Evidence map›Paper›PMID 38851295›Full record

ArticleAnnals of the rheumatic diseases2024

Defects in B-lymphopoiesis and B-cell maturation underlie prolonged B-cell depletion in ANCA-associated vasculitis.

Jens Thiel, Franziska M Schmidt, Raquel Lorenzetti, Arianna Troilo, Iga Janowska, Lena Nießen, Sophie Pfeiffer, Julian Staniek, Bruno Benassini, Marei-Theresa Bott and 12 more

Abstract read
In one paragraph

Article in Annals of the rheumatic diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Review
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  6. [Characterization of Immune Reconstitution Patterns in B-cell Subsets Mediated by B-cell Targeted Therapies].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Article
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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

22 authors.

Jens Thiel *Division of Rheumatology and Clinical Immunology, Medical University of Graz, Graz, Austria marta.rizzi@uniklinik-freiburg.de jens.thiel@medunigraz.at.
Franziska M Schmidt *Division of Clinical and Experimental Immunology, Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Raquel LorenzettiDivision of Rheumatology and Clinical Immunology, Medical University of Graz, Graz, Austria.
Arianna TroiloDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Iga JanowskaDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Lena NießenDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Sophie PfeifferDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Julian StaniekDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Bruno BenassiniDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Marei-Theresa BottDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Jakov KorzhenevichDivision of Clinical and Experimental Immunology, Institute of Immunology, Center for Pathophysiology, Infectiology and Immunology, Medical University of Vienna, Vienna, Austria.
Lukas KonstantinidisDepartment of Orthopedics and Trauma Surgery, University of Freiburg, Freiburg im Breisgau, Germany.
Frank BurgbacherDepartment of Orthopedics and Trauma Surgery, University of Freiburg, Freiburg im Breisgau, Germany.
Ann-Katrin DufnerDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Natalie FredeDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.ORCID http://orcid.org/0000-0002-6415-6376
Reinhard E VollDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.
Jan StuchlyDepartment of Paediatric Haematology and Oncology, University Hospital Motol, Prague, Czech Republic.
Marina BakardjievaDepartment of Paediatric Haematology and Oncology, University Hospital Motol, Prague, Czech Republic.
Tomas KalinaDepartment of Paediatric Haematology and Oncology, University Hospital Motol, Prague, Czech Republic.
Cristian Roberto SmulskiMedical Physics Department, Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Bariloche, Argentina.
Nils Venhoff *Department of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany.ORCID http://orcid.org/0000-0001-7729-2759
Marta Rizzi *Department of Rheumatology and Clinical Immunology, Faculty of Medicine, University of Freiburg, Freiburg im Breisgau, Germany marta.rizzi@uniklinik-freiburg.de jens.thiel@medunigraz.at.ORCID http://orcid.org/0000-0002-5153-6089

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesB-cell depletion time after rituximab (RTX) treatment is prolonged in antineutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) compared with other autoimmune diseases. We investigated central and peripheral B-cell development to identify the causes for the defect in B-cell reconstitution after RTX therapy.

methodsWe recruited 91 patients with AAV and performed deep phenotyping of the peripheral and bone marrow B-cell compartment by spectral flow and mass cytometry. B-cell development was studied by

resultsTreatment-naïve patients with AAV showed low transitional B-cell numbers, suggesting impaired B-lymphopoiesis. We analysed bone marrow of treatment-naïve and RTX-treated patients with AAV and found reduced B-lymphoid precursors.

conclusionsProlonged depletion of B cells in patients with AAV after RTX therapy indicates a B-cell defect that is unmasked by RTX treatment. Our data indicate that impaired bone marrow B-lymphopoiesis results in a delayed recovery of peripheral B cells that may be further aggravated by a survival defect of B cells. Our findings contribute to the understanding of AAV pathogenesis and may have clinical implications regarding RTX retreatment schedules and immunomonitoring after RTX therapy.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisB-Cell Activation Factor ReceptorB-LymphocytesLymphopoiesisRituximabAdultAgedFemaleHumansLymphocyte DepletionMaleMiddle AgedB-Cell Activation Factor ReceptorRituximabB-lymphocytesrituximabvasculitis

Identifiers

PMID38851295
PMCPMC11503191

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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.