Evidence map›Paper›PMID 31680000›Full record

ArticleEBioMedicine2019

Evaluation of antiviral - passive - active immunization ("sandwich") therapeutic strategy for functional cure of chronic hepatitis B in mice.

Bisheng Shi, Yanling Wu, Chunyu Wang, Xiaofang Li, Fan Yu, Bin Wang, Zhenlin Yang, Jianhua Li, Mifang Liang, Yumei Wen and 2 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in EBioMedicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 18 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

12 authors at 2 institutions in 1 country.

Bisheng ShiMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China; Shanghai Public Health Clinical Center, Fudan University, 2901 Caolang Rd, Jinshan District, Shanghai, PR China.
Yanling WuMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China.
Chunyu WangMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China.
Xiaofang LiMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China.
Fan YuMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China.
Bin WangMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China.
Zhenlin YangMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China; Department of Pulmonary Medicine, Zhongshan Hospital, Fudan University, 180 Fenglin Rd, Xuhui District, Shanghai, PR China.
Jianhua LiMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China.
Mifang LiangNational Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, PR China.
Yumei WenMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China. Electronic address: ymwen@shmu.edu.cn.
Tianlei YingMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China. Electronic address: tlying@fudan.edu.cn.
Zhenghong YuanMOE/NHC/CAMS Key Laboratory of Medical Molecular Virology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, 138 Dong'an Rd, Xuhui District, Shanghai, PR China. Electronic address: zhyuan@shmu.edu.cn.
Shanghai Medical College of Fudan University · CNNational Institute for Viral Disease Control and Prevention · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic Hepatitis B (CHB) remains a major problem for global public health. Viral persistence and immune defects are the two major reasons for CHB, and it was hypothesized that based on a transient clearance of serum viral DNA and HBsAg "window stage", active immunization against hepatitis B virus (HBV) might initiate effective host immune responses versus HBV to achieve functional cure of CHB.

methodsTwo experimental mouse models that mice hydrodynamic injected HBV DNA or infected with recombinant AAV/HBV were used. The "sandwich" therapeutic effect by using a potent human anti-HBsAg neutralizing monoclonal antibody (G12) in combination with antiviral drug tenofovir disoproxil fumarate (TDF), followed by active immunization with HBsAg-HBsAb (mYIC) was evaluated.

findingsA single G12 injection rapidly cleared serum HBsAg in HDI-HBV carrier mice, with a synergistic effect in decreasing viral DNA load when TDF was given orally. When both serum viral DNA and HBsAg load became low or undetectable, mYIC was administered. A more effective clearance of viral DNA and HBsAg was observed and serum HBsAb was developed only in these "sandwich"-treated mice. Efficient intrahepatic anti-HBV immune responses were also observed in these mice, including the formation of aggregates of myeloid cells with CD8

interpretationThe "sandwich" combination therapy not only efficiently decreased HBsAg and HBV DNA levels but also induced effective cellular and humoral immunity, which may result in functional cure of CHB.

Indexed as

Immunization, PassiveVaccinationAnimalsAntibodies, MonoclonalAntiviral AgentsDisease Models, AnimalDrug Therapy, CombinationHepatitis B, ChronicHepatitis B Surface AntigensHumansHydrodynamicsImmunity, CellularImmunity, HumoralInjectionsLiverMice, Inbred C57BLAntibodies, MonoclonalAntiviral AgentsHepatitis B Surface AntigensChronic hepatitis BHBsAbHBsAg-HBsAb immune complexLiver CD8(+) T cellsTDF

Identifiers

PMID31680000
PMCPMC6945269
OpenAlexW2988951123

What OpenQuestion holds

Textmetadata
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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.