Evidence map›Paper›PMID 38133636›Full record

ArticleClinical and experimental immunology2024

Gene expression analysis revealed downregulation of complement receptor 1 in clonal B cells in cold agglutinin disease.

Agnieszka Małecka, Ingunn Østlie, Gunhild Trøen, Jędrzej Małecki, Jan Delabie, Anne Tierens, Ludvig A Munthe, Sigbjørn Berentsen, Geir E Tjønnfjord

Open access · hybridAbstract read
In one paragraph

Article in Clinical and experimental immunology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Diagnosis and management of cold agglutinin disease.Hematology. American Society of Hematology. Education Program · 2025
    Review
  3. Article
  4. Review
  5. 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

9 authors at 4 institutions in 2 countries.

Agnieszka MałeckaDepartment of Haematology, Oslo University Hospital, Oslo, Norway.ORCID 0000-0002-3381-5981
Ingunn ØstlieDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Gunhild TrøenDepartment of Pathology, Oslo University Hospital, Oslo, Norway.
Jędrzej MałeckiDepartment of Biosciences, University of Oslo, Oslo, Norway.
Jan DelabieLaboratory Medicine Program, University Health Network and University of Toronto, Toronto, ON, Canada.ORCID 0000-0001-5023-0689
Anne TierensLaboratory Medicine Program, University Health Network and University of Toronto, Toronto, ON, Canada.
Ludvig A MuntheKG Jebsen Centre for B-cell malignancies, Institute of Clinical Medicine, University of Oslo, Oslo, Norway.
Sigbjørn BerentsenDepartment of Research and Innovation, Haugesund Hospital, Helse Fonna Trust, Haugesund, Norway.
Geir E TjønnfjordDepartment of Haematology, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOUniversity Health Network · CAPrivatsykehuset Haugesund · NOUniversity of Oslo · NO

Funding

KG Jebsen Foundation 19Norwegian Cancer SocietySouth-Eastern Norway Regional Health Authority 2018069
6 · The paper itself

Abstract

Cold agglutinin disease (CAD) is a rare B-cell lymphoproliferative disorder of the bone marrow, manifested by autoimmune hemolytic anemia caused by binding of monoclonal IgM autoantibodies to the I antigen. Underlying genetic changes have previously been reported, but their impact on gene expression profile has been unknown. Here, we define differentially expressed genes in CAD B cells. To unravel downstream alteration in cellular pathways, gene expression by RNA sequencing was undertaken. Clonal B-cell samples from 12 CAD patients and IgM-expressing memory B cells from 4 healthy individuals were analyzed. Differential expression analysis and filtering resulted in 93 genes with significant differential expression. Top upregulated genes included SLC4A1, SPTA1, YBX3, TESC, HBD, AHSP, TRAF1, HBA2, RHAG, CA1, SPTB, IL10, UBASH3B, ALAS2, HBA1, CRYM, RGCC, KANK2, and IGHV4-34. They were upregulated at least 8-fold, while complement receptor 1 (CR1/CD35) was downregulated 11-fold in clonal CAD B cells compared to control B cells. Flow cytometry analyses further confirmed reduced CR1 (CD35) protein expression by clonal CAD IgM+ B cells compared to IgM+ memory B cells in controls. CR1 (CD35) is an important negative regulator of B-cell activation and differentiation. Therefore, reduced CR1 (CD35) expression may increase activation, proliferation, and antibody production in CAD-associated clonal B cells.

Indexed as

Anemia, Hemolytic, Autoimmune5-Aminolevulinate SynthetaseBlood ProteinsB-LymphocytesDown-RegulationGene Expression ProfilingHumansImmunoglobulin MMolecular ChaperonesReceptors, Complement 3b5-Aminolevulinate SynthetaseAHSP protein, humanALAS2 protein, humanBlood ProteinsImmunoglobulin MMolecular ChaperonesReceptors, Complement 3bcold agglutinin diseasecomplement receptor 1gene expression

Identifiers

PMID38133636
PMCPMC10929701
OpenAlexW4390115170

What OpenQuestion holds

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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.