Evidence map›Paper›PMID 31869393›Full record

ArticlePLoS pathogens2019

Innate and adaptive immunity associated with resolution of acute woodchuck hepatitis virus infection in adult woodchucks.

Manasa Suresh, Stefanie Czerwinski, Marta G Murreddu, Bhaskar V Kallakury, Ashika Ramesh, Severin O Gudima, Stephan Menne

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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.9field-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

16 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. [Current status of research on the impairment of natural killer cell function caused by hepatitis B virus infection].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
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  10. Innate immunity and HBV persistence.Current opinion in virology · 2021
    Review
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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

7 authors at 2 institutions in 1 country.

Manasa SureshDepartment of Microbiology & Immunology, Georgetown University Medical Center, Washington, DC, United States of America.
Stefanie CzerwinskiDepartment of Microbiology & Immunology, Georgetown University Medical Center, Washington, DC, United States of America.
Marta G MurredduDepartment of Microbiology & Immunology, Georgetown University Medical Center, Washington, DC, United States of America.
Bhaskar V KallakuryDepartment of Pathology, Georgetown University Medical Center, Washington, DC, United States of America.
Ashika RameshDepartment of Biochemistry and Molecular & Cellular Biology, Georgetown University Medical Center, Washington, DC, United States of America.ORCID 0000-0003-3582-2226
Severin O GudimaDepartment of Microbiology, Molecular Genetics & Immunology, University of Kansas Medical Center, Kansas City, KS, United States of America.
Stephan MenneDepartment of Microbiology & Immunology, Georgetown University Medical Center, Washington, DC, United States of America.ORCID 0000-0001-6873-4084
Georgetown University · USUniversity of Kansas Medical Center · US

Funding

Super-infection and virus spread during chronic hepadnaviral infectionR01CA166213 · NCI · UNIVERSITY OF KANSAS MEDICAL CENTER · PI GUDIMA, SEVERIN O, MENNE, STEPHAN · 2012 to 2016
$1.6M
NCI NIH HHS R01 CA166213
6 · The paper itself

Abstract

Viral and/or host factors that are directly responsible for the acute versus chronic outcome of hepatitis B virus (HBV) infection have not been identified yet. Information on immune response during the early stages of HBV infection in humans is mainly derived from blood samples of patients with acute hepatitis B (AHB), which are usually obtained after the onset of clinical symptoms. Features of intrahepatic immune response in these patients are less studied due to the difficulty of obtaining multiple liver biopsies. Woodchuck hepatitis virus (WHV) infection in woodchucks is a model for HBV infection in humans. In the present study, five adult woodchucks were experimentally infected with WHV and then followed for 18 weeks. Blood and liver tissues were frequently collected for assaying markers of WHV replication and innate and adaptive immune responses. Liver tissues were further analyzed for pathological changes and stained for important immune cell subsets and cytokines. The increase and subsequent decline of viral replication markers in serum and liver, the elicitation of antibodies against viral proteins, and the induction of virus-specific T-cell responses indicated eventual resolution of acute WHV infection in all animals. Intrahepatic innate immune makers stayed unchanged immediately after the infection, but increased markedly during resolution, as determined by changes in transcript levels. The presence of interferon-gamma and expression of natural killer (NK) cell markers suggested that a non-cytolytic response mechanism is involved in the initial viral control in liver. This was followed by the expression of T-cell markers and cytolytic effector molecules, indicating the induction of a cytolytic response mechanism. Parallel increases in regulatory T-cell markers suggested that this cell subset participates in the overall immune cell infiltration in liver and/or has a role in regulating AHB induced by the cytolytic response mechanism. Since the transcript levels of immune cell markers in blood, when detectable, were lower than in liver, and the kinetics, except for NK-cells and interferon-gamma, did not correlate well with their intrahepatic expression, this further indicated enrichment of immune cells within liver. Conclusion: The coordinated interplay of innate and adaptive immunity mediates viral clearance in the woodchuck animal model of HBV infection. The initial presence of NK-cell associated interferon-gamma response points to an important role of this cytokine in HBV resolution.

Indexed as

Adaptive ImmunityImmunity, InnateAgingAnimalsHepatitis BHepatitis B Virus, WoodchuckInterferon-gammaKiller Cells, NaturalLiverMarmotaT-LymphocytesVirus ReplicationInterferon-gamma

Identifiers

PMID31869393
PMCPMC6946171
OpenAlexW2995974395

What OpenQuestion holds

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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.