Evidence map›Paper›PMID 30747723›Full record

ArticleJCI insight2019

Longitudinally persistent cerebrospinal fluid B cells can resist treatment in multiple sclerosis.

Ariele L Greenfield, Ravi Dandekar, Akshaya Ramesh, Erica L Eggers, Hao Wu, Sarah Laurent, William Harkin, Natalie S Pierson, Martin S Weber, Roland G Henry and 5 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

27 citing papers in PubMed, 40 citations in OpenAlex.

  1. Review
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  4. Review
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  6. Review
  7. Review
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  9. Article
  10. B-Cell Receptor Repertoire: Recent Advances in Autoimmune Diseases.Clinical reviews in allergy & immunology · 2024
    Review
  11. Article
  12. Article
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  15. Article
  16. Review
  17. Article
  18. Review
  19. CSF-resident CD4Brain communications · 2021
    Article
  20. Article
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

15 authors at 2 institutions in 2 countries.

Ariele L GreenfieldUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Ravi DandekarUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Akshaya RameshUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Erica L EggersUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Hao WuUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Sarah LaurentUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
William HarkinUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Natalie S PiersonUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Martin S WeberInstitute of Neuropathology, Department of Neurology, University Medical Center Göttingen, Germany.
Roland G HenryUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Antje BischofUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Bruce Ac CreeUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Stephen L HauserUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
Michael R WilsonUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
H-Christian von BüdingenUCSF Weill Institute for Neurosciences, Department of Neurology, UCSF, San Francisco, California, USA.
University of California, San Francisco · USUniversitätsmedizin Göttingen · DE

Funding

The Role of B cells in the Origin and Progression of Multiple SclerosisR35NS111644 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEPHEN L HAUSER · 2019 to 2026
$9.1M
Disease relevance of CD20 expression on T cells in multiple sclerosis patientsR01NS092835 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HAUSER, STEPHEN L · 2015 to 2018
$1.7M
Next-Generation Diagnostics for Acute EncephalitisK08NS096117 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WILSON, MICHAEL R · 2017 to 2021
$999k
Antibody Mediated Autoimmunity in Neuromyelitis OpticaK02NS072288 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VON BUEDINGEN, HANS-CHRISTIAN · 2011 to 2015
$879k
NINDS NIH HHS K02 NS072288NINDS NIH HHS K08 NS096117NINDS NIH HHS R01 NS092835NINDS NIH HHS R35 NS111644
6 · The paper itself

Abstract

B cells are key contributors to chronic autoimmune pathology in multiple sclerosis (MS). Clonally related B cells exist in the cerebrospinal fluid (CSF), meninges, and CNS parenchyma of MS patients. We sought to investigate the presence of clonally related B cells over time by performing Ig heavy chain variable region repertoire sequencing on B cells from longitudinally collected blood and CSF samples of MS patients (n = 10). All patients were untreated at the time of the initial sampling; the majority (n = 7) were treated with immune-modulating therapies 1.2 (±0.3 SD) years later during the second sampling. We found clonal persistence of B cells in the CSF of 5 patients; these B cells were frequently Ig class-switched and CD27+. Specific blood B cell subsets appear to provide input into CNS repertoires over time. We demonstrate complex patterns of clonal B cell persistence in CSF and blood, even in patients on immune-modulating therapy. Our findings support the concept that peripheral B cell activation and CNS-compartmentalized immune mechanisms can in part be therapy resistant.

Indexed as

AdultB-LymphocytesB-Lymphocyte SubsetsCerebrospinal FluidFemaleHumansImmunoglobulin Variable RegionLymphocyte ActivationMaleMiddle AgedMultiple SclerosisYoung AdultImmunoglobulin Variable RegionB cell receptorB cellsImmunologyMultiple sclerosisNeuroscience

Identifiers

PMID30747723
PMCPMC6482992
OpenAlexW2904855469

What OpenQuestion holds

Textmetadata
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.