Evidence map›Paper›PMID 21979939›Full record

ArticleBlood2011

Regenerating islet-derived 3-alpha is a biomarker of gastrointestinal graft-versus-host disease.

James L M Ferrara, Andrew C Harris, Joel K Greenson, Thomas M Braun, Ernst Holler, Takanori Teshima, John E Levine, Sung W J Choi, Elisabeth Huber, Karin Landfried and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02338232 (Pilot Study of Telmisartan), which is not on this map. Cited by 209 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
209citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT02338232 naterminatednot on this mapstarted 2015, after this paper: background citation

Pilot Study of Telmisartan (Micardis) For the Prevention of Acute Graft vs. Host Disease Post Allogeneic Hematopoietic Stem Cell Transplantation

TypeinterventionalSponsorHackensack Meridian HealthRan2015 to 2023Enrolled32ConditionsGVHDArmsTelmisartan
3 · Its place in the literature

Who cites it

209 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The Role of Biomarkers in the Diagnosis and Risk Stratification of Acute Graft-versus-Host Disease: A Systematic Review.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Pooled it
  2. Radiology. Imaging cancer · 2025
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Haematologica · 2018
    Trial
  14. Trial
  15. Association of Plasma CD163 Concentration with De Novo-Onset Chronic Graft-versus-Host Disease.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Etanercept plus topical corticosteroids as initial therapy for grade one acute graft-versus-host disease after allogeneic hematopoietic cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Trial

149 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

17 authors.

James L M FerraraDepartment of Pediatrics, University of Michigan, Ann Arbor, MI 48109, USA.
Andrew C Harris
Joel K Greenson
Thomas M Braun
Ernst Holler
Takanori Teshima
John E Levine
Sung W J Choi
Elisabeth Huber
Karin Landfried
Koichi Akashi
Mark Vander Lugt
Pavan Reddy
Alice Chin
Qing Zhang
Samir Hanash
Sophie Paczesny

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI THEODORE S LAWRENCE · 1988 to 2026
$178.2M
TUMOR VACCINES AND BONE MARROW TRANSPLANTATIONP01CA039542 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JAMES L. M. FERRARA · 1985 to 2026
$47.9M
Training Program in Molecular HematologyT32HL007622 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SUNG WON CHOI, Jordan A. Shavit · 1986 to 2026
$9.2M
Graft versus Host Disease Biomarkers: Prediction of Onset and Response to TherapyRC1HL101102 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PACZESNY, SOPHIE · 2009 to 2010
$1000k
Phase II Trial of Vorinostat plus Tacrolimus and Mycophenolate to Prevent GVHDK23AI091623 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CHOI, SUNG WON · 2011 to 2015
$658k
NCI NIH HHS CA46592NCI NIH HHS P01 CA039542NCI NIH HHS P01-CA039542NCI NIH HHS P30 CA046592NHLBI NIH HHS RC1 HL101102NHLBI NIH HHS RC1-HL-101102NHLBI NIH HHS T32 HL007622NHLBI NIH HHS T32-HL007622NIAID NIH HHS K23 AI091623
6 · The paper itself

Abstract

There are no plasma biomarkers specific for GVHD of the gastrointestinal (GI) tract, the GVHD target organ most associated with nonrelapse mortality (NRM) following hematopoietic cell transplantation (HCT). Using an unbiased, large-scale, quantitative proteomic discovery approach to identify candidate biomarkers that were increased in plasma from HCT patients with GI GVHD, 74 proteins were increased at least 2-fold; 5 were of GI origin. We validated the lead candidate, REG3α, by ELISA in samples from 1014 HCT patients from 3 transplantation centers. Plasma REG3α concentrations were 3-fold higher in patients at GI GVHD onset than in all other patients and correlated most closely with lower GI GVHD. REG3α concentrations at GVHD onset predicted response to therapy at 4 weeks, 1-year NRM, and 1-year survival (P ≤ .001). In a multivariate analysis, advanced clinical stage, severe histologic damage, and high REG3α concentrations at GVHD diagnosis independently predicted 1-year NRM, which progressively increased with higher numbers of onset risk factors present: 25% for patients with 0 risk factors to 86% with 3 risk factors present (P < .001). REG3α is a plasma biomarker of GI GVHD that can be combined with clinical stage and histologic grade to improve risk stratification of patients.

Indexed as

AdolescentAdultAgedAmino Acid SequenceAntigens, NeoplasmBiomarkersBiomarkers, TumorChildChild, PreschoolGastrointestinal TractGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansInfantInfant, NewbornLectins, C-TypeAntigens, NeoplasmBiomarkersBiomarkers, TumorLectins, C-TypePancreatitis-Associated ProteinsREG3A protein, human

Identifiers

PMID21979939
PMCPMC3242723

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.