Evidence map›Paper›PMID 31056853›Full record

Trial reportAging cell2019

Depletion of B cells rejuvenates the peripheral B-cell compartment but is insufficient to restore immune competence in aging.

Irit Avivi, Simona Zisman-Rozen, Shulamit Naor, Isabelle Dai, David Benhamou, Gitit Shahaf, Hilla Tabibian-Keissar, Noemie Rosenthal, Aviya Rakovsky, Ammuri Hanna and 7 more

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Aging cell, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 20% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

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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

17 authors at 6 institutions in 1 country.

Irit AviviDepartment of Hematology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Simona Zisman-RozenDepartment of Immunology, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Shulamit NaorDepartment of Immunology, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Isabelle DaiDepartment of Immunology, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
David BenhamouDepartment of Immunology, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Gitit ShahafThe Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan, Israel.
Hilla Tabibian-KeissarDepartment of Pathology, Sheba Medical Center, Ramat Gan, Israel.
Noemie RosenthalThe Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan, Israel.
Aviya RakovskyThe Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan, Israel.
Ammuri HannaDepartment of Immunology, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Arik ShechterDepartment of Family Medicine, Technion Faculty of Medicine, Clalit Health Services and Neuro-urology Unit, RAMBAM Medical Center, Haifa, Israel.
Eli PeledOrthopedic Division Rambam Health Care Campus, Haifa, Israel.
Noam BenyaminiDepartment of Hematology, RAMBAM Medical Center, Haifa, Israel.
Ekaterina DmitrukhaDepartment of Hematology, RAMBAM Medical Center, Haifa, Israel.
Iris BarshackDepartment of Pathology, Sheba Medical Center, Ramat Gan, Israel.
Ramit MehrThe Mina and Everard Goodman Faculty of Life Sciences, Bar-Ilan University, Ramat-Gan, Israel.
Doron MelamedDepartment of Immunology, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Technion – Israel Institute of Technology · ILBar-Ilan University · ILRambam Health Care Campus · ILSheba Medical Center · ILClalit Health Services · ILTel Aviv Sourasky Medical Center · IL

Funding

BIU-Sheba joint research fundColleck Research FundEshel-The Association for the Planning and Development of Services for the Aged in IsraelFLARE-2 Post-doctoral FellowshipIsrael Science Foundation - FIRST program 1362/11Myers-JDC-Brookdale Institute of Gerontology and Human DevelopmentWEISZ FUND FOR GERONTOLOGY RESEARCHWolens Gerontology Research Fund
6 · The paper itself

Abstract

Aging is associated with increasing prevalence and severity of infections caused by a decline in bone marrow (BM) lymphopoiesis and reduced B-cell repertoire diversity. The current study proposes a strategy to enhance immune responsiveness in aged mice and humans, through rejuvenation of the B lineage upon B-cell depletion. We used hCD20Tg mice to deplete peripheral B cells in old and young mice, analyzing B-cell subsets, repertoire and cellular functions in vitro, and immune responsiveness in vivo. Additionally, elderly patients, previously treated with rituximab healthy elderly and young individuals, were vaccinated against hepatitis B (HBV) after undergoing a detailed analysis for B-cell compartments. B-cell depletion in old mice resulted in rejuvenated B-cell population that was derived from de novo synthesis in the bone marrow. The rejuvenated B cells exhibited a "young"-like repertoire and cellular responsiveness to immune stimuli in vitro. Yet, mice treated with B-cell depletion did not mount enhanced antibody responses to immunization in vivo, nor did they survive longer than control mice in "dirty" environment. Consistent with these results, peripheral B cells from elderly depleted patients showed a "young"-like repertoire, population dynamics, and cellular responsiveness to stimulus. Nevertheless, the response rate to HBV vaccination was similar between elderly depleted and nondepleted subjects, although antibody titers were higher in depleted patients. This study proposes a proof of principle to rejuvenate the peripheral B-cell compartment in aging, through B-cell depletion. Further studies are warranted in order to apply this approach for enhancing humoral immune responsiveness among the elderly population.

Indexed as

AdolescentAdultAgedAgingAnimalsAntigens, CD20Antineoplastic Agents, ImmunologicalB-LymphocytesBone Marrow CellsFemaleHealthy VolunteersHumansLymphocyte DepletionLymphoma, B-CellLymphopoiesisMaleAntigens, CD20Antineoplastic Agents, ImmunologicalRituximabagingB cell depletionB cell rejuvenationB cell repertoireimmunity and severityinfections prevalence

Identifiers

PMID31056853
PMCPMC6612643
OpenAlexW2944465546

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.