Evidence map›Paper›PMID 34646962›Full record

ArticleAdvances in radiation oncology

Long-Term Recovery of the Adaptive Immune System in Rhesus Macaques After Total Body Irradiation.

Andrew N Macintyre, Matthew J French, Brittany R Sanders, Kristina J Riebe, Ivo D Shterev, Kevin Wiehe, Bhavna Hora, Tyler Evangelous, Greg Dugan, J Daniel Bourland and 2 more

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

17 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Reconstitution of thymopoiesis via implantation of cryopreserved cultured thymus tissue into athymic recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
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  12. Radiation-induced multi-organ injury.International journal of radiation biology · 2024
    Article
  13. Review
  14. Long-Term Immunological Consequences of Radiation Exposure in a Diverse Cohort of Rhesus Macaques.International journal of radiation oncology, biology, physics · 2023
    Article
  15. Review
  16. Article
  17. 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

12 authors at 2 institutions in 1 country.

Andrew N MacintyreDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Matthew J FrenchDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Brittany R SandersDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Kristina J RiebeDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Ivo D ShterevDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Kevin WieheDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Bhavna HoraDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Tyler EvangelousDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Greg DuganDepartment of Pathology/Comparative Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
J Daniel BourlandDepartment of Radiation Oncology, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
J Mark ClineDepartment of Pathology/Comparative Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina.
Gregory D SempowskiDuke Human Vaccine Institute and Department of Medicine, Duke University School of Medicine, Durham, North Carolina.
Duke University · USWake Forest University · US

Funding

Somatostatin analogues as countermeasures against intestinal radiation toxicityU19AI067798 · NIAID · DUKE UNIVERSITY · PI DOAN, PHUONG LINH · 2005 to 2024
$82.1M
The Wake Forest Nonhuman Primate Radiation Survivor CohortU01AI150578 · NIAID · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI J. MARK CLINE · 2020 to 2026
$23.7M
Regional Biocontainment Laboratory (RBL)UC6AI058607 · NIAID · DUKE UNIVERSITY · PI WILLIAMS, R SANDERS · 2003 to 2005
$16.3M
LABORATORY ANIMAL &COMPARATIVE MEDICINE TRAININGT32RR007009 · NCRR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CLINE, J. MARK · 1985 to 2011
$2.2M
NCRR NIH HHS T32 RR007009NIAID NIH HHS U01 AI150578NIAID NIH HHS U19 AI067798NIAID NIH HHS UC6 AI058607
6 · The paper itself

Abstract

purposeIonizing radiation causes acute damage to hematopoietic and immune cells, but the long-term immunologic consequences of irradiation are poorly understood. We therefore performed a prospective study of the delayed immune effects of radiation using a rhesus macaque model. METHODS AND MATERIALS: Ten macaques received 4 Gy high-energy x-ray total body irradiation (TBI) and 6 control animals received sham irradiation. TBI caused transient lymphopenia that resolved over several weeks. Once white blood cell counts recovered, flow cytometry was used to immunophenotype the circulating adaptive immune cell populations 4, 9, and 21 months after TBI. Data were fit using a mixed-effects model to determine age-dependent, radiation-dependent, and interacting effects. T cell receptor (TCR) sequencing and quantification of TCR Excision Circles were used to determine relative contributions of thymopoiesis and peripheral expansion to T cell repopulation. Two years after TBI, the cohort was vaccinated with a 23-valent pneumococcal polysaccharide vaccine and a tetravalent influenza hemagglutinin vaccine.

resultsAging, but not TBI, led to significant changes in the frequencies of dendritic cells, CD4 and CD8 T cells, and B cells. However, irradiated animals exhibited increased frequencies of central memory T cells and decreased frequencies of naïve T cells. These consequences of irradiation were time-dependent and more prolonged in the CD8 T cell population. Irradiation led to transient increases in CD8+ T cell TCR Excision Circles and had no significant effect on TCR sequence entropy, indicating T cell recovery was partially mediated by thymopoiesis. Animals that were irradiated and then vaccinated showed normal immunoglobulin G binding and influenza neutralization titers in response to the 4 protein antigens but weaker immunoglobulin G binding titers to 10 of the 23 polysaccharide antigens.

conclusionsThese findings indicate that TBI causes subtle but long-lasting immune defects that are evident years after recovery from lymphopenia.

Identifiers

PMID34646962
PMCPMC8498734
OpenAlexW3154825251

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.