Evidence map›Paper›PMID 33889159›Full record

ArticleFrontiers in immunology2021

Clonally Focused Public and Private T Cells in Resected Brain Tissue From Surgeries to Treat Children With Intractable Seizures.

Julia W Chang, Samuel D Reyes, Emmanuelle Faure-Kumar, Sandi K Lam, Michael W Lawlor, Richard J Leventer, Sean M Lew, Paul J Lockhart, Kathryn Pope, Howard L Weiner and 5 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.5field-weighted citation impact, top 32% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. CNS autoimmune response in the MAM/pilocarpine rat model of epileptogenic cortical malformation.Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  9. Keeping T cell memories in mind.Trends in immunology · 2022
    Review
  10. Review
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

15 authors at 6 institutions in 2 countries.

Julia W ChangDepartment of Neurosurgery, David Geffen School of Medicine at the University of California, Los Angeles, CA, United States.
Samuel D ReyesDepartment of Neurosurgery, David Geffen School of Medicine at the University of California, Los Angeles, CA, United States.
Emmanuelle Faure-KumarDepartment of Medicine: Division of Digestive Diseases, David Geffen School of Medicine at the University of California, Los Angeles, CA, United States.
Sandi K LamDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Ann & Robert H. Lurie Children's Hospital, Chicago, IL, United States.
Michael W LawlorDepartment of Pathology, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI, United States.
Richard J LeventerMurdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC, Australia.
Sean M LewDepartment of Neurosurgery, Medical College of Wisconsin, Children's Hospital of Wisconsin, Milwaukee, WI, United States.
Paul J LockhartMurdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC, Australia.
Kathryn PopeMurdoch Children's Research Institute, Royal Children's Hospital, Parkville, VIC, Australia.
Howard L WeinerDepartment of Pediatric Neurosurgery, Baylor College of Medicine, Texas Children's Hospital, Houston, TX, United States.
Noriko SalamonDepartment of Radiological Sciences, David Geffen School of Medicine at the University of California, Los Angeles, CA, United States.
Harry V VintersDepartment of Pathology and Laboratory Medicine, David Geffen School of Medicine at the University of California, Los Angeles, CA, United States.
Gary W MathernDepartment of Neurosurgery, David Geffen School of Medicine at the University of California, Los Angeles, CA, United States.
Aria FallahDepartment of Neurosurgery, David Geffen School of Medicine at the University of California, Los Angeles, CA, United States.
Geoffrey C OwensDepartment of Neurosurgery, David Geffen School of Medicine at the University of California, Los Angeles, CA, United States.
University of California, Los Angeles · USChildren's Hospital of Wisconsin · USRoyal Children's Hospital · AUBaylor College of Medicine · USMurdoch Children's Research Institute · AUNeurological Surgery · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
Pilot and Feasibility ProgramP30DK041301 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ROZENGURT, JUAN ENRIQUE · 1990 to 2019
$18.0M
Cellular immunity in intractable pediatric epilepsyR21NS107884 · NINDS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MATHERN, GARY W., OWENS, GEOFFREY C · 2019 to 2019
$429k
NCATS NIH HHS UL1 TR001881NIDDK NIH HHS P30 DK041301NINDS NIH HHS R21 NS107884
6 · The paper itself

Abstract

Using a targeted transcriptomics approach, we have analyzed resected brain tissue from a cohort of 53 pediatric epilepsy surgery cases, and have found that there is a spectrum of involvement of both the innate and adaptive immune systems as evidenced by the differential expression of immune-specific genes in the affected brain tissue. The specimens with the highest expression of immune-specific genes were from two Rasmussen encephalitis cases, which is known to be a neuro-immunological disease, but also from tuberous sclerosis complex (TSC), focal cortical dysplasia, and hemimegalencephaly surgery cases. We obtained T cell receptor (TCR) Vβ chain sequence data from brain tissue and blood from patients with the highest levels of T cell transcripts. The clonality indices and the frequency of the top 50 Vβ clonotypes indicated that T cells in the brain were clonally restricted. The top 50 Vβ clonotypes comprised both public and private (patient specific) clonotypes, and the TCR Vβ chain third complementarity region (CDR3) of the most abundant public Vβ clonotype in each brain sample was strikingly similar to a CDR3 that recognizes an immunodominant epitope in either human cytomegalovirus or Epstein Barr virus, or influenza virus A. We found that the frequency of 14 of the top 50 brain Vβ clonotypes from a TSC surgery case had significantly increased in brain tissue removed to control recurrent seizures 11 months after the first surgery. Conversely, we found that the frequency in the blood of 18 of the top 50 brain clonotypes from a second TSC patient, who was seizure free, had significantly decreased 5 months after surgery indicating that T cell clones found in the brain had contracted in the periphery after removal of the brain area associated with seizure activity and inflammation. However, the frequency of a public and a private clonotype significantly increased in the brain after seizures recurred and the patient underwent a second surgery. Combined single cell gene expression and TCR sequencing of brain-infiltrating leukocytes from the second surgery showed that the two clones were CD8 effector T cells, indicating that they are likely to be pathologically relevant.

Indexed as

Adoptive TransferClone CellsAmino Acid SequenceBiomarkersBrainChildComplementarity Determining RegionsDisease ManagementDisease SusceptibilityDrug Resistant EpilepsyGene ExpressionGene Expression ProfilingHumansReceptors, Antigen, T-CellSeizuresT-Cell Antigen Receptor SpecificityBiomarkersComplementarity Determining RegionsReceptors, Antigen, T-Cellepilepsyfocal cortical dysplasiaRasmussen encephalitisT cell receptortuberous sclerosis complex

Identifiers

PMID33889159
PMCPMC8056262
OpenAlexW3143162429

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.