Evidence map›Paper›PMID 30442932›Full record

ArticleNature communications2018

Perforin inhibition protects from lethal endothelial damage during fulminant viral hepatitis.

M Welz, S Eickhoff, Z Abdullah, J Trebicka, K H Gartlan, J A Spicer, A J Demetris, H Akhlaghi, M Anton, K Manske and 7 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.4field-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

21 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Tissue Determinants of Antiviral Immunity in the Liver.Zeitschrift fur Gastroenterologie · 2025
    Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Review
  13. IFN-γCellular & molecular immunology · 2022
    Article
  14. Article
  15. Review
  16. Role of liver sinusoidal endothelial cells in liver diseases.Nature reviews. Gastroenterology & hepatology · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Review
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

17 authors at 8 institutions in 5 countries.

M WelzInstitute of Experimental Immunology, University Hospital, University of Bonn, 53127, Bonn, Germany.
S EickhoffInstitute of Experimental Immunology, University Hospital, University of Bonn, 53127, Bonn, Germany.
Z AbdullahInstitute of Experimental Immunology, University Hospital, University of Bonn, 53127, Bonn, Germany.
J TrebickaDepartment of Internal Medicine I, University of Bonn, Bonn, 53127, Germany.ORCID http://orcid.org/0000-0002-7028-3881
K H GartlanQIMR Berghofer Medical Research Institute, 300 Herston Road QLD, Herston, 4006, Australia.ORCID http://orcid.org/0000-0002-0343-1274
J A SpicerAuckland Cancer Society Research Centre, University of Auckland, Auckland, 92019, New Zealand.
A J DemetrisDepartment of Pathology, University of Pittsburgh, Pittsburgh, 15213, PA, USA.
H AkhlaghiPeter MacCallum Cancer Centre, Melbourne, 3000, VIC, Australia.
M AntonInstitute of Molecular Immunology and Experimental Oncology, Klinikum rechts der Isar, Technical University of Munich, München, 81675, Germany.
K ManskeInstitute of Molecular Immunology and Experimental Oncology, Klinikum rechts der Isar, Technical University of Munich, München, 81675, Germany.
D ZehnDivision of Animal Physiology and Immunology, School of Life Sciences Weihenstephan, Technical University of Munich, Weihenstephaner Berg 3, Freising, 85354, Germany.
B NieswandtInstitute of Experimental Biomedicine I, University of Wuerzburg, Wuerzburg, 97078, Germany.
C KurtsInstitute of Experimental Immunology, University Hospital, University of Bonn, 53127, Bonn, Germany.
J A TrapaniPeter MacCallum Cancer Centre, Melbourne, 3000, VIC, Australia.
P KnolleInstitute of Molecular Immunology and Experimental Oncology, Klinikum rechts der Isar, Technical University of Munich, München, 81675, Germany. percy.knolle@tum.de.
D WohlleberInstitute of Molecular Immunology and Experimental Oncology, Klinikum rechts der Isar, Technical University of Munich, München, 81675, Germany.ORCID http://orcid.org/0000-0003-3861-5150
W KastenmüllerInstitute of Experimental Immunology, University Hospital, University of Bonn, 53127, Bonn, Germany. wolfgang.kastenmueller@uni-wuerzburg.de.ORCID http://orcid.org/0000-0002-3835-1485
University of Bonn · DETUM Klinikum · DEPeter MacCallum Cancer Centre · AUUniversity of Würzburg · DEQIMR Berghofer Medical Research Institute · AUTechnical University of Munich · DEUniversity of Auckland · NZUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

CD8 T cells protect the liver against viral infection, but can also cause severe liver damage that may even lead to organ failure. Given the lack of mechanistic insights and specific treatment options in patients with acute fulminant hepatitis, we develop a mouse model reflecting a severe acute virus-induced CD8 T cell-mediated hepatitis. Here we show that antigen-specific CD8 T cells induce liver damage in a perforin-dependent manner, yet liver failure is not caused by effector responses targeting virus-infected hepatocytes alone. Additionally, CD8 T cell mediated elimination of cross-presenting liver sinusoidal endothelial cells causes endothelial damage that leads to a dramatically impaired sinusoidal perfusion and indirectly to hepatocyte death. With the identification of perforin-mediated killing as a critical pathophysiologic mechanism of liver failure and the protective function of a new class of perforin inhibitor, our study opens new potential therapeutic angles for fulminant viral hepatitis.

Indexed as

AdenoviridaeAnimalsAntibodiesCapillariesCD40 AntigensCD8-Positive T-LymphocytesDisease Models, AnimalEndothelial CellsGene ExpressionGenes, ReporterGreen Fluorescent ProteinsHepatitis, Viral, AnimalHepatocytesHumansLiverLuciferasesAntibodiesCD40 AntigensGreen Fluorescent ProteinsLuciferasesOvalbuminperforin, mousePoly I-CPore Forming Cytotoxic ProteinsProtective AgentsSulfonamides

Identifiers

PMID30442932
PMCPMC6237769
OpenAlexW2899696316

What OpenQuestion holds

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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.