Evidence map›Paper›PMID 21070604›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2011

Selective targeting of human alloresponsive CD8+ effector memory T cells based on CD2 expression.

D J Lo, T A Weaver, L Stempora, A K Mehta, M L Ford, C P Larsen, A D Kirk

Abstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

83 citing papers in PubMed, 133 citations in OpenAlex.

  1. Trial
  2. Use of Alefacept for Preconditioning in Multiply Transfused Pediatric Patients with Nonmalignant Diseases.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2015
    Trial
  3. Renal transplantation using belatacept without maintenance steroids or calcineurin inhibitors.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2014
    Trial
  4. Trial
  5. Article
  6. Review
  7. Dysfunctional decidual CD2Frontiers in immunology · 2026
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. IFI16-STING-NF-κB signaling controls exogenous mitochondrion-induced endothelial activation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  15. Article
  16. Article
  17. Article
  18. Endogenous memory T cells with donor-reactivity: early post-transplant mediators of acute graft injury in unsensitized recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2021
    Review
  19. Article
  20. Strategies for Liver Transplantation Tolerance.International journal of molecular sciences · 2021
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

D J LoEmory Transplant Center, Emory University, Atlanta, GA, USA.
T A Weaver
L Stempora
A K Mehta
M L Ford
C P Larsen
A D Kirk
Emory University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
TRANSPLANT TOLERANCE--COSTIMULATION, CYTOKINES &CHIMERISMP01AI044644 · NIAID · EMORY UNIVERSITY · PI LARSEN, CHRISTIAN P. · 1998 to 2010
$9.7M
Development of Transplant Strategies Uniquely Responsive to the Needs of ChildrenU01AI077821 · NIAID · EMORY UNIVERSITY · PI KIRK, ALLAN D. · 2008 to 2012
$7.5M
Adjuvant Therapies Improving the Anti-Rejection Effects of Costimulation BlockadeU01AI079223 · NIAID · EMORY UNIVERSITY · PI KIRK, ALLAN D. · 2009 to 2012
$2.4M
NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1 RR025008NIAID NIH HHS 1U01AI077821-01NIAID NIH HHS 1U01AI079223-01A1NIAID NIH HHS 2P01AI044644-10NIAID NIH HHS P01 AI044644NIAID NIH HHS U01 AI077821NIAID NIH HHS U01 AI079223
6 · The paper itself

Abstract

Costimulation blockade (CoB), specifically CD28/B7 inhibition with belatacept, is an emerging clinical replacement for calcineurin inhibitor-based immunosuppression in allotransplantation. However, there is accumulating evidence that belatacept incompletely controls alloreactive T cells that lose CD28 expression during terminal differentiation. We have recently shown that the CD2-specific fusion protein alefacept controls costimulation blockade-resistant allograft rejection in nonhuman primates. Here, we have investigated the relationship between human alloreactive T cells, costimulation blockade sensitivity and CD2 expression to determine whether these findings warrant potential clinical translation. Using polychromatic flow cytometry, we found that CD8(+) effector memory T cells are distinctly high CD2 and low CD28 expressors. Alloresponsive CD8(+) CD2(hi) CD28(-) T cells contained the highest proportion of cells with polyfunctional cytokine (IFNγ, TNF and IL-2) and cytotoxic effector molecule (CD107a and granzyme B) expression capability. Treatment with belatacept in vitro incompletely attenuated allospecific proliferation, but alefacept inhibited belatacept-resistant proliferation. These results suggest that highly alloreactive effector T cells exert their late stage functions without reliance on ongoing CD28/B7 costimulation. Their high CD2 expression increases their susceptibility to alefacept. These studies combined with in vivo nonhuman primate data provide a rationale for translation of an immunosuppression regimen pairing alefacept and belatacept to human renal transplantation.

Indexed as

AbataceptAlefaceptCD28 AntigensCD2 AntigensCD8-Positive T-LymphocytesCytokinesHumansImmunoconjugatesImmunologic MemoryImmunosuppression TherapyKidney TransplantationLeukocytes, MononuclearRecombinant Fusion ProteinsT-LymphocytesAbataceptAlefaceptCD28 AntigensCD2 AntigensCytokinesImmunoconjugatesRecombinant Fusion Proteins

Identifiers

PMID21070604
PMCPMC3057516
OpenAlexW1590601327

What OpenQuestion holds

Textmetadata
LicenceTDM
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.