Evidence map›Paper›PMID 21839648›Full record

ReviewSeminars in immunology2011

Immuno-intervention for the induction of transplantation tolerance through mixed chimerism.

David H Sachs, Megan Sykes, Tatsuo Kawai, A Benedict Cosimi

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Seminars in immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01780454 (Renal Allograft Tolerance Through Mixed Chimerism), which is not on this map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
6.4field-weighted citation impact, top 3% 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.

NCT01780454 phase1 / phase2completednot on this mapstarted 2013, after this paper: background citation

Renal Allograft Tolerance Through Mixed Chimerism

TypeinterventionalSponsorMassachusetts General HospitalRan2013 to 2020Enrolled2ConditionsEnd Stage Renal DiseaseArmsMEDI-507, Rituximab, Total Body Irradiation, Thymic Irradiation
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
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  19. Article
  20. What's new in clinical solid organ transplantation by 2013.World journal of transplantation · 2014
    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

4 authors at 3 institutions in 1 country.

David H SachsTransplantation Biology Research Center, Massachusetts General Hospital, Building 149, 13th Street, Boston, MA 02129, United States. david.sachs@tbrc.mgh.harvard.edu
Megan Sykes
Tatsuo Kawai
A Benedict Cosimi
Massachusetts General Hospital · USColumbia University · USHarvard University · US

Funding

Immune Tolerance Network: Type 1 diabetesN01AI15416 · NIAID · UNIVERSITY OF SAN FRANCISCO · PI BLUESTONE, JEFFREY · 2007 to 2013
$276.6M
Thymic Rejuvenation for the Induction of Transplantation ToleranceR01AI086134 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI SACHS, DAVID H, YAMADA, KAZUHIKO · 2010 to 2014
$2.1M
IMMUNE TOLERANCE NETWORK-266015416-266015416N01AI015416 · NIAID · REGENTS OF THE UNIVERSITY OF C · PI BLUESTONE, JEFFREY A · 2002 to 2006
–
NIAID NIH HHS 1R01AI086134-02NIAID NIH HHS N01 AI015416NIAID NIH HHS N01AI15416NIAID NIH HHS R01 AI086134
6 · The paper itself

Abstract

The induction of transplantation tolerance could liberate organ transplant recipients from the complications of life-long chronic immunosuppression. The original description of tolerance induction through mixed hematopoietic chimerism in mice utilized lethal whole body irradiation as the preparative regimen for achieving mixed chimerism. While such a regimen might be acceptable for treatment of patients with malignancies, which might also respond to the therapeutic effects of radiation, its toxicity would be unacceptable for patients in need only of an organ transplant. Graft-vs.-host disease, which is frequently a complication of mismatched bone marrow transplantation, would likewise be unacceptable for ordinary clinical transplantation. Therefore, as we have extended the use of this modality for tolerance induction from mice to large animal models, we have attempted to design preparative regimens that avoid both of these complications. In this article, we review our studies of mixed chimerism in mice, miniature swine and monkeys, as well as the results of our recent clinical studies that have extended this treatment modality to a series of kidney transplant patients who have been successfully weaned from all immunosuppression while maintaining stable renal function for up to 8 years.

Indexed as

Organ TransplantationAnimalsHistocompatibility TestingHumansTransplantation ChimeraTransplantation, HomologousTransplantation Tolerance

Identifiers

PMID21839648
PMCPMC3178004
OpenAlexW1978105417

What OpenQuestion holds

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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.