Evidence map›Paper›PMID 34297797›Full record

ArticleBlood2021

Peripheral B cells repress B-cell regeneration in aging through a TNF-α/IGFBP-1/IGF-1 immune-endocrine axis.

Reem Dowery, David Benhamou, Eli Benchetrit, Ofer Harel, Alex Nevelsky, Simona Zisman-Rozen, Yolanda Braun-Moscovici, Alexandra Balbir-Gurman, Irit Avivi, Arik Shechter and 3 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00863187 (Assessing Antibody Responsiveness to Hepatitis B Vaccine in Aged Lymphoma Patients Undergoing Treatment With Rituximab), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
2.3field-weighted citation impact, top 11% 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.

NCT00863187 naunknown statusnot on this map

Assessing Antibody Responsiveness to Hepatitis B Vaccine in Aged Lymphoma Patients Undergoing Treatment With Rituximab

TypeinterventionalSponsorRambam Health Care CampusRan2009Enrolled100ConditionsLymphomaArmsrituximab
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 50 citations in OpenAlex.

  1. B cells in cancer: functions, mechanisms and therapeutic advances.Signal transduction and targeted therapy · 2026
    Review
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  5. Targeting senescent EGR1Cell reports. Medicine · 2026
    Article
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  8. Review
  9. Article
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  15. 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

13 authors at 6 institutions in 2 countries.

Reem DoweryRappaport Faculty of Medicine, Department of Immunology, Technion-Israel Institute of Technology, Haifa, Israel.
David BenhamouRappaport Faculty of Medicine, Department of Immunology, Technion-Israel Institute of Technology, Haifa, Israel.
Eli BenchetritRappaport Faculty of Medicine, Department of Immunology, Technion-Israel Institute of Technology, Haifa, Israel.
Ofer HarelRappaport Faculty of Medicine, Department of Immunology, Technion-Israel Institute of Technology, Haifa, Israel.
Alex NevelskyRadiotherapy Unit, Oncology Division, Rambam Health Care Campus, Haifa, Israel.
Simona Zisman-RozenBlood Bank and Molecular Hematology Laboratory, Galilee Medical Center, Nahariya, Israel.
Yolanda Braun-MoscoviciB. Shine Rheumatology Unit, Rambam Health Care Campus, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Alexandra Balbir-GurmanB. Shine Rheumatology Unit, Rambam Health Care Campus, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.
Irit AviviDepartment of Hematology, Tel Aviv Sourasky Medical Center, Sackler Medical School, Tel-Aviv University, Tel Aviv, Israel.
Arik ShechterDepartment of Family Medicine, Technion Faculty of Medicine, Clalit Health Services and Neuro-urology Unit, Rambam Medical Center, Haifa, Israel; and.
Daniela BerdnikDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA.
Tony Wyss-CorayDepartment of Neurology and Neurological Sciences, Stanford University School of Medicine, Stanford, CA.ORCID 0000-0001-5893-0831
Doron MelamedRappaport Faculty of Medicine, Department of Immunology, Technion-Israel Institute of Technology, Haifa, Israel.
Technion – Israel Institute of Technology · ILStanford University · USClalit Health Services · ILRambam Health Care Campus · ILTel Aviv University · ILWestern Galilee Hospital · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Loss of B lymphocyte regeneration in the bone marrow (BM) is an immunologic hallmark of advanced age, which impairs the replenishment of peripheral B-cell subsets and results in impaired humoral responses, thereby contributing to immune system dysfunction associated with aging. A better understanding of the mechanism behind this loss may suggest ways to restore immune competence and promote healthy aging. In this study, we uncover an immune-endocrine regulatory circuit that mediates cross-talk between peripheral B cells and progenitors in the BM, to balance B-cell lymphopoiesis in both human and mouse aging. We found that tumor necrosis factor α (TNF-α), which is increasingly produced by peripheral B cells during aging, stimulates the production of insulin-like growth factor-binding protein 1 (IGFBP-1), which binds and sequesters insulin-like growth factor 1 (IGF-1) in the circulation, thereby restraining its activity in promoting B-cell lymphopoiesis in the BM. Upon B-cell depletion in aging humans and mice, circulatory TNF-α decreases, resulting in increased IGF-1 and reactivation of B-cell lymphopoiesis. Perturbation of this circuit by administration of IGF-1 to old mice or anti-TNF-α antibodies to human patients restored B-cell lymphopoiesis in the BM. Thus, we suggest that in both human and mouse aging, peripheral B cells use the TNF-α/IGFBP-1/IGF-1 axis to repress B-cell lymphopoiesis. This trial was registered at www.clinicaltrials.govas#NCT00863187.

Indexed as

AgingAdultAnimalsB-LymphocytesCells, CulturedFemaleHumansImmunityInsulin-Like Growth Factor Binding Protein 1Insulin-Like Growth Factor IMaleMiceMice, Inbred C57BLMiddle AgedSignal TransductionTumor Necrosis Factor-alphaIGF1 protein, humanIGFBP1 protein, humanInsulin-Like Growth Factor Binding Protein 1Insulin-Like Growth Factor ITumor Necrosis Factor-alpha

Identifiers

PMID34297797
PMCPMC9642783
OpenAlexW3183154475

What OpenQuestion holds

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Registered trials

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.