Evidence map›Paper›PMID 32251475›Full record

ArticlePLoS pathogens2020

Immunosuppressive FK506 treatment leads to more frequent EBV-associated lymphoproliferative disease in humanized mice.

Nicole Caduff, Donal McHugh, Anita Murer, Patrick Rämer, Ana Raykova, Vanessa Landtwing, Lisa Rieble, Christian W Keller, Michael Prummer, Laurent Hoffmann and 10 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PLoS pathogens, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.3field-weighted citation impact, top 17% 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, 24 citations in OpenAlex.

  1. LANA-specific CD4Nature communications · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 6 institutions in 4 countries.

Nicole CaduffUniversity of Zurich, Viral Immunobiology, Institute of Experimental Immunology, Zurich, Switzerland.
Donal McHughUniversity of Zurich, Viral Immunobiology, Institute of Experimental Immunology, Zurich, Switzerland.ORCID 0000-0002-3791-0038
Anita MurerUniversity of Zurich, Viral Immunobiology, Institute of Experimental Immunology, Zurich, Switzerland.
Patrick RämerUniversity of Zurich, Viral Immunobiology, Institute of Experimental Immunology, Zurich, Switzerland.
Ana RaykovaUniversity of Zurich, Viral Immunobiology, Institute of Experimental Immunology, Zurich, Switzerland.
Vanessa LandtwingUniversity of Zurich, Viral Immunobiology, Institute of Experimental Immunology, Zurich, Switzerland.
Lisa RiebleUniversity of Zurich, Viral Immunobiology, Institute of Experimental Immunology, Zurich, Switzerland.ORCID 0000-0001-9773-8607
Christian W KellerUniversity Hospital of Münster, Department of Neurology with Institute of Translational Neurology, Münster, Germany.ORCID 0000-0003-2276-0003
Michael PrummerNexus Personalized Health Technologies, ETH Zurich, Zurich Switzerland, and Swiss Institute for Bioinformatics (SIB), Zurich, Switzerland.ORCID 0000-0001-9896-3929
Laurent HoffmannNovartis Institutes for BioMedical Research, Basel, Switzerland.
Janice K P LamDepartment of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, Queen Mary Hospital, The University of Hong Kong, Pokfulam, Hong Kong.
Alan K S ChiangDepartment of Paediatrics and Adolescent Medicine, Li Ka Shing Faculty of Medicine, Queen Mary Hospital, The University of Hong Kong, Pokfulam, Hong Kong.ORCID 0000-0002-1089-5325
Friedrich RaulfNovartis Institutes for BioMedical Research, Basel, Switzerland.
Tarik AzziDivision of Infectious Diseases and Hospital Epidemiology, University Children's Hospital Zurich, Zurich, Switzerland.ORCID 0000-0003-3490-2419
Christoph BergerDivision of Infectious Diseases and Hospital Epidemiology, University Children's Hospital Zurich, Zurich, Switzerland.
Tina Rubic-SchneiderNovartis Institutes for BioMedical Research, Basel, Switzerland.
Elisabetta TraggiaiNovartis Institutes for BioMedical Research, Basel, Switzerland.
Jan D LünemannUniversity Hospital of Münster, Department of Neurology with Institute of Translational Neurology, Münster, Germany.ORCID 0000-0002-3007-708X
Michael KammüllerNovartis Institutes for BioMedical Research, Basel, Switzerland.
Christian MünzUniversity of Zurich, Viral Immunobiology, Institute of Experimental Immunology, Zurich, Switzerland.ORCID 0000-0001-6419-1940
University of Zurich · CHNovartis (Switzerland) · CHQueen Mary Hospital · CNUniversity Children's Hospital Zurich · CHUniversity Hospital Münster · DESIB Swiss Institute of Bioinformatics · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-transplant lymphoproliferative disorder (PTLD) is a potentially fatal complication after organ transplantation frequently associated with the Epstein-Barr virus (EBV). Immunosuppressive treatment is thought to allow the expansion of EBV-infected B cells, which often express all eight oncogenic EBV latent proteins. Here, we assessed whether HLA-A2 transgenic humanized NSG mice treated with the immunosuppressant FK506 could be used to model EBV-PTLD. We found that FK506 treatment of EBV-infected mice led to an elevated viral burden, more frequent tumor formation and diminished EBV-induced T cell responses, indicative of reduced EBV-specific immune control. EBV latency III and lymphoproliferation-associated cellular transcripts were up-regulated in B cells from immunosuppressed animals, akin to the viral and host gene expression pattern found in EBV-PTLD. Utilizing an unbiased gene expression profiling approach, we identified genes differentially expressed in B cells of EBV-infected animals with and without FK506 treatment. Upon investigating the most promising candidates, we validated sCD30 as a marker of uncontrolled EBV proliferation in both humanized mice and in pediatric patients with EBV-PTLD. High levels of sCD30 have been previously associated with EBV-PTLD in patients. As such, we believe that humanized mice can indeed model aspects of EBV-PTLD development and may prove useful for the safety assessment of immunomodulatory therapies.

Indexed as

AnimalsB-LymphocytesDisease Models, AnimalDNA, ViralEpstein-Barr Virus InfectionsFemaleGene Expression ProfilingHerpesvirus 4, HumanHLA-A2 AntigenHumansImmunocompromised HostImmunosuppressive AgentsLymphoproliferative DisordersMaleMiceMice, Inbred NODDNA, ViralHLA-A2 AntigenImmunosuppressive AgentsTacrolimus

Identifiers

PMID32251475
PMCPMC7162544
OpenAlexW3014678983

What OpenQuestion holds

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LicenceCC BY
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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.