Evidence map›Paper›PMID 20061916›Full record

ArticleTransplantation2010

Acute cardiac allograft rejection by directly cytotoxic CD4 T cells: parallel requirements for Fas and perforin.

Todd J Grazia, Robert J Plenter, Sarah M Weber, Helen M Lepper, Francisco Victorino, Martin R Zamora, Biagio A Pietra, Ronald G Gill

Open access · greenAbstract read
In one paragraph

Article in Transplantation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
0.5field-weighted citation impact, top 36% 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

17 citing papers in PubMed, 34 citations in OpenAlex.

  1. Cytomegalovirus Drives the Development of Cytotoxic CD4Neurology(R) neuroimmunology & neuroinflammation · 2026
    Article
  2. Cytotoxic CD4Signal transduction and targeted therapy · 2026
    Review
  3. Article
  4. Article
  5. CD4Aging and disease · 2022
    Article
  6. Review
  7. Reduced Satb1 expression predisposes CD4Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  8. Review
  9. Article
  10. Interferon Gamma and Contact-dependent Cytotoxicity Are Each Rate Limiting for Natural Killer Cell-Mediated Antibody-dependent Chronic Rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2016
    Article
  11. Review
  12. A CB2-Selective Cannabinoid Suppresses T-Cell Activities and Increases Tregs and IL-10.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2015
    Article
  13. Article
  14. Murine heterotopic heart transplant technique.Journal of visualized experiments : JoVE · 2014
    Article
  15. Article
  16. Transient lymphopenia breaks costimulatory blockade-based peripheral tolerance and initiates cardiac allograft rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2013
    Article
  17. Prolongation of cardiac allograft survival by a novel population of autologous CD117+ bone marrow-derived progenitor cells.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2011
    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

8 authors at 3 institutions in 3 countries.

Todd J GraziaDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, University of Colorado Denver, Anschutz Medical Campus, Aurora, CO 80045, USA. todd.grazia@ucdenver.edu
Robert J Plenter
Sarah M Weber
Helen M Lepper
Francisco Victorino
Martin R Zamora
Biagio A Pietra
Ronald G Gill
Diabetes Australia · AUUniversity of Alberta · CAUniversity of Colorado Anschutz Medical Campus · US

Funding

REVERSAL OF DIABETES BY ISLET TRANSPLANTATIONR01DK033470 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI GILL, RONALD G · 1986 to 2006
$2.1M
CD4 T cell Dependent Acute Cardiac Allograft RejectionR01HL067976 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI PIETRA, BIAGIO A · 2001 to 2004
$1.2M
T cell Recognition and Injury of Cardiac AllograftsK08HL077503 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI GRAZIA, TODD J · 2005 to 2009
$674k
NHLBI NIH HHS K08 HL077503NHLBI NIH HHS R01 HL067976NIDDK NIH HHS R01 DK033470
6 · The paper itself

Abstract

backgroundCD4 T cells can suffice as effector cells to mediate primary acute cardiac allograft rejection. Although CD4 T cells can readily kill appropriate target cells in vitro, the corresponding role of such cytolytic activity for mediating allograft rejection in vivo is unknown. Therefore, we determined whether the cytolytic effector molecules perforin (PFP) and/or FasL (CD95L) were necessary for CD4 T cell-mediated rejection in vivo.

methodsWild-type C3H(H-2) or Fas (CD95)-deficient C3Hlpr (H-2) hearts were transplanted into immune-deficient C57B6rag (H-2) mice. Then, recipients were reconstituted with naïve purified CD4 T cells from wild-type, PFP-deficient, or FasL (gld)-deficient T-cell donors.

resultsIn vitro, alloreactive CD4 T cells were competent to lyse donor major histocompatibility complex class II+ target cells, largely by a Fas-dependent mechanism. In vivo, the individual disruption of donor Fas expression (lpr) or CD4 T-cell-derived PFP had no significant impact on acute rejection. However, FasL-deficient (gld) CD4 T cells demonstrated delayed allograft rejection. Importantly, the simultaneous removal of both donor Fas expression and CD4 T-cell PFP completely abrogated acute rejection, despite the persistence of CD4 T cells within the graft.

conclusionsResults demonstrate that the direct rejection of cardiac allografts by CD4 effector T cells requires the alternative contribution of graft Fas expression and T cell PFP expression. To our knowledge, this is the first demonstration that cytolytic activity by CD4 T cells can play an obligate role for primary acute allograft rejection in vivo.

Indexed as

Adoptive TransferAcute DiseaseAnimalsCD4 AntigensCD4-Positive T-LymphocytesCell SurvivalGraft RejectionH-2 AntigensHeart TransplantationMiceMice, Inbred BALB CMice, Inbred C3HT-Lymphocytes, CytotoxicTransplantation, HomologousCD4 AntigensH-2 Antigens

Identifiers

PMID20061916
PMCPMC2939493
OpenAlexW2071113222

What OpenQuestion holds

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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.