Evidence map›Paper›PMID 29293660›Full record

ArticlePLoS pathogens2018

Memory CD8 T cells mediate severe immunopathology following respiratory syncytial virus infection.

Megan E Schmidt, Cory J Knudson, Stacey M Hartwig, Lecia L Pewe, David K Meyerholz, Ryan A Langlois, John T Harty, Steven M Varga

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed
12.2field-weighted citation impact, top 1% 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

93 citing papers in PubMed, 116 citations in OpenAlex.

  1. Article
  2. Review
  3. The ageing immune system and its battle with viruses.The Journal of general virology · 2026
    Review
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  5. Review
  6. Review
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  9. Prophylactic monoclonal antibodies against respiratory syncytial virus in early life: An in-depth review of mechanisms of action, failure factors, and future perspectives.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
  10. Article
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  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Notch transcriptional target tmtc1 maintains vascular homeostasis.Cellular and molecular life sciences : CMLS · 2024
    Article
  18. Article
  19. Article
  20. Article

33 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

8 authors at 2 institutions in 1 country.

Megan E SchmidtInterdisciplinary Graduate Program in Immunology, University of Iowa, Iowa City, Iowa, United States of America.
Cory J KnudsonInterdisciplinary Graduate Program in Immunology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-1229-7732
Stacey M HartwigDepartment of Microbiology and Immunology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0002-4220-113X
Lecia L PeweDepartment of Microbiology and Immunology, University of Iowa, Iowa City, Iowa, United States of America.
David K MeyerholzDepartment of Pathology, University of Iowa, Iowa City, Iowa, United States of America.
Ryan A LangloisDepartment of Microbiology and Immunology, University of Minnesota, Minneapolis, Minnesota, United States of America.
John T HartyInterdisciplinary Graduate Program in Immunology, University of Iowa, Iowa City, Iowa, United States of America.
Steven M VargaInterdisciplinary Graduate Program in Immunology, University of Iowa, Iowa City, Iowa, United States of America.ORCID 0000-0001-7332-4290
University of Iowa · USUniversity of Minnesota · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
Vector Core-Core 2P30DK054759 · NIDDK · UNIVERSITY OF IOWA · PI Alejandro Antonio Pezzulo · 1998 to 2026
$30.5M
PREDOCTORAL TRAINING PROGRAM IN IMMUNOLOGYT32AI007485 · NIAID · UNIVERSITY OF IOWA · PI Kevin L Legge · 1995 to 2026
$5.4M
Balancing protection versus immunopathology by RSV-specific memory CD8 T cellsR01AI124093 · NIAID · UNIVERSITY OF IOWA · PI VARGA, STEVEN M · 2017 to 2020
$1.6M
NCI NIH HHS P30 CA086862NIAID NIH HHS R01 AI124093NIAID NIH HHS T32 AI007485NIDDK NIH HHS P30 DK054759
6 · The paper itself

Abstract

Memory CD8 T cells can provide protection from re-infection by respiratory viruses such as influenza and SARS. However, the relative contribution of memory CD8 T cells in providing protection against respiratory syncytial virus (RSV) infection is currently unclear. To address this knowledge gap, we utilized a prime-boost immunization approach to induce robust memory CD8 T cell responses in the absence of RSV-specific CD4 T cells and antibodies. Unexpectedly, RSV infection of mice with pre-existing CD8 T cell memory led to exacerbated weight loss, pulmonary disease, and lethal immunopathology. The exacerbated disease in immunized mice was not epitope-dependent and occurred despite a significant reduction in RSV viral titers. In addition, the lethal immunopathology was unique to the context of an RSV infection as mice were protected from a normally lethal challenge with a recombinant influenza virus expressing an RSV epitope. Memory CD8 T cells rapidly produced IFN-γ following RSV infection resulting in elevated protein levels in the lung and periphery. Neutralization of IFN-γ in the respiratory tract reduced morbidity and prevented mortality. These results demonstrate that in contrast to other respiratory viruses, RSV-specific memory CD8 T cells can induce lethal immunopathology despite mediating enhanced viral clearance.

Indexed as

Immunologic MemoryAnimalsCD8-Positive T-LymphocytesCells, CulturedFemaleHumansImmune System DiseasesMiceMice, Inbred BALB CRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsSeverity of Illness Index

Identifiers

PMID29293660
PMCPMC5766251
OpenAlexW2782068718

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.