Evidence map›Paper›PMID 20501943›Full record

ArticleThe Journal of clinical investigation2010

Development of a cross-platform biomarker signature to detect renal transplant tolerance in humans.

Pervinder Sagoo, Esperanza Perucha, Birgit Sawitzki, Stefan Tomiuk, David A Stephens, Patrick Miqueu, Stephanie Chapman, Ligia Craciun, Ruhena Sergeant, Sophie Brouard and 24 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical investigation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02294032 (The Role of B Cells in Kidney Allograft Dysfunction), which is not on this map. Cited by 234 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
234citing papers in PubMed, 1 pooled it
31.1field-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.

NCT02294032 completednot on this mapstarted 2014, after this paper: background citation

The Role of B Cells in Kidney Allograft Dysfunction

Typeobservational_patient_registrySponsorLoma Linda UniversityRan2014 to 2023Enrolled180ConditionsKidney, Complications, Allograft, Transplantation InfectionArmsImmunosuppressive Agents
3 · Its place in the literature

Who cites it

234 citing papers in PubMed, 1 synthesis or guideline pooled it, 515 citations in OpenAlex.

  1. Pooled it
  2. Distinct peripheral blood molecular signature emerges with successful tacrolimus withdrawal in kidney transplant recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
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  15. Rise of a CD27European journal of immunology · 2024
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  16. TInternational journal of molecular sciences · 2024
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  18. Solid organ transplantation: solid but not yet spectacular.The Journal of clinical investigation · 2024
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174 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 12 institutions in 6 countries.

Pervinder SagooMRC Centre for Transplantation, King's College London, London, United Kingdom.
Esperanza Perucha
Birgit Sawitzki
Stefan Tomiuk
David A Stephens
Patrick Miqueu
Stephanie Chapman
Ligia Craciun
Ruhena Sergeant
Sophie Brouard
Flavia Rovis
Elvira Jimenez
Amany Ballow
Magali Giral
Irene Rebollo-Mesa
Alain Le Moine
Cecile Braudeau
Rachel Hilton
Bernhard Gerstmayer
Katarzyna Bourcier
Adnan Sharif
Magdalena Krajewska
Graham M Lord
Ian Roberts
Michel Goldman
Kathryn J Wood
Kenneth Newell
Vicki Seyfert-Margolis
Anthony N Warrens
Uwe Janssen
Hans-Dieter Volk
Jean-Paul Soulillou
Maria P Hernandez-Fuentes
Robert I Lechler
Inserm · FRKing's College London · GBImperial College London · GBMiltenyi Biotec (Germany) · DESt Thomas' Hospital · GBUniversity of Oxford · GBCharité - Universitätsmedizin Berlin · DEImmune Regulation (United Kingdom) · GBImmune Tolerance Network · USUniversité Libre de Bruxelles · BEEmory University · USMcGill University · CA

Funding

Medical Research Council G0801537
6 · The paper itself

Abstract

Identifying transplant recipients in whom immunological tolerance is established or is developing would allow an individually tailored approach to their posttransplantation management. In this study, we aimed to develop reliable and reproducible in vitro assays capable of detecting tolerance in renal transplant recipients. Several biomarkers and bioassays were screened on a training set that included 11 operationally tolerant renal transplant recipients, recipient groups following different immunosuppressive regimes, recipients undergoing chronic rejection, and healthy controls. Highly predictive assays were repeated on an independent test set that included 24 tolerant renal transplant recipients. Tolerant patients displayed an expansion of peripheral blood B and NK lymphocytes, fewer activated CD4+ T cells, a lack of donor-specific antibodies, donor-specific hyporesponsiveness of CD4+ T cells, and a high ratio of forkhead box P3 to alpha-1,2-mannosidase gene expression. Microarray analysis further revealed in tolerant recipients a bias toward differential expression of B cell-related genes and their associated molecular pathways. By combining these indices of tolerance as a cross-platform biomarker signature, we were able to identify tolerant recipients in both the training set and the test set. This study provides an immunological profile of the tolerant state that, with further validation, should inform and shape drug-weaning protocols in renal transplant recipients.

Indexed as

BiomarkersHumansImmune ToleranceImmunosuppressive AgentsKidney TransplantationTissue DonorsT-LymphocytesBiomarkersImmunosuppressive Agents

Identifiers

PMID20501943
PMCPMC2877932
OpenAlexW2141478377

What OpenQuestion holds

Textmetadata
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.