Evidence map›Paper›PMID 21645255›Full record

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

Mechanisms of donor-specific tolerance in recipients of haploidentical combined bone marrow/kidney transplantation.

G Andreola, M Chittenden, J Shaffer, A B Cosimi, T Kawai, P Cotter, S A Locascio, T Morokata, B R Dey, N T Tolkoff-Rubin and 6 more

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 65 papers.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed
5.8field-weighted citation impact, top 4% 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

65 citing papers in PubMed, 114 citations in OpenAlex.

  1. Preclinical and clinical studies on kidney allograft tolerance via hematopoietic chimerism.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Review
  2. Article
  3. Chimerism-Mediated Tolerance in Intestinal Transplantation.Gastroenterology clinics of North America · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Developments in kidney xenotransplantation.Frontiers in immunology · 2023
    Review
  10. Review
  11. Review
  12. Strategies for Liver Transplantation Tolerance.International journal of molecular sciences · 2021
    Review
  13. Review
  14. Expansion of CD45RAClinical & translational immunology · 2021
    Article
  15. Article
  16. Progress towards xenogenic tolerance.Current opinion in organ transplantation · 2020
    Review
  17. Article
  18. Deletion of donor-reactive T cell clones after human liver transplant.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  19. Siplizumab selectively depletes effector memory T cells and promotes a relative expansion of alloreactive regulatory T cells in vitro.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  20. Article

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

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

16 authors at 3 institutions in 2 countries.

G AndreolaTransplantation Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
M Chittenden
J Shaffer
A B Cosimi
T Kawai
P Cotter
S A Locascio
T Morokata
B R Dey
N T Tolkoff-Rubin
F Preffer
T Bonnefoix
K Kattleman
T R Spitzer
D H Sachs
M Sykes
Massachusetts General Hospital · USHarvard University · USInstitut pour l'avancée des biosciences · FR

Funding

Mechanisms of tolerance in recipients of combined kidney and bone marrow transplaR01AI084074 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI SYKES, MEGAN · 2009 to 2010
$862k
IMMUNE TOLERANCE NETWORK-266015416-266015416N01AI015416 · NIAID · REGENTS OF THE UNIVERSITY OF C · PI BLUESTONE, JEFFREY A · 2002 to 2006
–
NIAID NIH HHS N01 AI015416NIAID NIH HHS R01 AI084074NIAID NIH HHS R01AI084074
6 · The paper itself

Abstract

We recently reported long-term organ allograft survival without ongoing immunosuppression in four of five patients receiving combined kidney and bone marrow transplantation from haploidentical donors following nonmyeloablative conditioning. In vitro assays up to 18 months revealed donor-specific unresponsiveness. We now demonstrate that T cell recovery is gradual and is characterized by memory-type cell predominance and an increased proportion of CD4⁺ CD25⁺ CD127⁻ FOXP3⁺ Treg during the lymphopenic period. Complete donor-specific unresponsiveness in proliferative and cytotoxic assays, and in limiting dilution analyses of IL-2-producing and cytotoxic cells, developed and persisted for the 3-year follow-up in all patients, and extended to donor renal tubular epithelial cells. Assays in two of four patients were consistent with a role for a suppressive tolerance mechanism at 6 months to 1 year, but later (≥ 18 months) studies on all four patients provided no evidence for a suppressive mechanism. Our studies demonstrate, for the first time, long-term, systemic donor-specific unresponsiveness in patients with HLA-mismatched allograft tolerance. While regulatory cells may play an early role, long-term tolerance appears to be maintained by a deletion or anergy mechanism.

Indexed as

Bone Marrow TransplantationHaplotypesKidney TransplantationTissue DonorsHumansImmunophenotyping

Identifiers

PMID21645255
PMCPMC3140222
OpenAlexW1590429268

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.