Evidence map›Paper›PMID 30870532›Full record

ArticlePLoS pathogens2019

Varicella zoster virus productively infects human peripheral blood mononuclear cells to modulate expression of immunoinhibitory proteins and blocking PD-L1 enhances virus-specific CD8+ T cell effector function.

Dallas Jones, Christina N Como, Lichen Jing, Anna Blackmon, Charles Preston Neff, Owen Krueger, Andrew N Bubak, Brent E Palmer, David M Koelle, Maria A Nagel

Open access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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

32 citing papers in PubMed, 50 citations in OpenAlex.

  1. Varicella zoster virus infection.Nature reviews. Disease primers · 2026
    Review
  2. Efficacy of Immune Checkpoint Inhibitors and Oncoviruses in Solid Tumors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  3. Biological relevance ofMicrobiology and molecular biology reviews : MMBR · 2025
    Review
  4. Article
  5. Journal of virology · 2025
    Article
  6. Review
  7. Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
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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

10 authors at 2 institutions in 1 country.

Dallas JonesDepartment of Neurology, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Christina N ComoDepartment of Neurology, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Lichen JingDepartment of Medicine, University of Washington, Seattle, Washington, United States of America.ORCID 0000-0002-5938-4171
Anna BlackmonDepartment of Neurology, University of Colorado School of Medicine, Aurora, Colorado, United States of America.ORCID 0000-0002-4806-1326
Charles Preston NeffDepartment of Medicine, Division of Allergy and Clinical Immunology, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Owen KruegerDepartment of Medicine, Division of Allergy and Clinical Immunology, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Andrew N BubakDepartment of Neurology, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
Brent E PalmerDepartment of Medicine, Division of Allergy and Clinical Immunology, University of Colorado School of Medicine, Aurora, Colorado, United States of America.
David M KoelleDepartment of Medicine, University of Washington, Seattle, Washington, United States of America.ORCID 0000-0003-1255-9023
Maria A NagelDepartment of Neurology, University of Colorado School of Medicine, Aurora, Colorado, United States of America.ORCID 0000-0003-0549-812X
University of Colorado Denver · USUniversity of Washington · US

Funding

VARICELLA ZOSTER VIRUS VASCULOPATHY: CHANGING CLINICAL PRACTICEP01AG032958 · NIA · UNIVERSITY OF COLORADO DENVER · PI NAGEL, MARIA ACENA · 2009 to 2023
$30.3M
Cutaneous Pathogen-Specific Tissue Resident Memory T Cells in Human AgingR01AG064800 · NIA · UNIVERSITY OF WASHINGTON · PI KOELLE, DAVID M · 2019 to 2023
$3.5M
Purinergic Signaling in Varicella Zoster Virus VasculopathyR01NS094758 · NINDS · UNIVERSITY OF COLORADO DENVER · PI NAGEL, MARIA ACENA · 2015 to 2018
$1.4M
NIAID NIH HHS HHSN272201400049CNIA NIH HHS P01 AG032958NIA NIH HHS R01 AG064800NINDS NIH HHS R01 NS094758
6 · The paper itself

Abstract

Varicella zoster virus (VZV) is a lymphotropic alpha-herpesvirinae subfamily member that produces varicella on primary infection and causes zoster, vascular disease and vision loss upon reactivation from latency. VZV-infected peripheral blood mononuclear cells (PBMCs) disseminate virus to distal organs to produce clinical disease. To assess immune evasion strategies elicited by VZV that may contribute to dissemination of infection, human PBMCs and VZV-specific CD8+ T cells (V-CD8+) were mock- or VZV-infected and analyzed for immunoinhibitory protein PD-1, PD-L1, PD-L2, CTLA-4, LAG-3 and TIM-3 expression using flow cytometry. All VZV-infected PBMCs (monocytes, NK, NKT, B cells, CD4+ and CD8+ T cells) and V-CD8+ showed significant elevations in PD-L1 expression compared to uninfected cells. VZV induced PD-L2 expression in B cells and V-CD8+. Only VZV-infected CD8+ T cells, NKT cells and V-CD8+ upregulated PD-1 expression, the immunoinhibitory receptor for PD-L1/PD-L2. VZV induced CTLA-4 expression only in V-CD8+ and no significant changes in LAG-3 or TIM-3 expression were observed in V-CD8+ or PBMC T cells. To test whether PD-L1, PD-L2 or CTLA-4 regulates V-CD8+ effector function, autologous PBMCs were VZV-infected and co-cultured with V-CD8+ cells in the presence of blocking antibodies against PD-L1, PD-L2 or CTLA-4; ELISAs revealed significant elevations in IFNγ only upon blocking of PD-L1. Together, these results identified additional immune cells that are permissive to VZV infection (monocytes, B cells and NKT cells); along with a novel mechanism for inhibiting CD8+ T cell effector function through induction of PD-L1 expression.

Indexed as

Antibodies, ViralAntigens, CDB7-H1 AntigenCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCoculture TechniquesCTLA-4 AntigenGene Expression RegulationHepatitis A Virus Cellular Receptor 2Herpesvirus 3, HumanHerpes ZosterHumansLeukocytes, MononuclearLymphocyte Activation Gene 3 ProteinProgrammed Cell Death 1 Ligand 2 ProteinProgrammed Cell Death 1 ReceptorAntibodies, ViralAntigens, CDB7-H1 AntigenCTLA-4 AntigenHAVCR2 protein, humanHepatitis A Virus Cellular Receptor 2Lymphocyte Activation Gene 3 ProteinPDCD1LG2 protein, humanProgrammed Cell Death 1 Ligand 2 ProteinProgrammed Cell Death 1 Receptor

Identifiers

PMID30870532
PMCPMC6435197
OpenAlexW2921190292

What OpenQuestion holds

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LicenceCC BY
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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.