Evidence map›Paper›PMID 31917684›Full record

ArticleThe Journal of clinical investigation2020

Graft-versus-host disease reduces lymph node display of tissue-restricted self-antigens and promotes autoimmunity.

Simone Dertschnig, Pamela Evans, Pedro Santos E Sousa, Teresa Manzo, Ivana R Ferrer, Hans J Stauss, Clare L Bennett, Ronjon Chakraverty

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Chronic graft-versus-host disease.Nature reviews. Disease primers · 2026
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 3 countries.

Simone DertschnigUCL Cancer Institute, and.
Pamela EvansUCL Cancer Institute, and.
Pedro Santos E SousaUCL Cancer Institute, and.
Teresa ManzoEuropean Institute of Oncology, Milan, Italy.
Ivana R FerrerUCL Cancer Institute, and.
Hans J StaussInstitute of Immunity and Transplantation, London, United Kingdom.
Clare L BennettUCL Cancer Institute, and.
Ronjon ChakravertyUCL Cancer Institute, and.
Cancer Institute (WIA) · INEuropean Institute of Oncology · IT

Funding

Biotechnology and Biological Sciences Research Council BB/L001608/1Cancer Research UK A19503
6 · The paper itself

Abstract

Acute graft-versus-host disease (GVHD) is initially triggered by alloreactive T cells, which damage peripheral tissues and lymphoid organs. Subsequent transition to chronic GVHD involves the emergence of autoimmunity, although the underlying mechanisms driving this process are unclear. Here, we tested the hypothesis that acute GVHD blocks peripheral tolerance of autoreactive T cells by impairing lymph node (LN) display of peripheral tissue-restricted antigens (PTAs). At the initiation of GVHD, LN fibroblastic reticular cells (FRCs) rapidly reduced expression of genes regulated by DEAF1, an autoimmune regulator-like transcription factor required for intranodal expression of PTAs. Subsequently, GVHD led to the selective elimination of the FRC population, and blocked the repair pathways required for its regeneration. We used a transgenic mouse model to show that the loss of presentation of an intestinal PTA by FRCs during GVHD resulted in the activation of autoaggressive T cells and gut injury. Finally, we show that FRCs normally expressed a unique PTA gene signature that was highly enriched for genes expressed in the target organs affected by chronic GVHD. In conclusion, acute GVHD damages and prevents repair of the FRC network, thus disabling an essential platform for purging autoreactive T cells from the repertoire.

Indexed as

AutoimmunityAnimalsAutoantigensGraft vs Host DiseaseIntestinal DiseasesLymph NodesMiceMice, KnockoutT-LymphocytesAutoantigensAutoimmunityBone marrow transplantationStem cell transplantationToleranceTransplantation

Identifiers

PMID31917684
PMCPMC7108931
OpenAlexW2999370604

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.