Evidence map›Paper›PMID 42387268›Full record

ArticleAlimentary pharmacology & therapeutics2026

A Distinct Immune Signature Characterizes Cirrhosis in Ethiopian Individuals With Chronic HBV Infection.

Julia MacLeod, Fikadu G Gudissa, Asiya Jeylan, Nega Berhe, Hailemichael Desalegn, Lasse Rossvoll, Asgeir Johannessen, Niklas K Björkström, Dag Henrik Reikvam, Annika Niehrs

Abstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Julia MacLeodInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0009-0000-6421-5172
Fikadu G GudissaAdama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia.
Asiya JeylanAdama Comprehensive Specialized Hospital Medical College, Adama, Ethiopia.
Nega BerheDepartment of Infectious Diseases, Vestfold Hospital, Tønsberg, Norway.
Hailemichael DesalegnDepartment of Infectious Diseases, Vestfold Hospital, Tønsberg, Norway.
Lasse RossvollInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Asgeir JohannessenInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID https://orcid.org/0000-0001-5966-7166
Niklas K BjörkströmCentre for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.
Dag Henrik ReikvamInstitute of Clinical Medicine, University of Oslo, Oslo, Norway.
Annika NiehrsCentre for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Karolinska University Hospital, Stockholm, Sweden.

Funding

CancerfondenCenter for Innovative Medicine, Karolinska InstitutEuropean Research Council 948692Helse Sør-Øst RHF 2021064John C Martin Foundation 2021-G036Knut och Alice Wallenbergs StiftelseNordic Society of Clinical Microbiology and Infectious DiseasesNorges Forskningsråd 336567Stiftelsen för Strategisk ForskningSvenska Forskningsrådet Formas 2025-06655
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe immune cell phenotype of African patients living with chronic hepatitis B virus (HBV) infection is rarely described, despite high infection rates. This study investigated the differences in immune cell phenotypes in four distinct clinical phases of disease in an Ethiopian cohort.

methodsTwo hundred eighty-seven patients with untreated HBV infection, and no human immunodeficiency virus and hepatitis C virus infection, were included at Adama Hospital, Ethiopia. Patients were categorized based on clinical parameters into the following groups: low-replicative infection, "greyzone", active hepatitis, and cirrhosis. Whole blood samples were cryopreserved using Cytodelics Whole Blood Cell Stabilizer and analysed using two high-dimensional flow cytometry panels to define immune cell phenotypes.

resultsPatients with cirrhosis displayed a distinct immunophenotype compared to other phases of chronic HBV infection with an increase in monocytes and a reduction in all lymphocytes alongside a shift from a mature to a naïve phenotype in NK cells, CD4

conclusionsHBV-associated cirrhosis in Ethiopia displayed a unique immunophenotype, in which the frequency of CD38

Indexed as

Hepatitis B, ChronicLiver CirrhosisAdultEthiopiaFemaleFlow CytometryHumansImmunophenotypingKiller Cells, NaturalMaleMiddle AgedPhenotypeYoung AdultAfricacirrhosishepatitis Bimmunophenotyping

Identifiers

PMID42387268
PMCPMC13559501

What Socratic 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 Socratic graph.