Evidence map›Paper›PMID 29247724›Full record

ArticleJournal of hepatology2018

Anti-HBV response to toll-like receptor 7 agonist GS-9620 is associated with intrahepatic aggregates of T cells and B cells.

Li Li, Vivian Barry, Stephane Daffis, Congrong Niu, Erik Huntzicker, Dorothy M French, Igor Mikaelian, Robert E Lanford, William E Delaney, Simon P Fletcher

Open access · greenAbstract read
In one paragraph

Article in Journal of hepatology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

38 citing papers in PubMed, 57 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Li LiGilead Sciences, Inc., Foster City, CA, USA.
Vivian BarryGilead Sciences, Inc., Foster City, CA, USA.
Stephane DaffisGilead Sciences, Inc., Foster City, CA, USA.
Congrong NiuGilead Sciences, Inc., Foster City, CA, USA.
Erik HuntzickerGilead Sciences, Inc., Foster City, CA, USA.
Dorothy M FrenchGilead Sciences, Inc., Foster City, CA, USA.
Igor MikaelianGilead Sciences, Inc., Foster City, CA, USA.
Robert E LanfordSouthwest National Primate Research Center, Texas Biomedical Research Institute, San Antonio, TX, USA.
William E DelaneyGilead Sciences, Inc., Foster City, CA, USA.
Simon P FletcherGilead Sciences, Inc., Foster City, CA, USA. Electronic address: simon.fletcher@gilead.com.
Gilead Sciences (United States) · USTexas Biomedical Research Institute · US

Funding

The Southwest National Primate Research Center Supplement- Infrastructure improvements of ABSL2 holding areasP51OD011133 · OD · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI Larry S. Schlesinger · 2012 to 2026
$129.7M
Viral Testing CoreU42OD010442 · OD · TEXAS BIOMEDICAL RESEARCH INSTITUTE · PI Smriti Mehra · 2012 to 2026
$35.6M
NIH HHS P51 OD011133NIH HHS U42 OD010442
6 · The paper itself

Abstract

BACKGROUND &

aimsGS-9620, an oral agonist of toll-like receptor 7, is in clinical development for the treatment of chronic hepatitis B (CHB). GS-9620 was previously shown to induce prolonged suppression of serum viral DNA and antigens in the chimpanzee and woodchuck models of CHB. Herein, we investigated the immunomodulatory mechanisms underlying these antiviral effects.

methodsArchived liver biopsies and paired peripheral blood mononuclear cell samples from a previous chimpanzee study were analyzed by RNA sequencing, quantitative reverse transcription PCR, immunohistochemistry (IHC) and in situ hybridization (ISH).

resultsGS-9620 treatment of CHB chimpanzees induced an intrahepatic transcriptional profile significantly enriched with genes associated with hepatitis B virus (HBV) clearance in acutely infected chimpanzees. Type I and II interferon, CD8

conclusionThe antiviral response to GS-9620 treatment in CHB chimpanzees was associated with an intrahepatic interferon response and formation of lymphoid aggregates in the liver. Our data indicate these intrahepatic structures are not fully differentiated follicles containing germinal center reactions. However, the temporal correlation between development of these T and B cell aggregates and the antiviral response to treatment suggests they play a role in promoting an effective immune response against HBV. LAY SUMMARY: New therapies to treat chronic hepatitis B (CHB) are urgently needed. In this study we performed a retrospective analysis of liver and blood samples from a chimpanzee model of CHB to help understand how GS-9620, a drug in clinical trials, suppressed hepatitis B virus (HBV). We found that the antiviral response to GS-9620 was associated with accumulation of immune cells in the liver that can either kill cells infected with HBV or can produce antibodies that may prevent HBV from infecting new liver cells. These findings have important implications for how GS-9620 may be used in patients and may also help guide the development of new therapies to treat chronic HBV infection.

Indexed as

AnimalsAntiviral AgentsB-LymphocytesCD8-Positive T-LymphocytesCell AggregationDisease Models, AnimalGene Expression ProfilingHepatitis B, ChronicHumansLiverPan troglodytesPteridinesToll-Like Receptor 7Antiviral AgentsPteridinesToll-Like Receptor 7vesatolimodB cellCD8 T cellChimpanzee animal modelHepatitis B virusImmunomodulationInterferon-alphaInterferon-stimulated geneLymphocyte aggregateNK cellTertiary lymphoid structureTLR7

Identifiers

PMID29247724
PMCPMC9940657
OpenAlexW2773894617

What OpenQuestion holds

Textmetadata
LicenceTDM
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.