Evidence map›Paper›PMID 32094187›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

Chronic virus infection drives CD8 T cell-mediated thymic destruction and impaired negative selection.

Heidi J Elsaesser, Mahmood Mohtashami, Ivan Osokine, Laura M Snell, Cameron R Cunningham, Giselle M Boukhaled, Dorian B McGavern, Juan Carlos Zúñiga-Pflücker, David G Brooks

Open access · bronzeAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

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

  1. Pooled it
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  10. Transcriptional reprogramming primes CD8+ T cells toward exhaustion in Myalgic encephalomyelitis/chronic fatigue syndrome.Proceedings of the National Academy of Sciences of the United States of America · 2024
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  16. The role of interferon in the thymus.Current opinion in immunology · 2023
    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

9 authors at 4 institutions in 2 countries.

Heidi J ElsaesserPrincess Margaret Cancer Center, University Health Network, Toronto, ON M5G 2M9, Canada.
Mahmood MohtashamiDepartment of Immunology, University of Toronto, Toronto, ON M5S 1A8 Canada.
Ivan OsokineDepartment of Microbiology, Immunology and Molecular Genetics, David Geffen School of Medicine, University of California, Los Angeles, CA 90095.
Laura M SnellPrincess Margaret Cancer Center, University Health Network, Toronto, ON M5G 2M9, Canada.
Cameron R CunninghamDepartment of Microbiology, Immunology and Molecular Genetics, David Geffen School of Medicine, University of California, Los Angeles, CA 90095.
Giselle M BoukhaledPrincess Margaret Cancer Center, University Health Network, Toronto, ON M5G 2M9, Canada.
Dorian B McGavernViral Immunology and Intravital Imaging Section, National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD 20824.
Juan Carlos Zúñiga-PflückerPrincess Margaret Cancer Center, University Health Network, Toronto, ON M5G 2M9, Canada.ORCID 0000-0003-2538-3178
David G BrooksPrincess Margaret Cancer Center, University Health Network, Toronto, ON M5G 2M9, Canada; dbrooks@uhnresearch.ca.
University Health Network · CASunnybrook Health Science Centre · CAUniversity of California, Los Angeles · USNational Institutes of Health · US

Funding

Mechanisms Underlying Clearance of the Persistently Infected CNSZIANS003111 · NINDS · NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE · PI MCGAVERN, DORIAN · 2009 to 2025
$33.0M
Mechanisms of Viral PersistenceR01AI085043 · NIAID · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BROOKS, DAVID G · 2010 to 2023
$4.5M
CIHR FDN148386NIAID NIH HHS R01 AI085043
6 · The paper itself

Abstract

Chronic infection provokes alterations in inflammatory and suppressive pathways that potentially affect the function and integrity of multiple tissues, impacting both ongoing immune control and restorative immune therapies. Here we demonstrate that chronic lymphocytic choriomeningitis virus infection rapidly triggers severe thymic depletion, mediated by CD8 T cell-intrinsic type I interferon (IFN) and signal transducer and activator of transcription 2 (Stat2) signaling. Occurring temporal to T cell exhaustion, thymic cellularity reconstituted despite ongoing viral replication, with a rapid secondary thymic depletion following immune restoration by anti-programmed death-ligand 1 (PDL1) blockade. Therapeutic hematopoietic stem cell transplant (HSCT) during chronic infection generated new antiviral CD8 T cells, despite sustained virus replication in the thymus, indicating an impairment in negative selection. Consequently, low amounts of high-affinity self-reactive T cells also escaped the thymus following HSCT during chronic infection. Thus, by altering the stringency and partially impairing negative selection, the host generates new virus-specific T cells to replenish the fight against the chronic infection, but also has the potentially dangerous effect of enabling the escape of self-reactive T cells.

Indexed as

Lymphocytic choriomeningitis virusAnimalsAtrophyB7-H1 AntigenCD8-Positive T-LymphocytesChronic DiseaseHematopoietic Stem Cell TransplantationInterferon Type ILymphocytic ChoriomeningitisMiceMice, Inbred C57BLMice, TransgenicSignal TransductionSTAT2 Transcription FactorThymus GlandVirus ReplicationB7-H1 AntigenInterferon Type IStat2 protein, mouseSTAT2 Transcription Factorchronic infectionimmunotherapyT cell exhaustionthymustype I interferon

Identifiers

PMID32094187
PMCPMC7071912
OpenAlexW3008130481

What OpenQuestion holds

Textmetadata
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.