Evidence map›Paper›PMID 30091725›Full record

Trial reportThe Journal of clinical investigation2018

Circulating and intrahepatic antiviral B cells are defective in hepatitis B.

Alice R Burton, Laura J Pallett, Laura E McCoy, Kornelija Suveizdyte, Oliver E Amin, Leo Swadling, Elena Alberts, Brian R Davidson, Patrick Tf Kennedy, Upkar S Gill and 4 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 202 papers.

0numbers the graph read from it
0cells of the map it votes in
202citing papers in PubMed
21.6field-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

202 citing papers in PubMed, 313 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. High Frequency of Circulating IL-4RJournal of clinical and translational hepatology · 2026
    Article
  5. Occult hepatitis B virus infection.Nature reviews. Gastroenterology & hepatology · 2026
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Human CD21Journal of human immunity · 2026
    Review
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Chronic infection perturbs the affinity hierarchy of antiviral B cells.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 3 countries.

Alice R BurtonDivision of Infection and Immunity, Institute of Immunity and Transplantation, and.
Laura J PallettDivision of Infection and Immunity, Institute of Immunity and Transplantation, and.
Laura E McCoyDivision of Infection and Immunity, Institute of Immunity and Transplantation, and.
Kornelija SuveizdyteDivision of Infection and Immunity, Institute of Immunity and Transplantation, and.
Oliver E AminDivision of Infection and Immunity, Institute of Immunity and Transplantation, and.
Leo SwadlingDivision of Infection and Immunity, Institute of Immunity and Transplantation, and.
Elena AlbertsDivision of Infection and Immunity, Institute of Immunity and Transplantation, and.
Brian R DavidsonDepartment of Surgery, University College London, London, United Kingdom.
Patrick Tf KennedyCentre for Immunobiology, Barts and the London, London, United Kingdom.
Upkar S GillCentre for Immunobiology, Barts and the London, London, United Kingdom.
Claudia MauriDivision of Medicine, University College London, London, United Kingdom.
Paul A BlairDivision of Medicine, University College London, London, United Kingdom.
Nadege PelletierRoche Innovation Center, Basel, Switzerland.
Mala K MainiDivision of Infection and Immunity, Institute of Immunity and Transplantation, and.
Institute of Infection and Immunity · CAUniversity College London · GBQueen Mary University of London · GBRoche (Switzerland) · CH

Funding

Medical Research Council G0801213Medical Research Council MR/R008698/1MRF_ MRF-044-0001-RG-SWADL
6 · The paper itself

Abstract

B cells are increasingly recognized as playing an important role in the ongoing control of hepatitis B virus (HBV). The development of antibodies against the viral surface antigen (HBV surface antigen [HBsAgs]) constitutes the hallmark of resolution of acute infection and is a therapeutic goal for functional cure of chronic HBV (CHB). We characterized B cells directly ex vivo from the blood and liver of patients with CHB to investigate constraints on their antiviral potential. Unexpectedly, we found that HBsAg-specific B cells persisted in the blood and liver of many patients with CHB and were enriched for T-bet, a signature of antiviral potential in B cells. However, purified, differentiated HBsAg-specific B cells from patients with CHB had defective antibody production, consistent with undetectable anti-HBs antibodies in vivo. HBsAg-specific and global B cells had an accumulation of CD21-CD27- atypical memory B cells (atMBC) with high expression of inhibitory receptors, including PD-1. These atMBC demonstrated altered signaling, homing, differentiation into antibody-producing cells, survival, and antiviral/proinflammatory cytokine production that could be partially rescued by PD-1 blockade. Analysis of B cells within healthy and HBV-infected livers implicated the combination of this tolerogenic niche and HBV infection in driving PD-1hiatMBC and impairing B cell immunity.

Indexed as

Lymphocyte ActivationAdultAgedB-LymphocytesFemaleHepatitis B AntibodiesHepatitis B, ChronicHepatitis B Surface AntigensHepatitis B virusHumansLiverMaleMiddle AgedHepatitis B AntibodiesHepatitis B Surface AntigensB cellsHepatitisImmunologyInfectious diseaseTolerance

Identifiers

PMID30091725
PMCPMC6159997
OpenAlexW2886930165

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.