Evidence map›Paper›PMID 19001329›Full record

Trial reportJournal of clinical oncology : official journal of the American Society of Clinical Oncology2008

Association of serum interleukin-7 levels with the development of acute graft-versus-host disease.

Robert M Dean, Terry Fry, Crystal Mackall, Seth M Steinberg, Fran Hakim, Daniel Fowler, Jeanne Odom, Jason Foley, Ronald Gress, Michael R Bishop

Abstract readClinical Trial
In one paragraph

Trial report in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% 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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
  2. The Role of Biomarkers in the Diagnosis and Risk Stratification of Acute Graft-versus-Host Disease: A Systematic Review.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Pooled it
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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

10 authors at 2 institutions in 1 country.

Robert M DeanExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892, USA.
Terry Fry
Crystal Mackall
Seth M Steinberg
Fran Hakim
Daniel Fowler
Jeanne Odom
Jason Foley
Ronald Gress
Michael R Bishop
National Cancer Institute · USCleveland Clinic · US

Funding

Immune reconstitution following autologous and allogeneic stem cell transplantZICBC010934 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI FLOMERFELT, FRANCIS · 2009 to 2022
$10.0M
Biology of T Cell DepletionZIABC011069 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MACKALL, CRYSTAL · 2009 to 2015
$4.7M
Development of Immunoablative Conditioning Regimens forZ01BC010698 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI BISHOP, MICHAEL R · 2005 to 2008
$999k
Immune reconstitution following autologous and allogeneic stem cell transplantZ01BC010934 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI HAKIM, FRANCES · 2008 to 2008
$701k
Biology of T Cell DepletionZ01BC011069 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI MACKALL, CRYSTAL · 2008 to 2008
$686k
Developing Immunoablative Regimens for the Engraftment of Allogeneic HSCTZIABC010698 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI BISHOP, MICHAEL R · 2009 to 2011
$544k
Intramural NIH HHS
6 · The paper itself

Abstract

purposeMorbidity from acute graft-versus-host disease (GVHD) limits the success of allogeneic hematopoietic stem-cell transplantation (HSCT) to treat malignancy. Interleukin-7 (IL-7), the principal homeostatic cytokine for T cells, is required for acute GVHD in murine models. In contrast to inflammatory cytokines (eg, IL-2, tumor necrosis factor alpha), IL-7 has not been studied extensively in the clinical transplant setting relative to its relationship with acute GVHD. PATIENTS AND

methodsWe evaluated the association of serum IL-7 levels with acute GVHD in 31 patients who were uniformly treated in a prospective clinical trial with reduced-intensity allogeneic HSCT from human leukocyte antigen-identical siblings. GVHD prophylaxis consisted of cyclosporine and methotrexate. Serum IL-7 levels and lymphocyte populations were determined at enrollment, the day of transplantation before the allograft infusion, and at specified intervals through 12 months post-transplantation.

resultsAs expected, IL-7 levels were inversely correlated with T-cell populations (P < .00001). Acute GVHD was significantly associated with higher IL-7 levels at day +7 (P = .01) and day +14 (P = .00003) post-transplantation as well as with the allograft CD34(+) cell dose (P = .01). IL-7 levels at day +14 also correlated with the severity of acute GVHD (P < .0001). In logistic regression models, these factors were highly sensitive (up to 86%) and specific (100%) for classifying whether patients developed acute GVHD.

conclusionThese data support preclinical observations that IL-7 plays a critical role in inducing acute GVHD and provide a rational basis for novel approaches to prevent and treat acute GVHD through modulation of the IL-7 pathway.

Indexed as

Acute DiseaseAdultAgedBiomarkersCD3 ComplexCD4 Lymphocyte CountCD8 AntigensFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHistocompatibility TestingHLA AntigensHumansImmunosuppressive AgentsInterleukin-7Living DonorsBiomarkersCD3 ComplexCD8 AntigensHLA AntigensIL7 protein, humanImmunosuppressive AgentsInterleukin-7

Identifiers

PMID19001329
PMCPMC2645098
OpenAlexW2120941256

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.