Evidence map›Paper›PMID 16534468›Full record

ArticleTransplantation2006

Attenuation of acute rejection in a rat liver transplantation model by a liver-targeted dextran prodrug of methylprednisolone.

Anjaneya P Chimalakonda, Donald L Montgomery, Jon A Weidanz, Imam H Shaik, Justin H Nguyen, John J Lemasters, Eiji Kobayashi, Reza Mehvar

Open access · greenAbstract read
In one paragraph

Article in Transplantation, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% of its field
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

7 citing papers in PubMed, 18 citations in OpenAlex.

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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

8 authors at 4 institutions in 1 country.

Anjaneya P ChimalakondaSchool of Pharmacy, Texas Tech University Health Sciences Center, Amarillo, TX 79106, USA.
Donald L Montgomery
Jon A Weidanz
Imam H Shaik
Justin H Nguyen
John J Lemasters
Eiji Kobayashi
Reza Mehvar
Texas Tech University Health Sciences Center · USTexas Tech University · USUniversity of North Carolina at Chapel Hill · USUniversity of Wyoming · US

Funding

Local Immunosuppression for Liver TransplantationR01GM069869 · NIGMS · TEXAS TECH UNIVERSITY HEALTH SCIS CENTER · PI MEHVAR, REZA · 2005 to 2008
$840k
NIGMS NIH HHS R01 GM069869NIGMS NIH HHS R01 GM069869-01A2
6 · The paper itself

Abstract

backgroundThe use of methylprednisolone (MP) and other corticosteroids for the treatment of acute liver allograft rejection is associated with severe toxicities in nontarget tissues. Therefore, selective delivery of MP to the liver may improve its efficacy and alleviate its side effects. We investigated the effects of a novel liver-targeted dextran prodrug of MP (DMP) in an orthotopic rat liver transplantation (OLT) model.

methodsThe model consisted of a high responder rejection strain combination (Dark Agouti donors and Lewis recipients). Liver recipients were intravenously administered saline or a single subtherapeutic dose of MP (5 mg/kg) as the parent drug (MP) or its prodrug (DMP). Different groups were then monitored for graft survival or euthanized 5 or 9 days posttransplantation. Plasma chemistry, including alkaline phosphatase and bilirubin, allograft histology, and survival duration were determined.

resultsUntreated recipients exhibited elevated plasma levels of liver injury markers, progressive portal and venous inflammation and cellular infiltration in liver allografts, and a mean graft survival time (MST) of 10.5 days. MP treatment did not alter any of these parameters. In contrast, a single dose of DMP resulted in a decrease in plasma levels of liver injury markers, a decrease in histological grade of rejection on day 5, and a substantial increase in MST (27.5 days).

conclusionsThese results demonstrate attenuation of acute rejection following local (allograft) immunosuppression with a single subtherapeutic dose of MP delivered as a liver-targeted prodrug. Dextran prodrugs may be useful for selective delivery of immunosuppressants to the liver following liver transplantation.

Indexed as

Liver TransplantationAcute DiseaseAlkaline PhosphataseAnimalsBilirubinCell ProliferationDextransDisease Models, AnimalGraft RejectionGraft SurvivalImmunoglobulin MImmunosuppressive AgentsInterleukin-2LiverMethylprednisoloneProdrugsAlkaline PhosphataseBilirubinDextransImmunoglobulin MImmunosuppressive AgentsInterleukin-2MethylprednisoloneProdrugsTumor Necrosis Factor-alpha

Identifiers

PMID16534468
PMCPMC1483062
OpenAlexW1978853119

What OpenQuestion holds

Textmetadata
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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.