Evidence map›Paper›PMID 41419306›Full record

ArticleGut2026

Tracking B cell immunity during perturbation of hepatitis B infection induced by treatment withdrawal.

Sabela Lens, Alice R Burton, Jessica Davies, Maelle Locatelli, Mireia García-López, Anna Pocurull, Anna Jeffery-Smith, Nikolai Novikov, Simon P Fletcher, Xavier Forns and 2 more

Abstract read
In one paragraph

Article in Gut, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

12 authors.

Sabela LensInstitute of Immunity and Transplantation, Division of Infection and Immunity, UCL, London, UK SLENS@clinic.cat m.maini@ucl.ac.uk.ORCID http://orcid.org/0000-0003-4900-411X
Alice R BurtonInstitute of Immunity and Transplantation, Division of Infection and Immunity, UCL, London, UK.
Jessica DaviesInstitute of Immunity and Transplantation, Division of Infection and Immunity, UCL, London, UK.
Maelle LocatelliLiver Unit, Hospital Clinic de Barcelona, Barcelona, Spain.
Mireia García-LópezLiver Unit, Hospital Clinic de Barcelona, Barcelona, Spain.
Anna PocurullLiver Unit, Hospital Clinic de Barcelona, Barcelona, Spain.
Anna Jeffery-SmithInstitute of Immunity and Transplantation, Division of Infection and Immunity, UCL, London, UK.
Nikolai NovikovGilead Sciences Inc, Foster City, California, USA.
Simon P FletcherGilead Sciences Inc, Foster City, California, USA.
Xavier FornsLiver Unit, Hospital Clinic de Barcelona, Barcelona, Spain.
Sofía Pérez-Del-PulgarLiver Unit, Hospital Clinic de Barcelona, Barcelona, Spain.ORCID http://orcid.org/0000-0002-9890-300X
Mala K MainiInstitute of Immunity and Transplantation, Division of Infection and Immunity, UCL, London, UK SLENS@clinic.cat m.maini@ucl.ac.uk.ORCID http://orcid.org/0000-0001-6384-1462

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundWithdrawal of prolonged nucleos(t)ide analogue (NA) treatment results in hepatitis B surface antigen (HBsAg) loss in some subjects with chronic hepatitis B (CHB), potentially revealing immune correlates of functional cure.

objectiveWe investigated whether baseline or longitudinal changes in humoral immunity correlated with outcome of discontinuing prolonged NA treatment.

designGlobal memory B cells (MBC) and T follicular helper cells (Tfh) were analysed by flow cytometry. HBs (small surface)/HBc (core)-MBC were quantified by ex-vivo bait staining and function assessed by cultured ELISpots (enzyme-linked immunosorbent spots). Immune parameters assessed at end-of-treatment (EOT), 12 and 48 weeks after treatment withdrawal (and at 4-8 years in a subset) were correlated with intrahepatic and longitudinal serum viral markers and alanine transaminase (ALT).

resultsIndividuals on prolonged NA had comparable frequencies of HBc-MBC and HBs-MBC, although the latter were PD-1

conclusionDifferences in global and HBs-specific B cell immunity associate with HBsAg loss, whereas HBc-MBC temporally associates with flares, following withdrawal of prolonged NA treatment. Our results underscore the need to further explore the potential of B cell targets for monitoring and enhancing HBV functional cure in larger cohorts.

Indexed as

Antiviral AgentsB-LymphocytesHepatitis B, ChronicMemory B CellsFemaleHepatitis B Surface AntigensHepatitis B virusHumansImmunity, HumoralMaleMiddle AgedT Follicular Helper CellsTreatment InterruptionWithholding TreatmentAntiviral AgentsHepatitis B Surface AntigensB CELLHEPATITIS B

Identifiers

PMID41419306
PMCPMC13422052

What OpenQuestion holds

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LicenceCC BY
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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.