Evidence map›Paper›PMID 22245872›Full record

ArticleTransplantation2012

A20-mediated modulation of inflammatory and immune responses in aortic allografts and development of transplant arteriosclerosis.

Jeffrey J Siracuse, Mark D Fisher, Cleide G da Silva, Clayton R Peterson, Eva Csizmadia, Herwig P Moll, Scott M Damrauer, Peter Studer, Lynn Y Choi, Sanah Essayagh and 5 more

Open access · greenAbstract read
In one paragraph

Article in Transplantation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

16 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. A20 in Kidney Transplantation and Autoimmunity.International journal of molecular sciences · 2024
    Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Roles of A20 in autoimmune diseases.Immunologic research · 2016
    Review
  12. Article
  13. A20 suppresses vascular inflammation by recruiting proinflammatory signaling molecules to intracellular aggresomes.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2015
    Article
  14. Article
  15. Review
  16. 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

15 authors at 1 institution in 1 country.

Jeffrey J SiracuseDivision of Vascular and Endovascular Surgery, Center for Vascular Biology Research and the Transplant Institute, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Mark D Fisher
Cleide G da Silva
Clayton R Peterson
Eva Csizmadia
Herwig P Moll
Scott M Damrauer
Peter Studer
Lynn Y Choi
Sanah Essayagh
Elzbieta Kaczmarek
Elizabeth R Maccariello
Andy Lee
Soizic Daniel
Christiane Ferran
Harvard University · US

Funding

HARVARD-LONGWOOD RESEARCH TRAINING IN VASCULAR SURGERYT32HL007734 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FERRAN, CHRISTIANE, LOGERFO, FRANK W · 1993 to 2023
$10.5M
Genetic Engineering of Vein Bypass Grafts in Vascular and Cardiovascular SurgeryR01HL086741 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI BHASIN, MANOJ, FERRAN, CHRISTIANE · 2007 to 2022
$7.4M
Improved liver function and regeneration with A20R01DK063275 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FERRAN, CHRISTIANE · 2003 to 2013
$3.7M
Vascular Remodeling in Transplant ArteriosclerosisR01HL080130 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FERRAN, CHRISTIANE · 2006 to 2009
$1.7M
MODULATION OF ENDOTHELIAL CELL RESPONSES BY A20R01HL057791 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI FERRAN, CHRISTIANE · 1998 to 2001
$581k
NHLBI NIH HHS R01 HL080130NHLBI NIH HHS R01 HL086741NHLBI NIH HHS R01HL57791NHLBI NIH HHS T32 HL007734NHLBI NIH HHS T32 HL07734NIDDK NIH HHS R01 DK063275
6 · The paper itself

Abstract

backgroundTransplant arteriosclerosis (TA) is the pathognomonic feature of chronic rejection, the primary cause of allograft failure. We have shown that the NF-κB inhibitory protein A20 exerts vasculoprotective effects in endothelial and smooth muscle cells (SMC), and hence is a candidate to prevent TA. We sought direct proof for this hypothesis.

methodsFully mismatched, C57BL/6 (H2) into BALB/c (H2), aorta to carotid allografts were preperfused with saline, recombinant A20 adenovirus (rAd.A20) or rAd.β-galactosidase (β-gal), implanted, harvested 4 weeks after transplantation, and analyzed by histology, immunohistochemistry, and immunofluorescence staining. We measured indoleamine 2,3-dioxygenase, interleukin-6, and transforming growth factor-β mRNA and protein levels in nontransduced, and rAd.A20 or rAd.β-gal-transduced human SMC cultures after cytokine treatment.

resultsVascular overexpression of A20 significantly reduced TA lesions. This correlated with decreased graft inflammation and increased apoptosis of neointimal SMC. Paradoxically, T-cell infiltrates increased in A20-expressing allografts, including the immunoprivileged media, which related to A20 preventing indoleamine 2,3-dioxygenase upregulation in SMC. However, infiltrating T cells were predominantly T-regulatory cells (CD25+/Forkhead Box P3 [FoxP3+]). This agrees with A20 inhibiting interleukin-6 and promoting transforming growth factor-β production by medial SMC and in SMC cultures exposed to cytokines, which favors differentiation of regulatory over pathogenic T cells.

conclusionsIn summary, A20 prevents immune-mediated remodeling of vascular allografts, therefore reduces TA lesions by affecting apoptotic and inflammatory signals and modifying the local cytokine milieu to promote an immunoregulatory response within the vessel wall. This highlights a novel function for A20 in local immunosurveillance, which added to its vasculoprotective effects, supports its therapeutic promise in TA.

Indexed as

AdenoviridaeAnimalsAortaApoptosisArteriosclerosisCarotid ArteriesCells, CulturedCysteine EndopeptidasesCytokinesGraft RejectionHumansImmunity, InnateInflammationIntracellular Signaling Peptides and ProteinsMiceMice, Inbred BALB CCysteine EndopeptidasesCytokinesIntracellular Signaling Peptides and ProteinsTnfaip3 protein, mouseTumor Necrosis Factor alpha-Induced Protein 3

Identifiers

PMID22245872
PMCPMC3275666
OpenAlexW2029889841

What OpenQuestion holds

Textmetadata
LicenceTDM
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.