China.
Hongxiao SongInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
Yang YangInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
An CuiInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
Tianyang LiInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
Guangyi WangDepartment of Liver and Gall Surgery, The First Hospital, Jilin University, Changchun, China.
Junqi NiuInstitute of Liver Diseases, The First Hospital, Jilin University, Changchun, China.
Ian Nicholas CrispeInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
Lishan SuInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
Zhengkun TuInstitute of Translational Medicine, The First Hospital, Jilin University, Changchun, China.
First Hospital of Jilin University · CNJilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsHBV infection represents a major health problem worldwide, but the immunological mechanisms by which HBV causes chronic persistent infection remain only partly understood. Recently, cell subsets with suppressive features have been recognised among monocytes and natural killer (NK) cells. Here we examine the effects of HBV on monocytes and NK cells.

methodsMonocytes and NK cells derived from chronic HBV-infected patients and healthy controls were purified and characterised for phenotype, gene expression and cytokines secretion by flow cytometry, quantitative real-time (qRT)-PCR, ELISA and western blotting. Culture and coculture of monocytes and NK cells were used to determine NK cell activation, using intracellular cytokines staining.

resultsIn chronic HBV infection, monocytes express higher levels of PD-L1, HLA-E, interleukin (IL)-10 and TGF-β, and NK cells express higher levels of PD-1, CD94 and IL-10, compared with healthy individuals. HBV employs hepatitis B surface antigen (HBsAg) to induce suppressive monocytes with HLA-E, PD-L1, IL-10 and TGF-β expression via the MyD88/NFκB signalling pathway. HBV-treated monocytes induce NK cells to produce IL-10, via PD-L1 and HLA-E signals. Such NK cells inhibit autologous T cell activation.

conclusionsOur findings reveal an immunosuppressive cascade, in which HBV generates suppressive monocytes, which initiate regulatory NK cells differentiation resulting in T cell inhibition.

Indexed as

AdultAgedBlotting, Far-WesternCell Culture TechniquesCytokinesEnzyme-Linked Immunosorbent AssayFemaleFlow CytometryHepatitis B, ChronicHepatitis B virusHumansImmune ToleranceKiller Cells, NaturalLymphocyte ActivationMaleMiddle AgedCytokinesHBVHLA-EmonocytesPD-L1regulatory NK cells

Identifiers

PMID28899983
PMCPMC6176520
OpenAlexW2755711848

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.