Evidence map›Paper›PMID 39017930›Full record

ArticleThe Journal of experimental medicine2024

Loss of tolerance precedes triggering and lifelong persistence of pathogenic type I interferon autoantibodies.

Sonja Fernbach, Nina K Mair, Irene A Abela, Kevin Groen, Roger Kuratli, Marie Lork, Christian W Thorball, Enos Bernasconi, Paraskevas Filippidis, Karoline Leuzinger and 9 more

Abstract read
In one paragraph

Article in The Journal of experimental medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing 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

33 citing papers in PubMed.

  1. Article
  2. Autoantibodies neutralizing type I interferons underlie a third of cases of Chikungunya virus encephalitis or myelitis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  3. High risk of hypoxemic COVID-19 pneumonia in myasthenia gravis patients with type I IFN autoantibodies.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Human antibodies against West Nile and related orthoflaviviruses.bioRxiv : the preprint server for biology · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Type I IFN autoantibodies underlie chikungunya live-attenuated vaccine encephalitis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  16. Review
  17. Immunosenescence and susceptibility to respiratory viruses: a state-of-the-art review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  18. The potential impacts of human genetics on virus emergence.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  19. Observational
  20. 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

19 authors.

Sonja Fernbach *Institute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0002-3362-3832
Nina K Mair *Institute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0003-1119-5432
Irene A AbelaInstitute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0002-5566-8628
Kevin GroenInstitute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0001-6352-1346
Roger KuratliInstitute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0009-0004-2917-575X
Marie LorkInstitute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0001-9167-7022
Christian W ThorballPrecision Medicine Unit, Lausanne University Hospital and University of Lausanne , Lausanne, Switzerland.ORCID 0000-0002-6869-6943
Enos BernasconiDivision of Infectious Diseases, Ente Ospedaliero Cantonale Lugano, University of Geneva and University of Southern Switzerland, Lugano, Switzerland.ORCID 0000-0002-9724-8373
Paraskevas FilippidisDepartment of Medicine, Infectious Diseases Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.ORCID 0000-0002-6784-7420
Karoline LeuzingerClinical Virology, University Hospital Basel , Basel, Switzerland.ORCID 0000-0002-5654-9356
Julia NotterDivision of Infectious Diseases, Infection Prevention and Travel Medicine, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0003-4821-9995
Andri RauchDepartment of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0001-5297-6062
Hans H HirschDepartment of Biomedicine, Transplantation and Clinical Virology, University of Basel, Basel, Switzerland.ORCID 0000-0003-0883-0423
Michael HuberInstitute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0002-0384-0000
Huldrych F GünthardInstitute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0002-1142-6723
Jacques FellayPrecision Medicine Unit, Lausanne University Hospital and University of Lausanne , Lausanne, Switzerland.ORCID 0000-0002-8240-939X
Roger D KouyosInstitute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0002-9220-8348
Benjamin G HaleInstitute of Medical Virology, University of Zurich , Zurich, Switzerland.ORCID 0000-0002-3891-9480
Swiss HIV Cohort Study

Funding

Novartis Foundation for Medical-Biological Research 23A069Promedica FoundationSwiss National Science Foundation 31003A_182464
6 · The paper itself

Abstract

Autoantibodies neutralizing type I interferons (IFN-Is) can underlie infection severity. Here, we trace the development of these autoantibodies at high-resolution using longitudinal samples from 1,876 well-treated individuals living with HIV over a 35-year period. Similar to general populations, ∼1.9% of individuals acquired anti-IFN-I autoantibodies as they aged (median onset ∼63 years). Once detected, anti-IFN-I autoantibodies persisted lifelong, and titers increased over decades. Individuals developed distinct neutralizing and non-neutralizing autoantibody repertoires at discrete times that selectively targeted combinations of IFNα, IFNβ, and IFNω. Emergence of neutralizing anti-IFNα autoantibodies correlated with reduced baseline IFN-stimulated gene levels and was associated with subsequent susceptibility to severe COVID-19 several years later. Retrospective measurements revealed enrichment of pre-existing autoreactivity against other autoantigens in individuals who later developed anti-IFN-I autoantibodies, and there was evidence for prior viral infections or increased IFN at the time of anti-IFN-I autoantibody triggering. These analyses suggest that age-related loss of self-tolerance prior to IFN-I immune-triggering poses a risk of developing lifelong functional IFN-I deficiency.

Indexed as

Antibodies, NeutralizingAutoantibodiesCOVID-19Interferon Type IAdultAgedFemaleHIV InfectionsHumansInterferon-alphaMaleMiddle AgedRetrospective StudiesSARS-CoV-2Antibodies, NeutralizingAutoantibodiesInterferon-alphaInterferon Type I

Identifiers

PMID39017930
PMCPMC11253716

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.