Evidence map›Paper›PMID 21672050›Full record

ArticleTransplant international : official journal of the European Society for Organ Transplantation2011

Primary response against cytomegalovirus during antiviral prophylaxis with valganciclovir, in solid organ transplant recipients.

Corinna La Rosa, Ajit P Limaye, Aparna Krishnan, Gideon Blumstein, Jeff Longmate, Don J Diamond

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Transplant international : official journal of the European Society for Organ Transplantation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

11 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Human Cytomegalovirus Interleukin 10 Homologs: Facing the Immune System.Frontiers in cellular and infection microbiology · 2020
    Review
  5. Review
  6. Article
  7. Alemtuzumab as graft-versus-host disease (GVHD) prophylaxis strategy in a developing country: lower rate of acute GVHD, increased risk of cytomegalovirus reactivation.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2017
    Article
  8. Article
  9. Article
  10. The immune response to human CMV.Future virology · 2012
    Article
  11. Human cytomegalovirus infection and atherothrombosis.Journal of thrombosis and thrombolysis · 2012
    Review
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

6 authors at 3 institutions in 1 country.

Corinna La RosaDivision of Translational Vaccine Research, Beckman Research Institute of the City of Hope, City of Hope Comprehensive Cancer Center, 1500 E. Duarte Road, Duarte, CA 91010, USA. clarosa@coh.org
Ajit P Limaye
Aparna Krishnan
Gideon Blumstein
Jeff Longmate
Don J Diamond
Beckman Research InstituteCity of Hope · USUniversity of Washington Medical Center · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI STANLEY R. HAMILTON · 1985 to 2026
$86.3M
INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Vaccine-Induced Immunity to CMVP01CA030206 · NCI · CITY OF HOPE NATIONAL MEDICAL CENTER · PI FORMAN, STEPHEN J · 1985 to 2010
$31.8M
Peptide Vaccine To Prevent CMV Disease After HSCTR01CA077544 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI DIAMOND, DON J · 1998 to 2017
$5.6M
IL-10 & PD-1 Modulation to Reduce CMV Disease Incidence in Solid Organ RecipientsR21AI084019 · NIAID · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI LA ROSA, CORINNA, LIMAYE, ABHIJIT PRAKASH · 2009 to 2010
$461k
NCI NIH HHS (CA33572NCI NIH HHS P01 CA030206NCI NIH HHS P01-CA30206NCI NIH HHS P30 CA033572NCI NIH HHS R01 CA077544NCI NIH HHS R01-CA77544NCRR NIH HHS UL1 RR025014NIAID NIH HHS R21 AI084019NIAID NIH HHS R21 AI084019-01
6 · The paper itself

Abstract

Antiviral prophylaxis has proved successful for prevention of cytomegalovirus (CMV) disease in solid organ transplant (SOT) patients; though emerging data suggest that antiviral agents interfere with immunity, and may inhibit immune priming. In this context, we investigated levels and phenotype of primary CMV-specific immune responses that developed during antiviral prophylaxis in a cohort of CMV seronegative recipients (R(-) ) of a SOT from a seropositive donor (D(+) ). We longitudinally monitored CMV viral load, antibodies and levels of the negative immuno-modulator IL-10. PBMC were stimulated with CMV-specific peptide libraries to measure CD137 activation marker on CMV-specific T-cells and levels of PD-1 receptor, which is over expressed on exhausted T-cells. Unexpectedly, the majority (13/18) of D(+) R(-) patients who developed a primary CMV response showed early post-transplant CMV-specific responses, though levels of PD-1 on CMV-specific T-cells remained elevated throughout prophylaxis. A strong inverse association was found between levels of plasma IL-10 and CMV-specific cellular immune responses. Our study suggests that during prophylaxis, subclinical CMV infection might have occurred in the D(+) R(-) patients, and primary CMV-specific responses were detected early post-transplant when levels of plasma IL-10 were low. Extended prophylaxis or antiviral treatment did not appear to suppress CMV-specific antibodies or T-cells, which, however, showed exhaustion phenotypes.

Indexed as

AdultAgedAntigens, ViralAntiviral AgentsCytomegalovirusCytomegalovirus InfectionsFemaleGanciclovirHumansImmediate-Early ProteinsInterleukin-10Kidney TransplantationLiver TransplantationMaleMiddle AgedPhosphoproteinsAntigens, ViralAntiviral Agentscytomegalovirus matrix protein 65kDaGanciclovirImmediate-Early Proteinsimmediate-early proteins, cytomegalovirusInterleukin-10PhosphoproteinsValganciclovirViral Matrix Proteins

Identifiers

PMID21672050
PMCPMC3514504
OpenAlexW2118086165

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.