Evidence map›Paper›PMID 18828769›Full record

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

The effect of costimulatory and interleukin 2 receptor blockade on regulatory T cells in renal transplantation.

J A Bluestone, W Liu, J M Yabu, Z G Laszik, A Putnam, M Belingheri, D M Gross, R M Townsend, F Vincenti

Open access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report 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. Cited by 87 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

87 citing papers in PubMed, 1 synthesis or guideline pooled it, 227 citations in OpenAlex.

  1. Belatacept for kidney transplant recipients.The Cochrane database of systematic reviews · 2014
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
  6. Engineering hypoimmune stem cell-derived beta cells.Stem cell research & therapy · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. CD4Frontiers in immunology · 2022
    Review
  16. Review
  17. Article
  18. Article
  19. Regulatory T Cells for the Induction of Transplantation Tolerance.Advances in experimental medicine and biology · 2021
    Article
  20. Review

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

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

9 authors at 4 institutions in 2 countries.

J A BluestoneDiabetes Center, Department of Medicine, University of California San Francisco, CA, USA. jbluest@diabetes.ucsf.edu
W Liu
J M Yabu
Z G Laszik
A Putnam
M Belingheri
D M Gross
R M Townsend
F Vincenti
Princeton University · USBristol-Myers Squibb (United States) · USStanford University · USUniversity of California, San Francisco · US

Funding

Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRUMMEL, MATTHEW F · 2003 to 2019
$21.8M
IMMUNOMODULATION OF TRANSPLANT REJECTION BY ANTI-CD3 MABR37AI046643 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BLUESTONE, JEFFREY A · 2000 to 2009
$2.5M
TRAINING PROGRAM IN INVESTIGATIVE HEMATOLOGYT32HL007970 · NHLBI · STANFORD UNIVERSITY · PI BOXER, LINDA M · 2001 to 2010
$2.1M
NHLBI NIH HHS T32 HL007970NHLBI NIH HHS T32 HL07970-05NIAID NIH HHS R37 AI046643NIAID NIH HHS R37 AI46643NIDDK NIH HHS P30 DK063720NIDDK NIH HHS P30 DK63720
6 · The paper itself

Abstract

Regulatory T cells (Treg) are critical regulators of immune tolerance. Both IL-2 and CD28-CD80/CD86 signaling are critical for CD4(+)CD25(+)FOXP3(+) Treg survival in mice. Yet, both belatacept (a second-generation CTLA-4Ig) and basiliximab (an anti-CD25 monoclonal antibody) are among the arsenal of current immunotherapies being used in kidney transplant patients. In this study, we explored the direct effect of basiliximab and belatacept on the Tregs in peripheral blood both in the short term and long term and in kidney biopsies of patients with acute rejection. We report that the combined belatacept/basiliximab therapy has no long-term effect on circulating Tregs when compared to a calcineurin inhibitor (CNI)-treated group. Moreover, belatacept-treated patients had a significantly greater number of FOXP3(+) T cells in graft biopsies during acute rejection as compared to CNI-treated patients. Finally, it appears that the basiliximab caused a transient loss of both FOXP3(+) and FOXP3(-) CD25(+) T cells in the circulation in both treatment groups raising important questions about the use of this therapy in tolerance promoting therapeutic protocols.

Indexed as

AbataceptAdultAntibodies, MonoclonalB7-1 AntigenB7-2 AntigenBasiliximabCalcineurin InhibitorsCD28 AntigensCD4-Positive T-LymphocytesFemaleForkhead Transcription FactorsHumansImmunoconjugatesImmunosuppressive AgentsInterleukin-2 Receptor alpha SubunitKidney TransplantationAbataceptAntibodies, MonoclonalB7-1 AntigenB7-2 AntigenBasiliximabCalcineurin InhibitorsCD28 AntigensForkhead Transcription FactorsFOXP3 protein, humanImmunoconjugatesImmunosuppressive AgentsInterleukin-2 Receptor alpha SubunitReceptors, Interleukin-2Recombinant Fusion Proteins

Identifiers

PMID18828769
PMCPMC3087374
OpenAlexW2125956827

What OpenQuestion holds

Textmetadata
LicenceTDM
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.