Evidence map›Paper›PMID 21564525›Full record

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

Evaluation of alloreactivity in kidney transplant recipients treated with antithymocyte globulin versus IL-2 receptor blocker.

L Cherkassky, M Lanning, P N Lalli, J Czerr, H Siegel, L Danziger-Isakov, T Srinivas, A Valujskikh, D A Shoskes, W Baldwin and 2 more

Open access · greenAbstract 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 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 47 citations in OpenAlex.

  1. Trial
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  9. Observational
  10. Article
  11. Review
  12. Article
  13. Review
  14. Moving Biomarkers toward Clinical Implementation in Kidney Transplantation.Journal of the American Society of Nephrology : JASN · 2017
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Monitoring T cell alloreactivity.Transplantation reviews (Orlando, Fla.) · 2015
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

L CherkasskyCleveland Clinic Lerner College of Medicine, Case Western Reserve University, Cleveland, OH, USA.
M Lanning
P N Lalli
J Czerr
H Siegel
L Danziger-Isakov
T Srinivas
A Valujskikh
D A Shoskes
W Baldwin
R L Fairchild
E D Poggio
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · USCase Western Reserve University · US

Funding

POSTTRANSPLANT INFLAMMATORY RESPONSER01AI040459 · NIAID · CLEVELAND CLINIC LERNER COM-CWRU · PI Robert L Fairchild · 1997 to 2026
$9.4M
Alloreactive T Cell Immunity in Human Transplant CandidatesK23AI068824 · NIAID · CLEVELAND CLINIC LERNER COM-CWRU · PI POGGIO, EMILIO DANIEL · 2007 to 2011
$540k
NIAID NIH HHS K23 AI068824NIAID NIH HHS R01 AI040459
6 · The paper itself

Abstract

Induction therapy is used in kidney transplantation to inhibit the activation of donor-reactive T cells which are detrimental to transplant outcomes. The choice of induction therapy is decided based on perceived immunological risk rather than by direct measurement of donor T-cell reactivity. We hypothesized that immune cellular alloreactivity pretransplantation can be quantified and that blocking versus depleting therapies have differential effects on the level of donor and third-party cellular alloreactivity. We studied 31 kidney transplant recipients treated with either antithymocyte globulin (ATG) or an IL-2 receptor blocker. We tested pre- and posttransplant peripheral blood cells by flow cytometry to characterize T-cell populations and by IFN-γ ELISPOT assays to assess the level of cellular alloreactivity. CD8(+) T cells were more resistant to depletion by ATG than CD4(+) T cells. Posttransplantation, frequencies of donor-reactive T cells were markedly decreased in the ATG-treated group but not in the IL-2 receptor blocker group, whereas the frequencies of third-party alloreactivity remained nearly equivalent. In conclusion, when ATG is used, marked and prolonged donor hyporesponsiveness with minimal effects on nondonor responses is observed. In contrast, induction with the IL-2 receptor blocker is less effective at diminishing donor T-cell reactivity.

Indexed as

Antibodies, MonoclonalAntilymphocyte SerumBasiliximabCD4-Positive T-LymphocytesCD8-Positive T-LymphocytesEnzyme-Linked Immunospot AssayGraft RejectionHumansKidney TransplantationLymphocyte DepletionProspective StudiesReceptors, Interleukin-2Recombinant Fusion ProteinsT-LymphocytesAntibodies, MonoclonalAntilymphocyte SerumBasiliximabReceptors, Interleukin-2Recombinant Fusion Proteins

Identifiers

PMID21564525
PMCPMC3226763
OpenAlexW2029582001

What OpenQuestion holds

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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.