Evidence map›Paper›PMID 18557726›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2008

Factors affecting success of thymus transplantation for complete DiGeorge anomaly.

M L Markert, B H Devlin, I K Chinn, E A McCarthy, Y J Li

7 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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.

NCT00566488 phase1completednot on this map

Parathyroid and Thymus Transplantation in DiGeorge Syndrome, #931

TypeinterventionalSponsorSumitomo Pharma Switzerland GmbHRan2005 to 2019Enrolled25ConditionsDiGeorge Syndrome, Hypoparathyroidism, Complete DiGeorge SyndromeArmsThymus/Parathyroid Transplantation
NCT00576407 phase2completednot on this map

Phase II Study of Thymus Transplantation in Complete DiGeorge Syndrome #668

TypeinterventionalSponsorSumitomo Pharma Switzerland GmbHRan1991 to 2017Enrolled26ConditionsDiGeorge Syndrome, Complete Typical DiGeorge AnomalyArmsCultured Thymus Tissue for Implantation (CTTI)
NCT00576836 phase2completednot on this map

Dose Study of Thymus Transplantation in DiGeorge Anomaly, IND 9836, #932.1

TypeinterventionalSponsorSumitomo Pharma Switzerland GmbHRan2004 to 2019Enrolled7ConditionsDiGeorge Anomaly, DiGeorge Syndrome, Complete DiGeorge Anomaly, Complete DiGeorge SyndromeArmsCultured Thymus Tissue Implantation (CTTI), Cultured Thymus Tissue Implantation with Parathyroid Transplantation
NCT00579527 phase1 / phase2completednot on this map

Phase I/II Trial of Thymus Transplantation With Immunosuppression, #950

TypeinterventionalSponsorSumitomo Pharma Switzerland GmbHRan2005 to 2017Enrolled14ConditionsDiGeorge Anomaly, Complete DiGeorge Anomaly, Complete Atypical DiGeorge Anomaly, Complete DiGeorge SyndromeArmsCultured Thymus Tissue for Implantation (CTTI), Cultured Thymus Tissue Implantation and Parental Parathyroid Transplantation, Blood Draw, Rabbit anti-thymocyte globulin, Cyclosporine
NCT00579709 phase1completednot on this map

Thymus Transplantation With Immunosuppression, #884

TypeinterventionalSponsorSumitomo Pharma Switzerland GmbHRan2002 to 2019Enrolled15ConditionsDiGeorge Syndrome, DiGeorge Anomaly, Complete DiGeorge Anomaly, Complete DiGeorge SyndromeArmsThymus Tissue for Transplantation
NCT01220531 nacompletednot on this mapstarted 2010, after this paper: background citation

Safety and Efficacy of Thymus Transplantation in Complete DiGeorge Anomaly, IND#9836

TypeinterventionalSponsorSumitomo Pharma Switzerland GmbHRan2010 to 2023Enrolled29ConditionsComplete DiGeorge Anomaly, DiGeorge Syndrome, DiGeorge Anomaly, Complete DiGeorge SyndromeArmsCultured Thymus Tissue
NCT02274662 phase4completednot on this mapstarted 2014, after this paper: background citation

Expanded Access Protocol Thymus Transplantation for Immunodeficiency, Hematologic Malignancies, and Autoimmune Disease Related to Poor Thymic Function

TypeinterventionalSponsorSumitomo Pharma Switzerland GmbHRan2014 to 2023Enrolled11ConditionsPoor Thymic Function, Immunodeficiency, Athymia, ImmunoreconstitutionArmsCultured Thymus Tissue, Blood Draw, Rabbit Anti-Thymocyte Globulin and Cyclosporine or Tacrolimus
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Congenital Athymia: Unmet Needs and Practical Guidance.Therapeutics and clinical risk management · 2023
    Review
  7. Article
  8. Experience with cultured thymus tissue in 105 children.The Journal of allergy and clinical immunology · 2022
    Article
  9. Review
  10. Review
  11. Thymus Regeneration and Future Challenges.Stem cell reviews and reports · 2020
    Review
  12. Review
  13. Thymus transplantation for complete DiGeorge syndrome: European experience.The Journal of allergy and clinical immunology · 2017
    Article
  14. FOXN1 deficient nude severe combined immunodeficiency.Orphanet journal of rare diseases · 2017
    Review
  15. Review
  16. Review
  17. Article
  18. Immunological aspects of 22q11.2 deletion syndrome.Cellular and molecular life sciences : CMLS · 2012
    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

5 authors at 3 institutions in 1 country.

