Evidence map›Paper›PMID 30487267›Full record

ArticleGut2019

Fine needle aspirates comprehensively sample intrahepatic immunity.

Upkar S Gill, Laura J Pallett, Niclas Thomas, Alice R Burton, Amit A Patel, Simon Yona, Patrick T F Kennedy, Mala K Maini

Open access · hybridAbstract read
In one paragraph

Article in Gut, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

50 citing papers in PubMed, 90 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Tissue-resident memory CD8Nature reviews. Gastroenterology & hepatology · 2025
    Review
  9. HBV Suppression by Nucleos(t)ide Analogues Reduces PD-1 Expression on Liver-Resident T Cells.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  10. Navigating the Hepatic Immune Landscape With Fine Needle Aspiration of the Liver-An Emerging Technique.Liver international : official journal of the International Association for the Study of the Liver · 2025
    Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Evaluation of the HBV liver reservoir with fine needle aspirates.JHEP reports : innovation in hepatology · 2023
    Article
  18. Article
  19. Immunological Monitoring in Hepatitis C Virus Controlled Human Infection Model.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    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

8 authors at 3 institutions in 1 country.

Upkar S Gill *Barts Liver Centre, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Laura J Pallett *Division of Infection and Immunity, Institute of Immunity and Transplantation, University College London, London, UK.
Niclas ThomasDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London, London, UK.
Alice R BurtonDivision of Infection and Immunity, Institute of Immunity and Transplantation, University College London, London, UK.
Amit A PatelDivision of Medicine, University College London, London, UK.
Simon YonaDivision of Medicine, University College London, London, UK.
Patrick T F Kennedy *Barts Liver Centre, Blizard Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, UK.
Mala K Maini *Division of Infection and Immunity, Institute of Immunity and Transplantation, University College London, London, UK.
University College London · GBQueen Mary University of London · GBCentre for Immunity, Infection and Evolution · GB

Funding

Department of Health PB-PG-0614-34087Medical Research Council G0801213Medical Research Council MR/M020126/1Wellcome TrustWellcome Trust 101849/Z/13/AWellcome Trust 107389/Z/15/Z
6 · The paper itself

Abstract

objectiveIn order to refine new therapeutic strategies in the pipeline for HBV cure, evaluation of virological and immunological changes compartmentalised at the site of infection will be required. We therefore investigated if liver fine needle aspirates (FNAs) could comprehensively sample the local immune landscape in parallel with viable hepatocytes.

designMatched blood, liver biopsy and FNAs from 28 patients with HBV and 15 without viral infection were analysed using 16-colour multiparameter flow cytometry.

resultsThe proportion of CD4 T, CD8 T, Mucosal Associated Invariant T cell (MAIT), Natural Killer (NK) and B cells identified by FNA correlated with that in liver biopsies from the same donors. Populations of Programmed Death-1 (PD-1)

conclusionWe demonstrate for the first time that FNAs identify a range of intrahepatic immune cells including locally resident sentinel HBV-specific T cells and NK cells, together with PD-L1-expressing hepatocytes. In addition, we provide a scoring tool to estimate the extent to which an individual FNA has reliably sampled intrahepatic populations rather than contaminating blood. The broad profiling achieved by this less invasive, rapid technique makes it suitable for longitudinal monitoring of the liver to optimise new therapies for HBV.

Indexed as

Hepatitis B, ChronicHepatocytesAdultAlgorithmsBiopsy, Fine-NeedleB-LymphocytesCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesDNA, ViralFemaleFlow CytometryHepatitis B virusHumansKiller Cells, NaturalMaleProgrammed Cell Death 1 ReceptorDNA, ViralPDCD1 protein, humanProgrammed Cell Death 1 ReceptorSCARB1 protein, humanScavenger Receptors, Class Bfine needle aspirateHBV-specific T cellshepatitis B virushepatocytesintrahepatic-immune monitoringliver biopsytissue-resident immunity

Identifiers

PMID30487267
PMCPMC6691856
OpenAlexW2902075768

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.