Evidence map›Paper›PMID 19047438›Full record

ArticleThe Journal of experimental medicine2008

A novel role of CD4 Th17 cells in mediating cardiac allograft rejection and vasculopathy.

Xueli Yuan, Jesus Paez-Cortez, Isabela Schmitt-Knosalla, Francesca D'Addio, Bechara Mfarrej, Michela Donnarumma, Antje Habicht, Michael R Clarkson, John Iacomini, Laurie H Glimcher and 2 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01163799 (A Pilot Study to Assess the Safety and Efficacy of Alefacept in de Novo Kidney Transplant Recipients), which is not on this map. Cited by 147 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
147citing papers in PubMed, 1 pooled it
11.5field-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.

NCT01163799 phase1terminatednot on this mapstarted 2010, after this paper: background citation

A Pilot Study to Assess the Safety and Efficacy of Alefacept in de Novo Kidney Transplant Recipients

TypeinterventionalSponsorNorthwestern UniversityRan2010 to 2012Enrolled9ConditionsTransplant, Failure, KidneyArmsAlefacept (ASP0485)
3 · Its place in the literature

Who cites it

147 citing papers in PubMed, 1 synthesis or guideline pooled it, 302 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. How Cytokines Regulate Immune Response Toward Chronic Allograft Rejection?Results and problems in cell differentiation · 2026
    Review
  5. Review
  6. Review
  7. Review
  8. Best practices of heart transplantation in mice.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  9. Article
  10. Animal models for transplant immunology: bridging bench to bedside.Clinical transplantation and research · 2024
    Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article

87 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

12 authors at 3 institutions in 1 country.

Xueli YuanTransplantation Research Center, Renal Division, Brigham and Women's Hospital and Children's Hospital Boston, Harvard Medical School, Boston, MA 02115, USA.
Jesus Paez-Cortez
Isabela Schmitt-Knosalla
Francesca D'Addio
Bechara Mfarrej
Michela Donnarumma
Antje Habicht
Michael R Clarkson
John Iacomini
Laurie H Glimcher
Mohamed H Sayegh
M Javeed Ansari
Harvard University · USBrigham and Women's Hospital · USNorthwestern University · US

Funding

T Cell Fate as a Determinant of Alloimmune ResponsesP01AI041521 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI SAYEGH, MOHAMED H · 1997 to 2011
$15.9M
The function of T Bet in EAEP01NS038037 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI WEINER, HOWARD L · 2000 to 2010
$12.8M
TOLERANCE INDUCTION BY DST PLUS COSTIMULATORY BLOCKADER01AI037691 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI TURKA, LAURENCE A · 1995 to 2015
$5.3M
Role of New Costimulatory Pathways in Graft RejectionR01AI051559 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI SAYEGH, MOHAMED H · 2002 to 2012
$3.6M
T-bet and Tumor ImmunityR01CA112663 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI GLIMCHER, LAURIE HOLLIS · 2005 to 2015
$3.3M
The Role of TIM-1: TIM-4 Pathway in Allograft Rejection and ToleranceR01AI070820 · NIAID · BOSTON CHILDREN'S HOSPITAL · PI SAYEGH, MOHAMED H · 2007 to 2011
$2.1M
Role of Novel Th17 cells in allograft rejection and toleranceK08AI080836 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ANSARI, MOHAMMED JAVEED · 2009 to 2013
$631k
NCI NIH HHS CA112663NCI NIH HHS R01 CA112663NIAID NIH HHS K08 AI080836NIAID NIH HHS K08 AI080836-01NIAID NIH HHS P01 AI041521NIAID NIH HHS P01 AI41521NIAID NIH HHS R01 AI037691NIAID NIH HHS R01 AI051559NIAID NIH HHS R01 AI070820NIAID NIH HHS R01 AI-37691NIAID NIH HHS R01 AI-51559NINDS NIH HHS NS038037NINDS NIH HHS P01 NS038037
6 · The paper itself

Abstract

T-bet plays a crucial role in Th1 development. We investigated the role of T-bet in the development of allograft rejection in an established MHC class II-mismatched (bm12 into B6) model of chronic allograft vasculopathy (CAV). Intriguingly, and in contrast to IFN-gamma(-/-) mice that are protected from CAV, T-bet(-/-) recipients develop markedly accelerated allograft rejection accompanied by early severe vascular inflammation and vasculopathy, and infiltration by predominantly IL-17-producing CD4 T cells. Concurrently, T-bet(-/-) mice exhibit a T helper type 1 (Th1)-deficient environment characterized by profound IFN-gamma deficiency, a Th2 switch characterized by increased production of interleukin (IL) 4, IL-5, IL-10, and IL-13 cytokines, as well as increased production of the proinflammatory cytokines IL-6, IL-12p40, and IL-17. Neutralization of IL-17 inhibits accelerated allograft rejection and vasculopathy in T-bet(-/-) mice. Interestingly, CD4 but not CD8 T cell deficiency in T-bet(-/-) mice affords dramatic protection from vasculopathy and facilitates long-term graft acceptance. This is the first study establishing that in the absence of Th1-mediated alloimmune responses, CD4 Th17 cells mediate an aggressive proinflammatory response culminating in severe accelerated allograft rejection and vasculopathy. These results have important implications for the development of novel therapies to target this intractable problem in clinical solid organ transplantation.

Indexed as

AnimalsCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesCell ProliferationCytokinesGenes, MHC Class IIGraft RejectionHeart TransplantationImmunologic MemoryInterferon-gammaMiceMice, KnockoutPhenotypeSTAT4 Transcription FactorT-bet Transcription FactorT-Box Domain ProteinsCytokinesInterferon-gammaSTAT4 Transcription FactorT-bet Transcription FactorT-Box Domain Proteins

Identifiers

PMID19047438
PMCPMC2605226
OpenAlexW2164526800

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.