Evidence map›Paper›PMID 34253454›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2021

IRF4 ablation in B cells abrogates allogeneic B cell responses and prevents chronic transplant rejection.

Guohua Wang, Dawei Zou, Yixuan Wang, Nancy M Gonzalez, Stephanie G Yi, Xian C Li, Wenhao Chen, A Osama Gaber

Open access · greenAbstract read
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 37% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. CD8Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  2. Article
  3. CD4Nature immunology · 2024
    Article
  4. Article
  5. Article
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 2 countries.

Guohua WangImmunobiology & Transplant Science Center, Department of Surgery, Houston Methodist Research Institute & Institute for Academic Medicine, Houston Methodist Hospital, Houston, Texas; Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Dawei ZouImmunobiology & Transplant Science Center, Department of Surgery, Houston Methodist Research Institute & Institute for Academic Medicine, Houston Methodist Hospital, Houston, Texas.
Yixuan WangImmunobiology & Transplant Science Center, Department of Surgery, Houston Methodist Research Institute & Institute for Academic Medicine, Houston Methodist Hospital, Houston, Texas; Department of Cardiovascular Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Nancy M GonzalezImmunobiology & Transplant Science Center, Department of Surgery, Houston Methodist Research Institute & Institute for Academic Medicine, Houston Methodist Hospital, Houston, Texas.
Stephanie G YiDepartment of Surgery, J. C. Walter Jr. Transplant Center, Houston Methodist Hospital, Houston, Texas; Department of Surgery, Weill Cornell Medicine, Cornell University, New York, New York.
Xian C LiImmunobiology & Transplant Science Center, Department of Surgery, Houston Methodist Research Institute & Institute for Academic Medicine, Houston Methodist Hospital, Houston, Texas; Department of Surgery, Weill Cornell Medicine, Cornell University, New York, New York.
Wenhao ChenImmunobiology & Transplant Science Center, Department of Surgery, Houston Methodist Research Institute & Institute for Academic Medicine, Houston Methodist Hospital, Houston, Texas; Department of Surgery, Weill Cornell Medicine, Cornell University, New York, New York. Electronic address: wchen@houstonmethodist.org.
A Osama GaberDepartment of Surgery, J. C. Walter Jr. Transplant Center, Houston Methodist Hospital, Houston, Texas; Department of Surgery, Weill Cornell Medicine, Cornell University, New York, New York.
Houston Methodist · USMethodist Hospital · USCornell University · USHuazhong University of Science and Technology · CN

Funding

IRF4-dependent T-cell effector programs in governing transplant outcomesR01AI132492 · NIAID · METHODIST HOSPITAL RESEARCH INSTITUTE · PI CHEN, WENHAO · 2018 to 2022
$2.0M
NIAID NIH HHS R01 AI132492
6 · The paper itself

Abstract

backgoundB cells contribute to chronic transplant rejection by producing donor-specific antibodies and promoting T cell response, but how these processes are regulated at the transcriptional level remains unclear. Herein, we investigate the role of transcription factor interferon regulatory factor 4 (IRF4) in controlling B cell response during chronic transplant rejection.

methodsWe generated the Irf4

resultsIRF4 is dynamically expressed at different stages of B cell development and is absent in germinal center (GC) B cells. However, IRF4 ablation in the B cell lineage primarily eliminates GC B cells in both naïve and NP-KLH immunized mice. In the transplantation setting, IRF4 functions intrinsically in B cells and governs allogeneic B cell responses at multiple levels, including GC B cell generation, plasma cell differentiation, donor-specific antibody production, and support of T cell response. B cell-specific IRF4 deletion combined with transient CTLA4-Ig treatment abrogates acute and chronic cardiac allograft rejection in naïve recipient mice but not in donor skin-sensitized recipients.

conclusionsB cells require IRF4 to mediate chronic transplant rejection. IRF4 ablation in B cells abrogates allogeneic B cell responses and may also inhibit the ability of B cells to prime allogenic T cells. Targeting IRF4 in B cells represents a potential therapeutic strategy for eliminating chronic transplant rejection.

Indexed as

AnimalsB-LymphocytesDisease Models, AnimalGerminal CenterGraft RejectionGraft SurvivalHaptensHeart TransplantationHemocyaninsInterferon Regulatory Factor-4Interferon Regulatory FactorsMiceMice, Inbred BALB CMice, KnockoutSkin Transplantation4-hydroxy-3-nitrophenylacetyl-keyhole limpet hemocyaninHaptensHemocyaninsInterferon Regulatory Factor-4Interferon Regulatory FactorsB cell developmentB cellschronic rejectiondonor-specific antibodiesgerminal center B cellsIRF4transcriptional regulation

Identifiers

PMID34253454
PMCPMC8464533
OpenAlexW3175080580

What OpenQuestion holds

Textmetadata
LicenceTDM
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.