Evidence map›Paper›PMID 23250336›Full record

ArticleTransplantation2013

Simultaneous bone marrow and composite tissue transplantation in rats treated with nonmyeloablative conditioning promotes tolerance.

Hong Xu, Deborah M Ramsey, Shengli Wu, Larry D Bozulic, Suzanne T Ildstad

Abstract readComparative Study
In one paragraph

Article in Transplantation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 20 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

Hong XuInstitute for Cellular Therapeutics, University of Louisville, Louisville, KY 40202-1760, USA.
Deborah M Ramsey
Shengli Wu
Larry D Bozulic
Suzanne T Ildstad
University of Louisville · US

Funding

Tolerance Induction to Islet TransplantsR01DK069766 · NIDDK · UNIVERSITY OF LOUISVILLE · PI ILDSTAD, SUZANNE T · 2005 to 2010
$1.6M
Mixed HSC Chimerism in Sensitized RecipientsR01HL063442 · NHLBI · UNIVERSITY OF LOUISVILLE · PI ILDSTAD, SUZANNE T · 2002 to 2005
$1.6M
NHLBI NIH HHS 5R01 HL063442NHLBI NIH HHS R01 HL063442NIDDK NIH HHS R01 DK069766
6 · The paper itself

Abstract

backgroundApproaches to safely induce tolerance in vascularized composite allotransplantation (VCA) with chimerism through bone marrow transplantation (BMT) are currently being pursued. However, VCA was historically performed sequentially after donor chimerism was established. Delayed VCA is not clinically applicable due to the time constraints associated with procurement from deceased donors. A more clinically relevant approach to perform both BMT and VCA simultaneously was evaluated.

methodsWistar Furth (RT1A) rats were treated with a short course of immunosuppressive therapy (anti-αβ-TCR monoclonal antibody, FK-506, and anti-lymphocyte serum). One day before BMT, rats were treated with varying doses of total body irradiation (TBI) followed by transplantation of heterotopic osteomyocutaneous flaps from hindlimbs of August Copenhagen Irish (RT1A) rats.

resultsEighty percent of rats conditioned with 300 cGy TBI and 40% of rats receiving 400 cGy TBI accepted the VCA. Mixed chimerism was detected in peripheral blood at 1 month after VCA, but chimerism was lost in all transplant recipients by 4 months. Most peripheral donor cells originated from the BMT and not from the VCA. Acceptors of VCA were tolerant of a donor skin graft challenge and no anti-donor antibodies were detectable, suggesting a central deletional mechanism for tolerance. Regulatory T cells (Treg) from spleens of acceptors more potently suppressed lymphocyte proliferation than Treg from rejectors in the presence of donor stimulator cells.

conclusionsThese studies suggest that simultaneous BMT and VCA may establish indefinite allograft survival in rats through Treg-mediated suppression and thymic deletion of alloreactive T cells.

Indexed as

Graft SurvivalTransplantation ToleranceAnimalsAntibodies, MonoclonalAntilymphocyte SerumBone Marrow TransplantationCell ProliferationDose-Response Relationship, RadiationDrug Therapy, CombinationFree Tissue FlapsGraft RejectionImmunosuppressive AgentsIsoantigensLymphocyte ActivationMaleRatsAntibodies, MonoclonalAntilymphocyte SerumImmunosuppressive AgentsIsoantigensReceptors, Antigen, T-Cell, alpha-betaTacrolimus

Identifiers

PMID23250336
PMCPMC3549055
OpenAlexW2085151036

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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.