M L MarkertDepartment of Pediatrics, Duke University Medical Center, Durham, NC, USA. marke001@mc.duke.edu
B H Devlin
I K Chinn
E A McCarthy
Y J Li
Duke Medical Center · USCenter for Human Genetics · USDuke University · US

Funding

Pilot Project for the DTMI CRA ProgramUL1RR024128 · NCRR · DUKE UNIVERSITY · PI CALIFF, ROBERT M · 2006 to 2010
$48.1M
XOMAZYME-CD5 PLUS THERAPY IN RHEUMATOID ARTHRITISM01RR000030 · NCRR · DUKE UNIVERSITY · PI WILLIAMS, R SANDERS · 1985 to 2006
$20.0M
THYMIC TRANSPLANTATION IN COMPLETE DIGEORGE SYNDROMER01AI047040 · NIAID · DUKE UNIVERSITY · PI MARKERT, M. LOUISE · 1999 to 2014
$8.0M
Center for Molecular &Cellular Studies of Ped DiseaseK12HD043494 · NICHD · DUKE UNIVERSITY · PI REED, ANN M. · 2003 to 2017
$5.2M
Dynamics of TCR Repertoire Following Thymus TransplantR01AI054843 · NIAID · DUKE UNIVERSITY · PI MARKERT, M. LOUISE · 2004 to 2008
$1.9M
Dose Study of thymus TransplantationR01FD002606 · FDA · DUKE UNIVERSITY · PI MARKERT, MARY LOUISE · 2005 to 2007
$934k
Parathyroid and Thymus Transplants in DiGeorge SyndromeR21AI060967 · NIAID · DUKE UNIVERSITY · PI MARKERT, MARY LOUISE · 2004 to 2005
$396k
FDA HHS FD-R-002606NCRR NIH HHS M01 RR000030NCRR NIH HHS M03 RR60NCRR NIH HHS UL1 RR024128NCRR NIH HHS UL1 RR024128-01NIAID NIH HHS R01 AI047040NIAID NIH HHS R01 AI054843NIAID NIH HHS R01 AI 47040NIAID NIH HHS R01 AI 54843NIAID NIH HHS R21 AI060967NIAID NIH HHS R21 AI 60967NICHD NIH HHS K12 HD043494
6 · The paper itself

Abstract

Thymus transplantation shows promise for the treatment of athymia in complete DiGeorge anomaly. This report reviews the effects of dose of thymus tissue, ABO compatibility, HLA matching, culture conditions, age of donor and immunosuppression of recipient on immune outcomes at 1 year after transplantation. Forty-nine athymic subjects have been treated with cultured postnatal allogeneic thymus tissue; 36 (73%) survive with only one subject on immunosuppression at 1.5 years. Of 31 surviving subjects more than 1 year after transplantation, 30 (97%) developed naive T cells, T-cell proliferative responses to mitogens and a diverse T-cell receptor beta variable (TCRBV) repertoire. The dose of thymus tissue, HLA matching and use of immunosuppression had nonsignificant effects on these outcome variables. Removal of deoxyguanosine from culture medium and length of culture did not adversely affect outcomes. Use of thymus tissue from donors over 1 month of age, versus under 1 month, resulted in higher total T-cell numbers (p = 0.03). However, this finding must be confirmed in a prospective trial. Although subtle immune effects may yet be associated with some of the factors tested, it is remarkable that consistently good immune outcomes result despite variation in dose, HLA matching and use of immunosuppression.

Indexed as

ABO Blood-Group SystemDiGeorge SyndromeFemaleHLA AntigensHumansInfantInfant, NewbornMaleThymus GlandTreatment OutcomeABO Blood-Group SystemHLA Antigens

Identifiers

PMID18557726
PMCPMC3667673
OpenAlexW2049295412

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 1 more above

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.