Evidence map›Paper›PMID 20501946›Full record

ArticleThe Journal of clinical investigation2010

Identification of a B cell signature associated with renal transplant tolerance in humans.

Kenneth A Newell, Adam Asare, Allan D Kirk, Trang D Gisler, Kasia Bourcier, Manikkam Suthanthiran, William J Burlingham, William H Marks, Ignacio Sanz, Robert I Lechler and 4 more

3 registry-linked trialsOpen 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 3 registered trials, which are not on this map. Cited by 314 papers.

0numbers the graph read from it
0cells of the map it votes in
314citing papers in PubMed
36.6field-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.

NCT01338779 completednot on this map

Identification and Mechanistic Investigations of Tolerant Transplant Recipients

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2004 to 2015Enrolled197ConditionsTransplant Rejection, Kidney Transplantation, Renal Transplantation, Renal Transplant
NCT01516177 completednot on this map

An Observational Study to Assess the Prevalence of a Tolerance Signature in Renal Transplant Recipients (ITN524ST/CTOT-12)

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2010 to 2014Enrolled250ConditionsKidney Transplantation
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

314 citing papers in PubMed, 666 citations in OpenAlex.

  1. Trial
  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
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Article
  9. Observational
  10. Article
  11. Review
  12. How Cytokines Regulate Immune Response Toward Chronic Allograft Rejection?Results and problems in cell differentiation · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Immunomodulation by allograft endothelial cells.Frontiers in transplantation · 2025
    Review
  19. Review
  20. Rise of a CD27European journal of immunology · 2024
    Article

254 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 7 institutions in 2 countries.

Kenneth A NewellEmory University, Atlanta, Georgia, USA. kanewell@emory.edu
Adam Asare
Allan D Kirk
Trang D Gisler
Kasia Bourcier
Manikkam Suthanthiran
William J Burlingham
William H Marks
Ignacio Sanz
Robert I Lechler
Maria P Hernandez-Fuentes
Laurence A Turka
Vicki L Seyfert-Margolis
Immune Tolerance Network ST507 Study Group
University of California, San Francisco · USEmory University · USCornell University · USHarvard University · USUnited States Food and Drug Administration · USUniversity of Rochester · USUniversity of Wisconsin–Madison · US

Funding

Role of B Cells in Synovial Inflammation & LN Remodeling in RA ArthritisP01AI078907 · NIAID · UNIVERSITY OF ROCHESTER · PI SCHWARZ, EDWARD M. · 2010 to 2014
$10.8M
Translational Research Project Effector and Regulatory B cells in SLEU19AI056390 · NIAID · UNIVERSITY OF ROCHESTER · PI LOONEY, RICHARD JOHN · 2003 to 2013
$8.9M
A Model System for the Study of Human B-cell ToleranceR37AI049660 · NIAID · UNIVERSITY OF ROCHESTER · PI SANZ, IGNACIO E. · 2010 to 2019
$3.7M
Characterization of human cytokine-producing B cells in Sjogren's SyndromeK08DE019502 · NIDCR · UNIVERSITY OF ROCHESTER · PI ROGER, JAMES MERLE · 2008 to 2011
$401k
Medical Research Council G0801537NIAID NIH HHS P01 AI078907NIAID NIH HHS R37 AI049660NIAID NIH HHS U19 AI056390NIDCR NIH HHS K08 DE019502
6 · The paper itself

Abstract

Establishing long-term allograft acceptance without the requirement for continuous immunosuppression, a condition known as allograft tolerance, is a highly desirable therapeutic goal in solid organ transplantation. Determining which recipients would benefit from withdrawal or minimization of immunosuppression would be greatly facilitated by biomarkers predictive of tolerance. In this study, we identified the largest reported cohort to our knowledge of tolerant renal transplant recipients, as defined by stable graft function and receiving no immunosuppression for more than 1 year, and compared their gene expression profiles and peripheral blood lymphocyte subsets with those of subjects with stable graft function who are receiving immunosuppressive drugs as well as healthy controls. In addition to being associated with clinical and phenotypic parameters, renal allograft tolerance was strongly associated with a B cell signature using several assays. Tolerant subjects showed increased expression of multiple B cell differentiation genes, and a set of just 3 of these genes distinguished tolerant from nontolerant recipients in a unique test set of samples. This B cell signature was associated with upregulation of CD20 mRNA in urine sediment cells and elevated numbers of peripheral blood naive and transitional B cells in tolerant participants compared with those receiving immunosuppression. These results point to a critical role for B cells in regulating alloimmunity and provide a candidate set of genes for wider-scale screening of renal transplant recipients.

Indexed as

BiomarkersB-LymphocytesGene Expression ProfilingHumansImmune ToleranceImmunosuppression TherapyKidney TransplantationLymphocyte ActivationTransplantation ToleranceBiomarkers

Identifiers

PMID20501946
PMCPMC2877933
OpenAlexW2137442990

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.