Evidence map›Paper›PMID 22509426›Full record

Trial reportChimerism

Donor-derived peripheral mononuclear cell DNA is associated with stable kidney allograft function: a randomized controlled trial.

Ghasem Solgi, Joannis Mytilineos, Vijayakrishna Gadi, Biswajit Paul, Gholamreza Pourmand, Abdolrasoul Mehrsai, Behrouz Nikbin, Ali Akbar Amirzargar

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Chimerism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. Article
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

8 authors.

Ghasem SolgiImmunology Department, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
Joannis Mytilineos
Vijayakrishna Gadi
Biswajit Paul
Gholamreza Pourmand
Abdolrasoul Mehrsai
Behrouz Nikbin
Ali Akbar Amirzargar

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A large body of literature has documented an inconsistent relationship of peripheral donor cell chimerism with alloimmune tolerance following kidney transplantation. We revisit this association with assays capable of quantifying cellular microchimerism with 150-1500-fold greater sensitivity than previously utilized allo-antibody based flow cytometric approaches. Forty renal transplant patients, 20 with concurrent donor bone marrow infusion (DBMI) and 20 control participants without infusion were prospectively monitored for peripheral blood microchimerism using donor polymorphism-specific quantitative real-time PCR. Thirty-eight patients were evaluated for microchimerism, 19 in each group. The frequency of testing positive for (95% vs. 58%, p = 0.02) and mean concentrations of microchimerism (115 ± 66 vs. 13 ± 3 donor genomes/million recipient genomes, p = 0.007), respectively, were higher in infused patients compared with controls. Thirty-one patients maintained stable graft function; 17 in the DBMI group vs. 14 in controls. Patients with stable graft function in the DBMI group compared with control patients harbored microchimerism more frequently (94 vs. 50%, p = 0.01) and at higher concentrations (123 ± 67 vs. 11 ± 4, p = 0.007), respectively. Significant correlation between dose of infused cells and microchimerism levels was found post-transplant (p = 0.01). Using very sensitive assays, our findings demonstrate associations between the presence and quantity of microchimerism with stable graft function in infused patients.

Indexed as

AdultAntibodiesBone Marrow TransplantationChimerismDNAFemaleGraft SurvivalHLA AntigensHumansKidney TransplantationLeukocytes, MononuclearMaleMiddle AgedReal-Time Polymerase Chain ReactionTissue DonorsTransplantation, HomologousAntibodiesDNAHLA Antigensdonor bone marrow infusionkidney allograftmicrochimerism

Identifiers

PMID22509426
PMCPMC3321880

What OpenQuestion holds

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Registered trials

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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.