Evidence map›Paper›PMID 29040318›Full record

ArticlePloS one2017

Rapid reversal of innate immune dysregulation in blood of patients and livers of humanized mice with HCV following DAA therapy.

Matthew A Burchill, Justin A Roby, Nanette Crochet, Megan Wind-Rotolo, Amy E Stone, Michael G Edwards, Rachael J Dran, Michael S Kriss, Michael Gale, Hugo R Rosen

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04244383 (Expression of Inflammasomes in HCV Patients Before and After Treatment), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.5field-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.

NCT04244383 phase4unknown statusnot on this mapstarted 2020, after this paper: background citation

Expression of Inflammasomes in HCV Patients Before and After Treatment

TypeinterventionalSponsorAssiut UniversityRan2020 to 2020Enrolled50ConditionsHepatitis CArmsinterleukin IL-1beta and interleukin IL-18
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 37 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

10 authors at 4 institutions in 1 country.

Matthew A BurchillDivision of Gastroenterology and Hepatology, Hepatitis C Center, Department of Medicine, University of Colorado Denver (UCD), Aurora, Colorado, United States of America.
Justin A RobyCenter for Innate Immunity and Immune Disease, University of Washington, Seattle, Washington, United States of America.
Nanette CrochetCenter for Innate Immunity and Immune Disease, University of Washington, Seattle, Washington, United States of America.
Megan Wind-RotoloBristol-Myers Squibb, Exploratory Clinical and Translational Research, Lawrenceville, New Jersey, United States of America.
Amy E StoneCenter for Innate Immunity and Immune Disease, University of Washington, Seattle, Washington, United States of America.
Michael G EdwardsBioinfo Solutions LLC, Parker, Colorado, United States of America.
Rachael J DranDivision of Gastroenterology and Hepatology, Hepatitis C Center, Department of Medicine, University of Colorado Denver (UCD), Aurora, Colorado, United States of America.
Michael S KrissDivision of Gastroenterology and Hepatology, Hepatitis C Center, Department of Medicine, University of Colorado Denver (UCD), Aurora, Colorado, United States of America.
Michael GaleCenter for Innate Immunity and Immune Disease, University of Washington, Seattle, Washington, United States of America.
Hugo R RosenDivision of Gastroenterology and Hepatology, Hepatitis C Center, Department of Medicine, University of Colorado Denver (UCD), Aurora, Colorado, United States of America.ORCID http://orcid.org/0000-0002-1110-6914
University of Colorado Denver · USUniversity of Washington · USBristol-Myers Squibb (United States) · USParker Hannifin (United States) · US

Funding

Diseases of Public Health Importance Training GrantT32AI007509 · NIAID · UNIVERSITY OF WASHINGTON · PI LUND, JENNIFER M · 1997 to 2024
$6.3M
Mechanisms of hepatic innate immune activation by HCVR01AI127463 · NIAID · UNIVERSITY OF WASHINGTON · PI GALE, MICHAEL, ROSEN, HUGO RAMON · 2017 to 2021
$2.8M
The Host Response to Hepatitis C VirusR01AI118916 · NIAID · UNIVERSITY OF WASHINGTON · PI GALE, MICHAEL · 2016 to 2020
$2.5M
RESUBMISSION -R01 AI120622 –Restoration of Immunity and Function with DAA Treatment in HCV infectionR01AI120622 · NIAID · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROSEN, HUGO RAMON · 2017 to 2020
$1.6M
BLRD VA I01 BX002201NIAID NIH HHS R01 AI118916NIAID NIH HHS R01 AI120622NIAID NIH HHS R01 AI127463NIAID NIH HHS T32 AI007509
6 · The paper itself

Abstract

resultsFirst, in patients receiving two different combinations of DAAs, we found that DAAs induced not only rapid viral clearance, but also a re-setting of antiviral immune responses in the peripheral blood. Specifically, we see a rapid decline in the expression of genes associated with chronic IFN stimulation (IFIT3, USP18, IFIT1) as well as a rapid decline in genes associated with inflammation (IL1β, CXCL10, CXCL11) in the peripheral blood that precedes the complete removal of virus from the blood. Interestingly, this rapid reversal of innate immune activation was not seen in patients who successfully clear chronic HCV infection using IFN-based therapy. Next, using a novel humanized mouse model (Fah-/-RAG2-/-IL2rgnull-FRG), we assessed the changes that occur in the hepatic tissue following DAA treatment. DAA-mediated rapid HCV clearance resulted in blunting of the expression of proinflammatory responses while functionally restoring the RIG-I/MAVS axis in the liver of humanized mice.

conclusionsCollectively, our data demonstrate that the rapid viral clearance following treatment with DAAs results in the rebalancing of innate antiviral response in both the peripheral blood and the liver as well as enhanced antiviral signaling within previously infected hepatocytes.

Indexed as

AgedAnimalsAntiviral AgentsBenzazepinesCarbamatesDisease Models, AnimalFemaleGene Expression RegulationHepacivirusHepatitis C, ChronicHepatocytesHumansImidazolesImmunity, InnateIndolesInflammation8-cyclohexyl-N-((dimethylamino)sulfonyl)-1,1a,2,12b-tetrahydro-11-methoxy-1a-((3-methyl-3,8-diazabicyclo(3.2.1)oct-8-yl)carbonyl)cycloprop(d)indolo(2,1-a)(2)benzazepine-5-carboxamideAntiviral AgentsasunaprevirBenzazepinesCarbamatesdaclatasvirImidazolesIndolesIsoquinolinesPyrrolidinesSulfonamidesValine

Identifiers

PMID29040318
PMCPMC5645093
OpenAlexW2765620497

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.