Evidence map›Paper›PMID 18216355›Full record

ArticleThe New England journal of medicine2008

HLA-mismatched renal transplantation without maintenance immunosuppression.

Tatsuo Kawai, A Benedict Cosimi, Thomas R Spitzer, Nina Tolkoff-Rubin, Manikkam Suthanthiran, Susan L Saidman, Juanita Shaffer, Frederic I Preffer, Ruchuang Ding, Vijay Sharma and 10 more

4 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in The New England journal of medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 456 papers.

0numbers the graph read from it
0cells of the map it votes in
456citing papers in PubMed
61.2field-weighted citation impact, top 1% 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.

NCT00063817 phase1completednot on this map

Renal Allograft Tolerance Through Mixed Chimerism (ITN010ST)

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2003 to 2009Enrolled5ConditionsEnd-stage Renal Disease, Renal Transplantation, Kidney TransplantationArmsConditioning Regimen
NCT00801632 phase2completednot on this map

Renal Allograft Tolerance Through Mixed Chimerism

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2008 to 2014Enrolled5ConditionsKidney Transplantation, Kidney Failure, ChronicArmsKidney Transplantation, Bone marrow transplantation, MEDI-507, cyclophosphamide, rituximab
NCT01780454 phase1 / phase2completednot on this mapstarted 2013, after this paper: background citation

Renal Allograft Tolerance Through Mixed Chimerism

TypeinterventionalSponsorMassachusetts General HospitalRan2013 to 2020Enrolled2ConditionsEnd Stage Renal DiseaseArmsMEDI-507, Rituximab, Total Body Irradiation, Thymic Irradiation
NCT05508009 phase1 / phase2recruitingnot on this mapstarted 2023, after this paper: background citation

Phase 1b/2a Trial of Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) From an HLA-partially Matched Related or Unrelated Donor After TCRαβ+ T-cell/CD19+ B-cell Depletion for Patients Who Will Receive a Kidney Transplant (KT) From the Same HSCT/KT Donor

TypeinterventionalSponsorAlice BertainaRan2023 to 2034Enrolled12ConditionsSIOD, Cystinosis, FSGS, SLE NephritisArmsCyclophosphamide 1200 mg/Kg, Fludarabine, Cyclophosphamide 100 mg/Kg, Total Body Irradiation, ATG
3 · Its place in the literature

Who cites it

456 citing papers in PubMed, 963 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Preclinical and clinical studies on kidney allograft tolerance via hematopoietic chimerism.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Review
  6. Review
  7. Selective impact on regulatory T cells with sustained functional phenotypes by the interleukin-2 mutein VIS171 in a nonhuman primate model.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Article
  20. Article

396 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 5 institutions in 1 country.

Tatsuo KawaiTransplantation Unit, Massachusetts General Hospital, and Harvard Medical School, Boston, USA.
A Benedict Cosimi
Thomas R Spitzer
Nina Tolkoff-Rubin
Manikkam Suthanthiran
Susan L Saidman
Juanita Shaffer
Frederic I Preffer
Ruchuang Ding
Vijay Sharma
Jay A Fishman
Bimalangshu Dey
Dicken S C Ko
Martin Hertl
Nelson B Goes
Waichi Wong
Winfred W Williams
Robert B Colvin
Megan Sykes
David H Sachs
Harvard University · USMassachusetts General Hospital · USCornell University · USNew York Hospital Queens · USNewYork–Presbyterian Hospital · US

Funding

Tolerance to Composite Islet-Kidney Transplants in Non-Human PrimatesU19AI102405 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI COSIMI, A BENEDICT · 2012 to 2016
$7.7M
MIXED CHIMERISM AND TOLERANCE IN CYNOMOLGUS MONKEYSR01AI037692 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI KAWAI, TATSUO · 1995 to 2005
$2.0M
MIXED CHIMERISM AND TOLERANCE IN CYNOMOLGUS MONKEYSR21AI037692 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI KAWAI, TATSUO · 2000 to 2000
$232k
IMMUNE TOLERANCE NETWORK-266015416-266015416N01AI015416 · NIAID · REGENTS OF THE UNIVERSITY OF C · PI BLUESTONE, JEFFREY A · 2002 to 2006
–
NIAID NIH HHS N01 AI015416NIAID NIH HHS R01 AI037692NIAID NIH HHS R21 AI037692NIAID NIH HHS U19 AI102405
6 · The paper itself

Abstract

Five patients with end-stage renal disease received combined bone marrow and kidney transplants from HLA single-haplotype mismatched living related donors, with the use of a nonmyeloablative preparative regimen. Transient chimerism and reversible capillary leak syndrome developed in all recipients. Irreversible humoral rejection occurred in one patient. In the other four recipients, it was possible to discontinue all immunosuppressive therapy 9 to 14 months after the transplantation, and renal function has remained stable for 2.0 to 5.3 years since transplantation. The T cells from these four recipients, tested in vitro, showed donor-specific unresponsiveness and in specimens from allograft biopsies, obtained after withdrawal of immunosuppressive therapy, there were high levels of P3 (FOXP3) messenger RNA (mRNA) but not granzyme B mRNA.

Indexed as

Bone Marrow TransplantationAdultBiopsyCombined Modality TherapyFemaleGraft RejectionGranzymesHepatocyte Nuclear Factor 3-alphaHistocompatibility TestingHumansImmunosuppression TherapyKidneyKidney Failure, ChronicKidney TransplantationMaleMiddle AgedFOXA1 protein, humanGranzymesHepatocyte Nuclear Factor 3-alphaRNA, Messenger

Identifiers

PMID18216355
PMCPMC2819046
OpenAlexW4294349031

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.