Evidence map›Paper›PMID 34392598›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2021

Treatment induced clearance of hepatitis E viruses by interferon-lambda in liver-humanized mice.

Gulce Sari, Claudia E Mulders, Jingting Zhu, Gertine W van Oord, Zongdi Feng, Jolanda J C Kreeft-Voermans, Andre Boonstra, Thomas Vanwolleghem

Open access · bronzeAbstract read
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Mechanisms of Differential Signal Transduction by IFNLR1 Variants.bioRxiv : the preprint server for biology · 2025
    Article
  5. Article
  6. Interferon Lambda: The Next Frontier in Antiviral Therapy?Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  7. Review
  8. Review
  9. Treatment of Hepatitis E.Advances in experimental medicine and biology · 2023
    Article
  10. Animal Models for Hepatitis E Virus.Advances in experimental medicine and biology · 2023
    Article
  11. Treatment induced clearance of hepatitis E viruses by interferon-lambda in liver-humanized mice.Liver international : official journal of the International Association for the Study of the Liver · 2021
    Article
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

8 authors at 3 institutions in 3 countries.

Gulce SariDepartment of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-8585-5889
Claudia E MuldersDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, The Netherlands.
Jingting ZhuCenter for Vaccines and Immunity, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Gertine W van OordDepartment of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Zongdi FengCenter for Vaccines and Immunity, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio, USA.
Jolanda J C Kreeft-VoermansDepartment of Viroscience, Erasmus University Medical Center, Rotterdam, The Netherlands.
Andre BoonstraDepartment of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands.
Thomas VanwolleghemDepartment of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, The Netherlands.ORCID 0000-0002-0572-8741
Erasmus MC · NLNationwide Children's Hospital · USUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatitis E viruses (HEV) are an underestimated global cause of enterically transmitted viral hepatitis, which may persist in immunocompromised hosts, posing a risk for progressive liver fibrosis with limited treatment options. We previously established liver-humanized mice as a model for chronic HEV infections, which can be cleared by a 2-week pegylated (peg)-Interferon(IFN)α treatment course. However, severe side effects may hamper the use of IFNα in immunocompromised transplant recipient patients. IFNλ may be a valuable alternative, as its receptor is less ubiquitously expressed.

aimsIn this study, we assess the in vitro and in vivo potency of pegIFNλ to induce innate immune signalling in liver cells and to clear a persistent HEV infection in liver-humanized mice. METHODS &

resultsWe found that human liver cells expressed the IFNλ receptor (IFNLR1) and are responsive to pegIFNλ. Treatment with pegIFNλ of liver-humanized mice persistently infected with HEV genotype 3 showed that pegIFNλ was well tolerated. Dose escalation studies showed that although HEV was not cleared at pegIFNλ doses up to 0.12 mg/kg for a maximum of 8 weeks, a dose of 0.3 mg/kg pegIFNλ treatment resulted in complete clearance of HEV antigen and HEV RNA from the liver in 8 out of 9 liver-humanized mice.

conclusionsPegIFNλ is well tolerated in mice and leads to clearance of a persistent HEV infection in liver-humanized mice.

Indexed as

Hepatitis EHepatitis E virusAnimalsAntiviral AgentsHumansInterferon-alphaMiceReceptors, InterferonAntiviral AgentsIFNLR1 protein, mouseInterferon-alphaReceptors, Interferoncytokineshepatitis E virusinterferon alphainterferon lambdaviral hepatitis

Identifiers

PMID34392598
PMCPMC9291846
OpenAlexW3196063427

What OpenQuestion holds

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LicenceCC BY-NC
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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.