Evidence map›Paper›PMID 17478639›Full record

Trial reportBlood2007

Reconstitution of FOXP3+ regulatory T cells (Tregs) after CD25-depleted allotransplantation in elderly patients and association with acute graft-versus-host disease.

Stephan Mielke, Katayoun Rezvani, Bipin N Savani, Raquel Nunes, Agnes S M Yong, John Schindler, Roger Kurlander, Victor Ghetie, Elizabeth J Read, Scott R Solomon and 2 more

Open access · bronzeAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Blood, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.4field-weighted citation impact, top 7% 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

36 citing papers in PubMed, 78 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Adenosine Selectively Depletes Alloreactive T Cells to Prevent GVHD While Conserving Immunity to Viruses and Leukemia.Molecular therapy : the journal of the American Society of Gene Therapy · 2016
    Article
  8. Article
  9. Immunotherapy for viral and fungal infections.Bone marrow transplantation · 2015
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Homeostatic control of regulatory T cell diversity.Nature reviews. Immunology · 2014
    Review
  15. Sustained CD4Oncoimmunology · 2014
    Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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 at 4 institutions in 1 country.

Stephan MielkeAllotransplantation Section, Hematology Branch, National Heart, Lung, and Blood Institute (NHLBI), National Institutes of Health (NIH), Bethesda, MD 20892-1202, USA. mielkes@nhlbi.nih.gov
Katayoun Rezvani
Bipin N Savani
Raquel Nunes
Agnes S M Yong
John Schindler
Roger Kurlander
Victor Ghetie
Elizabeth J Read
Scott R Solomon
Ellen S Vitetta
A John Barrett
National Institutes of Health · USNational Heart Lung and Blood Institute · USThe University of Texas Southwestern Medical Center · USNational Institutes of Health Clinical Center · US

Funding

GRAFT-VERSUS-LEUKEMIAZ01HL002342 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI BARRETT, AUSTIN JOHN · 1994 to 2008
$7.7M
Graft-versus-leukemiaZIAHL002342 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI BARRETT, AUSTIN JOHN · 2009 to 2010
$6.3M
T Cell Alloreactivity During Hematopoietic TransplantatZ01CL010333 · CLC · CLINICAL CENTER · PI KURLANDER, ROGER J · 2002 to 2008
$41k
Monitoring Donor T Cell Alloreactivity During Hematopoietic TransplantationZIACL010333 · CLC · CLINICAL CENTER · PI KURLANDER, ROGER J · 2009 to 2010
$0k
6 · The paper itself

Abstract

Selective depletion (SD) of host-reactive donor T cells from allogeneic stem-cell transplants (SCTs) using an anti-CD25 immunotoxin (IT) is a strategy to prevent acute graft-versus-host disease (aGvHD). There is concern that concurrent removal of regulatory T cells (T(regs)) with incomplete removal of alloactivated CD25(+) T cells could increase the risk of aGvHD. We therefore measured T(regs) in the blood of 16 patients receiving a T-cell-depleted allograft together with anti-CD25-IT-treated SD lymphocytes, in 13 of their HLA-identical donors, and in 10 SD products. T(regs) were characterized by intracellular staining for forkhead box protein 3 (FOXP3) and by quantitative reverse-transcription-polymerase chain reaction (qRT-PCR) for FOXP3 gene in CD4(+) cells. Patients received a median of 1.0 x 10(8)/kg SD T cells and a stem cell product containing a median of 0.25 x 10(4)/kg residual T cells. T(regs) reconstituted promptly after SCT and underwent further expansion. Of the CD4(+) T cells in SD products, 1.5% to 4.8% were CD25(-) T(regs). Acute GvHD (>or= grade II) was restricted to 5 patients whose donors had significantly (P = .019) fewer T(regs) compared with those without clinically significant aGvHD. These results suggest that rapid T(reg) reconstitution can occur following SD allografts, either from CD25(-) T(regs) escaping depletion, or from residual CD25(-) and CD25(+) T(regs) contained in the stem-cell product that expand after transplantation and may confer additional protection against GvHD.

Indexed as

Living DonorsLymphocyte DepletionPeripheral Blood Stem Cell TransplantationAcute DiseaseAgedFemaleFollow-Up StudiesForkhead Transcription FactorsGraft vs Host DiseaseHematopoietic Stem CellsHumansImmunotoxinsInterleukin-2 Receptor alpha SubunitMaleMiddle AgedRecovery of FunctionForkhead Transcription FactorsFOXP3 protein, humanImmunotoxinsInterleukin-2 Receptor alpha Subunit

Identifiers

PMID17478639
PMCPMC1975850
OpenAlexW2096551536

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.