Evidence map›Paper›PMID 39278359›Full record

ArticleThe Journal of allergy and clinical immunology2025

Systemic T-cell activation and IFN-γ activity in indeterminate severe hepatitis are reminiscent of hemophagocytic lymphohistiocytosis: Implications for T-cell- and IFN-γ-directed therapies.

Thinh H Nguyen, Prakash Satwani, Deepak Kumar, Urvi Kapoor, Sakshi Malik, Chengyu Prince, Taylor Montminy, Kristi Smiley, Mercedes Martinez, Dana Goldner and 6 more

Abstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

4 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

16 authors.

Thinh H NguyenDepartment of Pediatrics, Aflac Cancer and Blood Disorder Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Ga.
Prakash SatwaniDivision of Pediatric Hematology-Oncology, Columbia University, New York, NY.
Deepak KumarDepartment of Pediatrics, Aflac Cancer and Blood Disorder Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Ga.
Urvi KapoorDivision of Pediatric Hematology-Oncology, Columbia University, New York, NY.
Sakshi MalikDepartment of Pediatrics, Aflac Cancer and Blood Disorder Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Ga.
Chengyu PrinceDepartment of Pediatrics, Aflac Cancer and Blood Disorder Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Ga.
Taylor MontminyDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Healthcare of Atlanta and Emory University School of Medicine, Atlanta, Ga.
Kristi SmileyDivision of Bone Marrow Transplantation and Immune Deficiency, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Mercedes MartinezDivision of Pediatric Gastroenterology, Hepatology and Nutrition, NewYork-Presbyterian Hospital, Columbia University, New York, NY.
Dana GoldnerDivision of Pediatric Gastroenterology, Hepatology and Nutrition, NewYork-Presbyterian Hospital, Columbia University, New York, NY.
Rebecca MarshDivision of Bone Marrow Transplantation and Immune Deficiency, University of Cincinnati, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Helen E RemottiDepartment of Pathology and Cell Biology, Columbia University, New York, NY.
Ladan FazlollahiDepartment of Pathology and Cell Biology, Columbia University, New York, NY.
Heather B RyttingDepartment of Pediatrics, Division of Pediatric Pathology, Children's Healthcare of Atlanta, Atlanta, Ga.
Rene RomeroDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Healthcare of Atlanta and Emory University School of Medicine, Atlanta, Ga.
Shanmuganathan ChandrakasanDepartment of Pediatrics, Aflac Cancer and Blood Disorder Center, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, Ga. Electronic address: schan31@emory.edu.

Funding

Atlanta Pediatric Scholars ProgramK12HD072245 · NICHD · EMORY UNIVERSITY · PI Shari Barkin · 2012 to 2026
$5.5M
Research Training in Translational Gastroenterology and HepatologyT32DK108735 · NIDDK · EMORY UNIVERSITY · PI SUBRA KUGATHASAN · 2016 to 2026
$2.6M
Targeted non-genotoxic hematopoietic stem cell transplant conditioning approachK08HL141635 · NHLBI · EMORY UNIVERSITY · PI CHANDRAKASAN, SHANMUGANATHAN · 2019 to 2023
$815k
NHLBI NIH HHS K08 HL141635NICHD NIH HHS K12 HD072245NIDDK NIH HHS T32 DK108735
6 · The paper itself

Abstract

backgroundSevere hepatitis cases in children are increasingly recognized, but the exact etiology remains unknown in a significant proportion of patients. Cases of indeterminate severe hepatitis (iSH) may progress to indeterminate pediatric acute liver failure (iPALF), so understanding its immunobiology is critical to preventing disease progression. Hemophagocytic lymphohistiocytosis (HLH) is a systemic hyperinflammatory disorder associated with T-cell and macrophage activation with liver injury.

objectivesWe hypothesized that a high proportion of patients with iSH demonstrate systemic T-cell activation similar to HLH before developing iPALF and that the degree of T-cell activation in iSH might correlate with outcomes.

methodsFrom 2019 to 2022, 14 patients with iSH and 7 patients with PALF of known, nonimmune etiology were prospectively enrolled. We compared immune signatures of iSH, HLH, known PALF, and healthy controls.

resultsWe found that patients with iSH have increased CD8

conclusionsFlow-based T-cell activation markers could help in early identification and risk stratification for targeted intervention in patients with iSH.

Indexed as

HepatitisInterferon-gammaLymphocyte ActivationLymphohistiocytosis, HemophagocyticAdolescentCD8-Positive T-LymphocytesChildChild, PreschoolFemaleHumansInfantLiver Failure, AcuteMaleProspective StudiesT-LymphocytesInterferon-gammaCD8(+) T-cell activationferritinhemophagocytic lymphohistiocytosisindeterminate pediatric acute liver failureIndeterminate severe hepatitisposthepatitis aplastic anemiasoluble interleukin-2 receptor

Identifiers

PMID39278359
PMCPMC11890196

What OpenQuestion holds

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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.