Evidence map›Paper›PMID 40522253›Full record

ArticleLiver international : official journal of the International Association for the Study of the Liver2025

Analysis of Hyperexpanded T Cell Clones in SARS-CoV-2 Vaccine-Associated Liver Injury by Spatial Proteomics and Transcriptomics.

Sarp Uzun, Asmita Pant, Ewelina Bartoszek, Paul Gueguen, Stefan Frei, Hélène Heusler, Ilaria Arborelli, Carl Philipp Zinner, Neşe Karadağ Soylu, Benedetta Terziroli Beretta-Piccoli and 2 more

Abstract readCase Reports
In one paragraph

Article in Liver international : official journal of the International Association for the Study of the Liver, 2025. 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
–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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Analysis of Hyperexpanded T Cell Clones in SARS-CoV-2 Vaccine-Associated Liver Injury by Spatial Proteomics and Transcriptomics.Liver international : official journal of the International Association for the Study of the Liver · 2025
    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

12 authors.

Sarp UzunInstitute of Pathology, University Hospital of Basel, University of Basel, Basel, Switzerland.ORCID 0000-0003-0873-0457
Asmita PantInstitute of Pathology, University Hospital of Basel, University of Basel, Basel, Switzerland.
Ewelina BartoszekMicroscopy Core Facility, Department of Biomedicine, University of Basel, Basel, Switzerland.
Paul GueguenFunctional Genomics Center Zurich, ETH Zurich/University of Zurich, Zurich, Switzerland.
Stefan FreiInstitute of Pathology, University Hospital of Basel, University of Basel, Basel, Switzerland.
Hélène HeuslerInstitute of Pathology, University Hospital of Basel, University of Basel, Basel, Switzerland.
Ilaria ArborelliInstitute of Pathology, University Hospital of Basel, University of Basel, Basel, Switzerland.
Carl Philipp ZinnerInstitute of Pathology, University Hospital of Basel, University of Basel, Basel, Switzerland.
Neşe Karadağ SoyluDepartment of Pathology, University of Health Sciences, Adana City Education and Research Hospital, Adana, Turkey.
Benedetta Terziroli Beretta-PiccoliServizio di Gastroenterologia Ed Epatologia, Ente Ospedaliero Cantonale, Ospedale Civico, Lugano, Switzerland.
Cumali EfeDepartment of Gastroenterology, Harran University Hospital, Şanlıurfa, Turkey.ORCID 0000-0001-6593-5702
Matthias S MatterInstitute of Pathology, University Hospital of Basel, University of Basel, Basel, Switzerland.ORCID 0000-0002-2005-5266

Funding

Botnar Research Centre for Child Health, University of BaselSchweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung
6 · The paper itself

Abstract

BACKGROUND AND

aimsSARS-CoV-2 vaccine-associated liver injury (SVALI) is a rare event and its pathophysiology remains unclear. Previous studies have found an oligoclonal CD8+ T cell infiltrate and SARS-CoV-2 spike antigen-specific T cells in the liver of patients with SVALI. Therefore, we aimed to characterise the immune infiltrate in a liver explant from a patient with severe SVALI.

methodsT cell receptor sequencing, a novel combined multiplex immunofluorescence (mIF)-RNA in situ hybridisation (RISH) approach, and single cell spatial transcriptomics with the Xenium in situ platform were used to identify, track and characterise specific T cell clones in this liver sample.

resultsT cell repertoire analysis revealed hyperexpanded clones with CDR3 sequences similar to previously identified SARS-CoV-2 spike antigen-specific T cells. The hyperexpanded clones were localised throughout the whole liver, but the concentration was higher at the portal interface. Many hyperexpanded T cells expressed cytotoxic granzymes A, B and K, but also tissue-resident markers such as CXCR6, CD69 and KLRB1.

conclusionsSpatial proteomics and spatial transcriptomics techniques allowed the localisation and characterisation of hyperexpanded CD8+ T cell clones at single cell level. They exhibited cytotoxic and tissue-resident memory properties, suggesting their involvement in the pathogenesis of SVALI.

Indexed as

CD8-Positive T-LymphocytesCOVID-19COVID-19 VaccinesHumansLiverMaleMiddle AgedProteomicsReceptors, Antigen, T-CellSARS-CoV-2Single-Cell AnalysisSpike Glycoprotein, CoronavirusTranscriptomeCOVID-19 VaccinesReceptors, Antigen, T-CellSpike Glycoprotein, Coronavirusautoimmune hepatitisCOVID‐19SARS‐CoV‐2vaccinationvaccine‐induced liver injury

Identifiers

PMID40522253
PMCPMC12169079

What Socratic holds

Textmetadata
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 Socratic graph.