Evidence map›Paper›PMID 22760779›Full record

ArticleBlood2012

Heparan sulfate, an endogenous TLR4 agonist, promotes acute GVHD after allogeneic stem cell transplantation.

Todd V Brennan, Liwen Lin, Xiaopei Huang, Diana M Cardona, Zhiguo Li, Keith Dredge, Nelson J Chao, Yiping Yang

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02044185 (Observational Study for Clinical Implications of HMGB1), which is not on this map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed
6.5field-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.

NCT02044185 unknown statusnot on this mapstarted 2014, after this paper: background citation

Observational Study for Clinical Implications of HMGB1 (High-mobility Group Protein B1) in Patients Treated With Chemotherapy or Hematopoietic Stem Cell Transplantation

TypeobservationalSponsorSeoul St. Mary's HospitalRan2014 to 2015Enrolled100ConditionsAcute Graft-versus-host DiseaseArmssalvage chemotherapy, total body irradiation
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 116 citations in OpenAlex.

  1. Trial
  2. αBlood · 2018
    Trial
  3. Trial
  4. Percentage of CD56Annals of hematology · 2026
    Article
  5. Article
  6. Article
  7. Sulfated Glycosaminoglycans in Inflammation.Advances in experimental medicine and biology · 2026
    Review
  8. Review
  9. Graft-Versus-Host Disease Mouse Models: A Clinical-Translational Perspective.Methods in molecular biology (Clifton, N.J.) · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Activation of immune signals during organ transplantation.Signal transduction and targeted therapy · 2023
    Review
  15. Article
  16. Review
  17. Article
  18. Coreceptor functions of cell surface heparan sulfate proteoglycans.American journal of physiology. Cell physiology · 2022
    Review
  19. Role of extracellular matrix proteoglycans in immune cell recruitment.International journal of experimental pathology · 2022
    Review
  20. Article

9 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Todd V BrennanDepartment of Surgery, Duke University, Durham, NC 27710, USA.
Liwen Lin
Xiaopei Huang
Diana M Cardona
Zhiguo Li
Keith Dredge
Nelson J Chao
Yiping Yang
Duke University · US

Funding

THERAPEUTIC APPROACHES TO OVARIAN/BREAST CANCER--HIGH DOSE CHEMOTHERAPY AND ABMSP01CA047741 · NCI · DUKE UNIVERSITY · PI YANG, YIPING · 1990 to 2013
$19.5M
Novel Strategies for Cancer Immunotherapy in Stem Cell TransplantR01CA136934 · NCI · OHIO STATE UNIVERSITY · PI YANG, YIPING · 2009 to 2018
$3.4M
Role of Endogenous Toll-Like Receptor Ligands in Allospecific T Cell ActivationK08AI101263 · NIAID · DUKE UNIVERSITY · PI BRENNAN, TODD VICTOR · 2012 to 2016
$644k
NCI NIH HHS CA047741NCI NIH HHS CA136934NCI NIH HHS P01 CA047741NCI NIH HHS R01 CA136934NIAID NIH HHS K08 AI101263
6 · The paper itself

Abstract

Graft-versus-host disease (GVHD) remains the most common cause of nonrelapse-related morbidity and mortality after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Although T-cell depletion and intensive immunosuppression are effective in the control of GVHD, they are often associated with higher rates of infection and tumor recurrence. In this study, we showed that heparan sulfate (HS), an extracellular matrix component, can activate Toll-like receptor 4 on dendritic cells in vitro, leading to the enhancement of dendritic cell maturation and alloreactive T-cell responses. We further demonstrated in vivo that serum HS levels were acutely elevated at the onset of clinical GVHD in mice after allo-HSCT. Treatment with the serine protease inhibitor α1-antitrypsin decreased serum levels of HS, leading to a reduction in alloreactive T-cell responses and GVHD severity. Conversely, an HS mimetic that increased serum HS levels accelerated GVHD. In addition, in patients undergoing allo-HSCT for hematologic malignancies, serum HS levels were elevated and correlated with the severity of GVHD. These results identify a critical role for HS in promoting acute GVHD after allo-HSCT, and they suggest that modulation of HS release may have therapeutic potential for the control of clinical GVHD.

Indexed as

AnimalsCell ProliferationDendritic CellsFemaleFlow CytometryGraft vs Host DiseaseHematologic NeoplasmsHeparan SulfateHumansLuciferasesLymphocyte DepletionMaleMiceMice, Inbred BALB CMice, Inbred C57BLMiddle AgedHeparan SulfateLuciferasesToll-Like Receptor 4

Identifiers

PMID22760779
PMCPMC3466971
OpenAlexW2002330167

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.