Evidence map›Paper›PMID 18976293›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2009

Allospecific CD154+ T cells associate with rejection risk after pediatric liver transplantation.

C Ashokkumar, A Talukdar, Q Sun, B W Higgs, J Janosky, P Wilson, G Mazariegos, R Jaffe, A Demetris, J Dobberstein and 5 more

Registry-linked trialOpen access · bronzeAbstract 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, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03409341 (Personalizing Immune Checkpoint Inhibitor Therapy for Solid Tumors), which is not on this map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.8field-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.

NCT03409341 withdrawnnot on this mapstarted 2019, after this paper: background citation

Personalizing Immune Checkpoint Inhibitor Therapy for Solid Tumors

TypeobservationalSponsorHoly Cross Hospital, MarylandRan2019 to 2020Enrolled0ConditionsLung Cancer Stage IVArmsBlood and tumor tissue analysis, Clinical response.
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 77 citations in OpenAlex.

  1. Diagnostic and predictive biomarkers of acute rejection after liver transplantation.International journal of surgery (London, England) · 2025
    Review
  2. Discrimination of Anti-Donor Response in Allogeneic Transplantation Using an Alloreactive T-Cell Detection Assay.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  3. Article
  4. Article
  5. Analysis of T-cell alloantigen responseFrontiers in immunology · 2023
    Article
  6. Article
  7. Article
  8. Identification of peripheral CD154Clinical and experimental immunology · 2021
    Article
  9. Review
  10. Review
  11. Article
  12. Applicability, safety, and biological activity of regulatory T cell therapy in liver transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  13. Review
  14. Article
  15. Review
  16. Review
  17. Clinical Hepatocyte Transplantation: What Is Next?Current transplantation reports · 2017
    Article
  18. Alloimmune T cells in transplantation.The Journal of clinical investigation · 2017
    Review
  19. Article
  20. Moving Biomarkers toward Clinical Implementation in Kidney Transplantation.Journal of the American Society of Nephrology : JASN · 2017
    Review
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

15 authors at 2 institutions in 1 country.

C AshokkumarUniversity of Pittsburgh and Children's Hospital of Pittsburgh, Department of Transplant Surgery, Pittsburgh, PA, USA.
A Talukdar
Q Sun
B W Higgs
J Janosky
P Wilson
G Mazariegos
R Jaffe
A Demetris
J Dobberstein
K Soltys
G Bond
A W Thomson
A Zeevi
R Sindhi
University of Pittsburgh · USChildren's Hospital of Pittsburgh · US

Funding

Predictors for drug selection and minimization in pediatric liver transplantationR01AI073895 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SINDHI, RAKESH K. · 2006 to 2009
$1.5M
Pharmacodynamic Thresholds of ImmunosuppressionR01AI049156 · NIAID · CHILDREN'S HOSP PITTSBURGH/UPMC HLTH SYS · PI SINDHI, RAKESH K. · 2001 to 2004
$943k
NIAID NIH HHS 5R01AI073895-02NIAID NIH HHS 5-R01AI49156-05NIAID NIH HHS R01 AI049156NIAID NIH HHS R01 AI073895
6 · The paper itself

Abstract

Antigen-specific T cells, which express CD154 rapidly, but remain untested in alloimmunity, were measured with flow cytometry in 16-h MLR of 58 identically-immunosuppressed children with liver transplantation (LTx), to identify Rejectors (who had experienced biopsy-proven rejection within 60 days posttransplantation). Thirty-one children were sampled once, cross-sectionally. Twenty-seven children were sampled longitudinally, pre-LTx, and at 1-60 and 61-200 days after LTx. Results were correlated with proliferative alloresponses measured by CFSE-dye dilution (n = 23), and CTLA4, a negative T-cell costimulator, which antagonizes CD154-mediated effects (n = 31). In cross-sectional observations, logistic regression and leave-one-out cross-validation identified donor-specific, CD154 + T-cytotoxic (Tc)-memory cells as best associated with rejection outcomes. In the longitudinal cohort, (1) the association between CD154 + Tc-memory cells and rejection outcomes was replicated with sensitivity/specificity 92.3%/84.6% for observations at 1-60 days, and (2) elevated pre-LTx CD154 + Tc-memory cell responses were associated with significantly increased incidence (p = 0.02) and hazard (HR = 7.355) of rejection in survival/proportional hazard analysis. CD154 expression correlated with proliferative alloresponses (r = 0.835, p = 7.1e-07), and inversely with CTLA4 expression of allospecific CD154 + Tc-memory cells (r =-0.706, p = 3.0e-05). Allospecific CD154 + T-helper-memory cells, not CD154 + Tc-memory, were inhibited by increasing Tacrolimus concentrations (p = 0.026). Collectively, allospecific CD154 + T cells provide an estimate of rejection risk in children with LTx.

Indexed as

Antigens, CDCD40 LigandChildChild, PreschoolCohort StudiesCTLA-4 AntigenFemaleGraft RejectionHumansImmunologic MemoryLiver TransplantationMaleT-LymphocytesAntigens, CDCD40 LigandCTLA-4 AntigenCTLA4 protein, human

Identifiers

PMID18976293
PMCPMC2997472
OpenAlexW1813961098

What OpenQuestion holds

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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.