Evidence map›Paper›PMID 23274902›Full record

Trial reportDiabetes2013

Alloantibody and autoantibody monitoring predicts islet transplantation outcome in human type 1 diabetes.

Lorenzo Piemonti, Matthew J Everly, Paola Maffi, Marina Scavini, Francesca Poli, Rita Nano, Massimo Cardillo, Raffaella Melzi, Alessia Mercalli, Valeria Sordi and 7 more

Open access · bronzeAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Diabetes, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
7.3field-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.

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

58 citing papers in PubMed, 121 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. Applications of Genome-Editing Technologies for Type 1 Diabetes.International journal of molecular sciences · 2023
    Review
  15. Delayed graft rejection in autoimmune islet transplantation via biomaterial immunotherapy.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  16. Review
  17. Review
  18. Impact of GAD65 and IA2 autoantibodies on islet allograft survival.Frontiers in clinical diabetes and healthcare · 2023
    Article
  19. Article
  20. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 5 institutions in 3 countries.

Lorenzo PiemontiDiabetes Research Institute, San Raffaele Hospital Scientific Institute, Milan, Italy. piemonti.lorenzo@hsr.it
Matthew J Everly
Paola Maffi
Marina Scavini
Francesca Poli
Rita Nano
Massimo Cardillo
Raffaella Melzi
Alessia Mercalli
Valeria Sordi
Vito Lampasona
Alejandro Espadas de Arias
Mario Scalamogna
Emanuele Bosi
Ezio Bonifacio
Antonio Secchi
Paul I Terasaki
San Raffaele University of Rome · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITTerasaki Foundation · USPaul Langerhans Institute Dresden · DEVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term clinical outcome of islet transplantation is hampered by the rejection and recurrence of autoimmunity. Accurate monitoring may allow for early detection and treatment of these potentially compromising immune events. Islet transplant outcome was analyzed in 59 consecutive pancreatic islet recipients in whom baseline and de novo posttransplant autoantibodies (GAD antibody, insulinoma-associated protein 2 antigen, zinc transporter type 8 antigen) and donor-specific alloantibodies (DSA) were quantified. Thirty-nine recipients (66%) showed DSA or autoantibody increases (de novo expression or titer increase) after islet transplantation. Recipients who had a posttransplant antibody increase showed similar initial performance but significantly lower graft survival than patients without an increase (islet autoantibodies P < 0.001, DSA P < 0.001). Posttransplant DSA or autoantibody increases were associated with HLA-DR mismatches (P = 0.008), induction with antithymocyte globulin (P = 0.0001), and pretransplant panel reactive alloantibody >15% in either class I or class II (P = 0.024) as independent risk factors and with rapamycin as protective (P = 0.006) against antibody increases. DSA or autoantibody increases after islet transplantation are important prognostic markers, and their identification could potentially lead to improved islet cell transplant outcomes.

Indexed as

Monitoring, ImmunologicAdultAntilymphocyte SerumAutoantibodiesBiomarkersCohort StudiesDiabetes Mellitus, Type 1FemaleFollow-Up StudiesGraft SurvivalHumansImmunosuppression TherapyImmunosuppressive AgentsIslets of Langerhans TransplantationIsoantibodiesMaleAntilymphocyte SerumAutoantibodiesBiomarkersImmunosuppressive AgentsIsoantibodiesMycophenolic AcidSirolimus

Identifiers

PMID23274902
PMCPMC3636624
OpenAlexW2118332672

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.