Evidence map›Paper›PMID 31092727›Full record

Trial reportJCI insight2019

Self-tolerance curtails the B cell repertoire to microbial epitopes.

Akiko Watanabe, Kuei-Ying Su, Masayuki Kuraoka, Guang Yang, Alexander E Reynolds, Aaron G Schmidt, Stephen C Harrison, Barton F Haynes, E William St Clair, Garnett Kelsoe

Open access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in JCI insight, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

31 citing papers in PubMed, 42 citations in OpenAlex.

  1. B1 Cells for Life.Immunological reviews · 2026
    Review
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  9. Central tolerance shapes the neutralizing B cell repertoire against a persisting virus in its natural host.Proceedings of the National Academy of Sciences of the United States of America · 2024
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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 3 institutions in 3 countries.

Akiko WatanabeDepartment of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
Kuei-Ying SuDepartment of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
Masayuki KuraokaDepartment of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
Guang YangDepartment of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
Alexander E ReynoldsDepartment of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
Aaron G SchmidtDeparment of Microbiology, Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Stephen C HarrisonLaboratory of Molecular Medicine, Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Barton F HaynesDepartment of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
E William St ClairDepartment of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
Garnett KelsoeDepartment of Immunology, Duke University School of Medicine, Durham, North Carolina, USA.
Duke University · USBoston Children's Hospital · USInternational Vaccine Institute · KR

Funding

Immune Tolerance Network UM1 2023 SupplementUM1AI109565 · NIAID · BENAROYA RESEARCH INST AT VIRGINIA MASON · PI Mark S Anderson, Jane Hoyt Buckner · 2014 to 2026
$451.6M
Virus and Antibody Gene Sequencing CoreP01AI131251 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI Kevin Wiehe · 2017 to 2026
$40.7M
Virology CoreP01AI089618 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI Jiwon Lee · 2011 to 2026
$40.0M
Supplement - Inflammatory Triggers in B Cell AutoimmunityU19AI056363 · NIAID · DUKE UNIVERSITY · PI ST. CLAIR, EUGENE WILLIAM · 2003 to 2017
$35.3M
Basic Immunology Training ProgramT32AI052077 · NIAID · DUKE UNIVERSITY · PI KRANGEL, MICHAEL S · 2002 to 2024
$4.2M
Howard Hughes Medical InstituteNIAID NIH HHS HHSN272201000053CNIAID NIH HHS P01 AI089618NIAID NIH HHS P01 AI131251NIAID NIH HHS T32 AI052077NIAID NIH HHS U19 AI056363NIAID NIH HHS UM1 AI109565
6 · The paper itself

Abstract

Immunological tolerance removes or inactivates self-reactive B cells, including those that also recognize cross-reactive foreign antigens. Whereas a few microbial pathogens exploit these "holes" in the B cell repertoire by mimicking host antigens to evade immune surveillance, the extent to which tolerance reduces the B cell repertoire to foreign antigens is unknown. Here, we use single-cell cultures to determine the repertoires of human B cell antigen receptors (BCRs) before (transitional B cells) and after (mature B cells) the second B cell tolerance checkpoint in both healthy donors and in patients with systemic lupus erythematosus (SLE) . In healthy donors, the majority (~70%) of transitional B cells that recognize foreign antigens also bind human self-antigens (foreign+self), and peripheral tolerance halves the frequency of foreign+self-reactive mature B cells. In contrast, in SLE patients who are defective in the second tolerance checkpoint, frequencies of foreign+self-reactive B cells remain unchanged during maturation of transitional to mature B cells. Patterns of foreign+self-reactivity among mature B cells from healthy donors differ from those of SLE patients. We propose that immune tolerance significantly reduces the scope of the BCR repertoire to microbial pathogens and that cross-reactivity between foreign and self epitopes may be more common than previously appreciated.

Indexed as

AdolescentAdultAutoantigensAutoimmunityB-LymphocytesDouble-Blind MethodEpitopesFemaleHumansImmune ToleranceImmunoglobulin GLupus Erythematosus, SystemicMaleMulticenter Studies as TopicReceptors, Antigen, B-CellYoung AdultAutoantigensEpitopesImmunoglobulin GReceptors, Antigen, B-CellB cellsImmunologyLupusTolerance

Identifiers

PMID31092727
PMCPMC6542615
OpenAlexW2946776468

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.