Evidence map›Paper›PMID 23165499›Full record

Trial reportBone marrow transplantation2013

Frequency of CD4(+)FOXP3(+) regulatory T-cells at early stages after HLA-mismatched allogeneic hematopoietic SCT predicts the incidence of acute GVHD.

T Fujioka, H Tamaki, K Ikegame, S Yoshihara, K Taniguchi, K Kaida, R Kato, T Inoue, J Nakata, S Ishii and 3 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02177760 (Sirolimus in Prevention of aGVHD in Maternally Engrafted), which is not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
1.3field-weighted citation impact, top 22% 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.

NCT02177760 phase2withdrawnnot on this mapstarted 2014, after this paper: background citation

Sirolimus in Prevention of aGVHD in Maternally Engrafted (TME) Severe Combined Immunodeficiency (SCID) Infants Receiving Unconditioned Hematopoietic Stem Cell Transplant (HSCT)

TypeinterventionalSponsorUniversity of California, San FranciscoRan2014 to 2015Enrolled0ConditionsSevere Combined Immunodeficiency, Transplacental Maternal Engraftment, Stem Cell TransplantArmsSirolimus
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. Increased Foxp3Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Trial
  3. Trial
  4. Review
  5. Article
  6. The absence of AhR in CD4Clinical epigenetics · 2022
    Article
  7. Regulatory T Cells in GVHD Therapy.Frontiers in immunology · 2021
    Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

13 authors at 1 institution in 1 country.

T FujiokaDivision of Hematology, Department of Internal Medicine, Hyogo College of Medicine, Hyogo, Japan. fujioka@hyo-med.ac.jp
H Tamaki
K Ikegame
S Yoshihara
K Taniguchi
K Kaida
R Kato
T Inoue
J Nakata
S Ishii
T Soma
M Okada
H Ogawa
Hyogo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute GVHD (aGVHD) is a major obstacle to allogeneic hematopoietic SCT (alloHSCT). Although it is thought that aGVHD is initiated in secondary lymphoid organs at a very early stage of alloHSCT, whether CD4(+)FOXP3(+) regulatory T-cells (Tregs) have an impact on aGVHD development during this period remains unclear. Here, we measured Tregs in peripheral blood as early as possible after HLA-mismatched alloHSCT, and assessed the incidence of aGVHD. Flow cytometric analyses revealed that at the second week after HSCT, patients with aGVHD had significantly (P=0.018) lower Treg:CD4(+)T-cell ratios than those without aGVHD. As these differences were seen before the development of aGVHD, these ratios can predict the incidence of aGVHD. The cumulative incidence of aGVHD in patients with ratios of <9% was significantly higher than that in patients with ratios of 9% (P=0.0082, log-rank test). Additionally, the specific ratio of Tregs:CD4(+)T-cells was the most significant value among all other possible lymphocyte-associated ratios and absolute cell counts. These findings suggest that the ratio of Tregs:CD4(+)T-cells at the second week post HLA-mismatched alloHSCT might be a potent predictor of aGVHD in these patients. The practical efficacy of this finding should be verified in further interventional studies.

Indexed as

Forkhead Transcription FactorsHematopoietic Stem Cell TransplantationHLA AntigensAcute DiseaseAdultAllograftsCD4 Lymphocyte CountFemaleGraft vs Host DiseaseHematologic NeoplasmsHistocompatibility TestingHumansIncidenceMaleTime FactorsT-Lymphocytes, RegulatoryForkhead Transcription FactorsFOXP3 protein, humanHLA Antigens

Identifiers

PMID23165499
OpenAlexW1978024744

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.