Evidence map›Paper›PMID 31474573›Full record

ArticleMolecular cell2019

Polyamines Control eIF5A Hypusination, TFEB Translation, and Autophagy to Reverse B Cell Senescence.

Hanlin Zhang, Ghada Alsaleh, Jack Feltham, Yizhe Sun, Gennaro Napolitano, Thomas Riffelmacher, Philip Charles, Lisa Frau, Philip Hublitz, Zhanru Yu and 5 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Molecular cell, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 205 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
205citing papers in PubMed, 1 pooled it
13.1field-weighted citation impact, top 1% 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

205 citing papers in PubMed, 1 synthesis or guideline pooled it, 335 citations in OpenAlex.

  1. Guideline
  2. Trial
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  4. Functional Characterization of the P-Type ATPases ATP13A3 and ATP13A4 as Plasma Membrane Polyamine Transporters.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  5. Article
  6. A guide to B cell metabolism.Nature reviews. Immunology · 2026
    Review
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145 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 4 institutions in 4 countries.

Hanlin ZhangThe Kennedy Institute of Rheumatology, University of Oxford, Roosevelt Drive, Oxford, OX3 7FY, UK.
Ghada AlsalehThe Kennedy Institute of Rheumatology, University of Oxford, Roosevelt Drive, Oxford, OX3 7FY, UK.
Jack FelthamDepartment of Biochemistry, University of Oxford, South Parks Road, Oxford, OX1 3QU, UK.
Yizhe SunThe Kennedy Institute of Rheumatology, University of Oxford, Roosevelt Drive, Oxford, OX3 7FY, UK.
Gennaro NapolitanoTelethon Institute of Genetics and Medicine (TIGEM), Via Campi Flegrei 34, 80078, Pozzuoli, Naples, Italy; Medical Genetics Unit, Department of Medical and Translational Science, Federico II University, Via Pansini 5, 80131, Naples, Italy.
Thomas RiffelmacherThe Kennedy Institute of Rheumatology, University of Oxford, Roosevelt Drive, Oxford, OX3 7FY, UK.
Philip CharlesDepartment of Biochemistry, University of Oxford, South Parks Road, Oxford, OX1 3QU, UK; Target Discovery Institute, University of Oxford, Roosevelt Drive, Oxford, OX3 7FZ, UK.
Lisa FrauThe Kennedy Institute of Rheumatology, University of Oxford, Roosevelt Drive, Oxford, OX3 7FY, UK.
Philip HublitzMRC Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, John Radcliffe Hospital, Oxford, OX3 9DS, UK.
Zhanru YuTarget Discovery Institute, University of Oxford, Roosevelt Drive, Oxford, OX3 7FZ, UK.
Shabaz MohammedDepartment of Biochemistry, University of Oxford, South Parks Road, Oxford, OX1 3QU, UK.
Andrea BallabioTelethon Institute of Genetics and Medicine (TIGEM), Via Campi Flegrei 34, 80078, Pozzuoli, Naples, Italy; Medical Genetics Unit, Department of Medical and Translational Science, Federico II University, Via Pansini 5, 80131, Naples, Italy; Department of Molecular and Human Genetics and Neurological Research Institute, Baylor College of Medicine, Houston, TX 77030, USA.
Stefan BalabanovDivision of Haematology, University Hospital and University of Zürich, 8091, Zürich, Switzerland.
Jane MellorDepartment of Biochemistry, University of Oxford, South Parks Road, Oxford, OX1 3QU, UK.
Anna Katharina SimonThe Kennedy Institute of Rheumatology, University of Oxford, Roosevelt Drive, Oxford, OX3 7FY, UK. Electronic address: katja.simon@kennedy.ox.ac.uk.
University of Oxford · GBFederico II University Hospital · ITJohn Radcliffe Hospital · GBUniversity of Zurich · CH

Funding

Biotechnology and Biological Sciences Research Council BB/P00296X/1Wellcome TrustWellcome Trust 103830/Z/14/Z
6 · The paper itself

Abstract

Failure to make adaptive immune responses is a hallmark of aging. Reduced B cell function leads to poor vaccination efficacy and a high prevalence of infections in the elderly. Here we show that reduced autophagy is a central molecular mechanism underlying immune senescence. Autophagy levels are specifically reduced in mature lymphocytes, leading to compromised memory B cell responses in old individuals. Spermidine, an endogenous polyamine metabolite, induces autophagy in vivo and rejuvenates memory B cell responses. Mechanistically, spermidine post-translationally modifies the translation factor eIF5A, which is essential for the synthesis of the autophagy transcription factor TFEB. Spermidine is depleted in the elderly, leading to reduced TFEB expression and autophagy. Spermidine supplementation restored this pathway and improved the responses of old human B cells. Taken together, our results reveal an unexpected autophagy regulatory mechanism mediated by eIF5A at the translational level, which can be harnessed to reverse immune senescence in humans.

Indexed as

Adaptive ImmunityAge FactorsAgingAnimalsAutophagyBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsB-LymphocytesCellular SenescenceEukaryotic Translation Initiation Factor 5AHEK293 CellsHumansImmunologic MemoryImmunosenescenceJurkat CellsMiceMice, Inbred C57BLBasic Helix-Loop-Helix Leucine Zipper Transcription FactorsEukaryotic Translation Initiation Factor 5APeptide Initiation FactorsRNA-Binding ProteinsSpermidineTcfeb protein, mouseTFEB protein, humanagingautophagyB celleIF5AspermidineTFEB

Identifiers

PMID31474573
PMCPMC6863385
OpenAlexW2971067538

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.