Evidence map›Paper›PMID 30439406›Full record

ArticleThe Journal of allergy and clinical immunology2019

Loss of an IgG plasma cell checkpoint in patients with lupus.

Jolien Suurmond, Yemil Atisha-Fregoso, Emiliano Marasco, Ashley N Barlev, Naveed Ahmed, Silvia A Calderon, Mei Yin Wong, Meggan C Mackay, Cynthia Aranow, Betty Diamond

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

29 citing papers in PubMed, 61 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 4 countries.

Jolien SuurmondCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY.
Yemil Atisha-FregosoCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY; Tecnologico de Monterrey, Monterrey, Mexico.
Emiliano MarascoCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY; Division of Rheumatology, Ospedale Pediatrico Bambino Gesù IRCCS, Rome, Italy.
Ashley N BarlevCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY.
Naveed AhmedCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY; College of Osteopathic Medicine, New York Institute of Technology, Old Westbury, NY.
Silvia A CalderonCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY.
Mei Yin WongCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY; School of Clinical Medicine, University of Cambridge, Cambridge, United Kingdom.
Meggan C MackayCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY.
Cynthia AranowCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY.
Betty DiamondCenter of Autoimmune Musculoskeletal and Hematopoietic Diseases, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY. Electronic address: bdiamond@northwell.edu.
Feinstein Institute for Medical Research · USNorthwell Health · USIstituti di Ricovero e Cura a Carattere Scientifico · ITTecnológico de Monterrey · MX

Funding

The Monoclonal Antibody and Reagent CoreP01AI073693 · NIAID · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI Czeslawa Helena Kowal · 2008 to 2026
$45.8M
Targeting cognitive and immune impairment in sepsis survivorsP01AI102852 · NIAID · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI VOLPE, BRUCE THOMAS · 2014 to 2018
$11.5M
NIAID NIH HHS P01 AI073693NIAID NIH HHS P01 AI102852
6 · The paper itself

Abstract

backgroundIgG antinuclear antibodies (ANAs) are a feature of several autoimmune diseases. These antibodies arise through defects in central or peripheral tolerance checkpoints. The specific checkpoints breached in patients with autoimmune disease are not fully understood.

objectivesWe sought to study whether autoreactive plasma cells in lupus models and patients with systemic lupus erythematosus (SLE) arise as a consequence of defective antigen-specific selection or a global enhancement of IgG plasma cell differentiation.

methodsWe optimized and validated a novel technique to detect naturally occurring ANA

resultsWe observed a major checkpoint for generation of ANA

conclusionUsing a method that permits quick and accurate quantification of autoreactive B cells and plasma cells in vivo within a native B-cell repertoire in mice and human subjects, we demonstrate the importance of a checkpoint that restricts the generation of IgG plasma cells and protects against IgG ANAs. Our observations suggest a fundamentally revised understanding of SLE: that it is a disease of aberrant B-cell differentiation rather than a defect in antigen-specific B-cell tolerance.

Indexed as

AnimalsAntibodies, AntinuclearAutoantigensAutoimmunityCell DifferentiationFemaleFlow CytometryHumansImmune ToleranceImmunoglobulin GLupus Erythematosus, SystemicLymphocyte ActivationMaleMicePlasma CellsAntibodies, AntinuclearAutoantigensImmunoglobulin GautoimmunityPlasma cellssystemic lupus erythematosustolerance

Identifiers

PMID30439406
PMCPMC6451885
OpenAlexW2901239201

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.