Evidence map›Paper›PMID 32817220›Full record

ArticleJournal of virology2020

Severe Human Lassa Fever Is Characterized by Nonspecific T-Cell Activation and Lymphocyte Homing to Inflamed Tissues.

Julia R Port, David M Wozniak, Lisa Oestereich, Elisa Pallasch, Beate Becker-Ziaja, Jonas Müller, Monika Rottstegge, Catherine Olal, Sergio Gómez-Medina, Jennifer Oyakhliome and 13 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of virology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 27% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
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  11. In Vitro Evaluation of Bunyavirus T Cell Immunity.Methods in molecular biology (Clifton, N.J.) · 2025
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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

23 authors at 6 institutions in 3 countries.

Julia R PortBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
David M WozniakBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Lisa OestereichBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Elisa PallaschBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Beate Becker-ZiajaRobert Koch Institute, Berlin, Germany.
Jonas MüllerBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Monika RottsteggeBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Catherine OlalBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Sergio Gómez-MedinaBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Jennifer OyakhliomeInstitute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Yemisi IghodaloInstitute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Emmanuel OmomohInstitute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Thomas OlokorInstitute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Donatus I AdomehInstitute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Danny AsogunInstitute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Ephraim Ogbani-EmovonInstitute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Kristin HartmannInstitute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Susanne KrasemannInstitute of Neuropathology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Emily V NelsonBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Beatriz Escudero-PérezBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Anita K McElroyDepartment of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.ORCID 0000-0001-6764-7536
Stephan GüntherBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
César Muñoz-FontelaBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany munoz-fontela@bnitm.de.ORCID 0000-0002-7725-2586
German Center for Infection Research · DEIrrua Specialist Teaching Hospital · NGBernhard Nocht Institute for Tropical Medicine · DEUniversität Hamburg · DERobert Koch Institute · DEUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lassa fever (LF) is a zoonotic viral hemorrhagic fever caused by Lassa virus (LASV), which is endemic to West African countries. Previous studies have suggested an important role for T-cell-mediated immunopathology in LF pathogenesis, but the mechanisms by which T cells influence disease severity and outcome are not well understood. Here, we present a multiparametric analysis of clinical immunology data collected during the 2017-2018 Lassa fever outbreak in Nigeria. During the acute phase of LF, we observed robust activation of the polyclonal T-cell repertoire, which included LASV-specific and antigenically unrelated T cells. However, severe and fatal LF cases were characterized by poor LASV-specific effector T-cell responses. Severe LF was also characterized by the presence of circulating T cells with homing capacity to inflamed tissues, including the gut mucosa. These findings in LF patients were recapitulated in a mouse model of LASV infection, in which mucosal exposure resulted in remarkably high lethality compared to skin exposure. Taken together, our findings indicate that poor LASV-specific T-cell responses and activation of nonspecific T cells with homing capacity to inflamed tissues are associated with severe LF.

Indexed as

Disease OutbreaksLymphocyte ActivationAdolescentAdultAgedAnimalsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesChildChild, PreschoolFemaleGene Expression RegulationHLA-DR AntigensHumansInfantInfant, NewbornHLA-DR AntigensIntegrin beta1Interferon-gammaItgb1 protein, humanLysosomal-Associated Membrane Protein 1Tumor Necrosis Factor-alphahost responseLassa feverLassa viruspathogenesisT-cell homingT cellsviral hemorrhagic fever

Identifiers

PMID32817220
PMCPMC7565638
OpenAlexW3051812100

What OpenQuestion holds

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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.