Evidence map›Paper›PMID 31954178›Full record

Observational studyCellular and molecular gastroenterology and hepatology2020

Mucosal-Associated Invariant T Cells Redistribute to the Peritoneal Cavity During Spontaneous Bacterial Peritonitis and Contribute to Peritoneal Inflammation.

Oluwatomi Ibidapo-Obe, Sven Stengel, Nilay Köse-Vogel, Stefanie Quickert, Philipp A Reuken, Martin Busch, Michael Bauer, Andreas Stallmach, Tony Bruns

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cellular and molecular gastroenterology and hepatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Cirrhosis-associated immune dysfunction.Nature reviews. Gastroenterology & hepatology · 2022
    Review
  14. Article
  15. Unconventional T cells and kidney disease.Nature reviews. Nephrology · 2021
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Oluwatomi Ibidapo-ObeDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
Sven StengelDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
Nilay Köse-VogelDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
Stefanie QuickertDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
Philipp A ReukenDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
Martin BuschDepartment of Internal Medicine III, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
Michael BauerCenter for Sepsis Control and Care (CSCC), Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany; Department of Anesthesiology and Intensive Care, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
Andreas StallmachDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany.
Tony BrunsDepartment of Internal Medicine IV, Jena University Hospital, Friedrich Schiller University of Jena, Jena, Germany; Department of Internal Medicine III, University Hospital RWTH Aachen, Aachen, Germany. Electronic address: tbruns@ukaachen.de.
Jena University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsMucosal-associated invariant T (MAIT) cells are depleted from blood in patients with advanced liver disease and show features of immune dysfunction. Because circulating MAIT cells differ from organ-resident MAIT cells, we aimed to investigate the frequency, phenotype, and function of peritoneal MAIT cells from patients with cirrhosis and spontaneous bacterial peritonitis (SBP).

methodsMAIT cells in blood and ascitic fluid from patients with cirrhosis were characterized using flow cytometry. Healthy individuals and noncirrhotic patients undergoing peritoneal dialysis served as controls. MAIT cell migration was studied in transwell assays. Cytokine release in response to infected ascitic fluid and bacterial products was assessed in vitro.

resultsPeritoneal CD3+ CD161hi Vα7.2+ T cells had an inflammatory, tissue retention phenotype, expressing the alpha E integrin, the chemokine receptors CCR5 and CXCR3, and the activation marker CD69 at higher levels than their circulating equivalents. Seventy-seven percent bound to MR1 tetramers loaded with the pyrimidine intermediate 5-(2-oxopropylideneamino)-6-d-ribitylaminouracil. The ratio of peritoneal to blood MAIT cell frequency increased from 1.3 in the absence of SBP to 2.6 at diagnosis and decreased by day 3. MAIT cells migrated toward infected ascitic fluid containing CCL5 and CCL20 and released cytokines in an MR1-restricted fashion. Whereas the depleted circulating MAIT cell pool displayed features of immune exhaustion, peritoneal MAIT cells remained competent producers of inflammatory cytokines in response to bacterial products. Peritoneal MAIT activation correlated with systemic inflammation, suggesting a possible link between peritoneal and systemic immunity.

conclusionsPeritoneal MAIT cells phenotypically and functionally differ from circulating MAIT cells in decompensated cirrhosis and redistribute to the peritoneum during SBP.

Indexed as

AdultAgedAged, 80 and overAscitic FluidBacterial InfectionsCase-Control StudiesEnd Stage Liver DiseaseFemaleFollow-Up StudiesHealthy VolunteersHumansLiverLiver CirrhosisMaleMiddle AgedMucosal-Associated Invariant T CellsBacterial InfectionsLiver CirrhosisMucosal-Associated Invariant T CellsSpontaneous Bacterial Peritonitis

Identifiers

PMID31954178
PMCPMC7160599
OpenAlexW3000013244

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.