Evidence map›Paper›PMID 23317713›Full record

ArticleAnnals of the Royal College of Surgeons of England2013

Nucleotide metabolic mismatches in mammalian hearts: implications for transplantation.

Z Khalpey, M H Yacoub, R T Smolenski

Open access · bronzeAbstract read
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2013. 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
0.3field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  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

3 authors at 3 institutions in 2 countries.

Z KhalpeyDivision of Cardiothoracic Surgery, University of Arizona College of Medicine, 1,501 North Campbell Avenue, PO Box 245071, Tucson, AZ 85724-5071, USA. zkhalpey@surgery.arizona.edu
M H Yacoub
R T Smolenski
Guy's and St Thomas' NHS Foundation Trust · GBCambridge University Hospitals NHS Foundation Trust · GBUniversity Hospitals of Leicester NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHuman donor organ shortages have led surgeons and scientists to explore the use of animals as alternative organ sources. Acute thrombovascular rejection (AVR) is the main hurdle in xenotransplantation. disparities in nucleotide metabolism in the vessels of different species may contribute significantly to the microvascular component of AVR.

methodsWe evaluated the extent of nucleotide metabolism mismatch in selected organs and endothelial cells of different mammals with particular focus on the changes in activity of ecto-5'-nucleotidase (E5'n) elicited by exposure of porcine hearts or endothelial cells to human blood (ex vivo) or human plasma (in vitro).

resultsE5'n activity in the rat heart was significantly higher than in other species. We noted a significant difference (p<0.001) in E5'n activity between human and pig endothelial cell lines. Initial pig aortic endothelial E5'n activity decreased in vitro after a three-hour exposure to human and porcine plasma while remaining constant in controls. ex vivo perfusion with fresh human blood for four hours resulted in a significant decrease of E5'n activity in both wild type and transgenic pig hearts overexpressing human decay accelerating factor (p<0.001).

conclusionsThis study provides evidence that mismatches in basal mammalian metabolic pathways and humoral immunity interact in a xenogeneic environment. understanding the role of nucleotide metabolism and signalling in xenotransplantation may identify new targets for genetic modifications and may lead to the development of new therapies extending graft survival.

Indexed as

Blood5'-NucleotidaseAnimalsAnimals, Genetically ModifiedCells, CulturedEndothelial CellsEndothelium, VascularGraft SurvivalHumansImmunity, HumoralMyocardiumPapioPurinesPyrimidinesRatsSpecies Specificity5'-NucleotidasePurinesPyrimidines

Identifiers

PMID23317713
PMCPMC3964664
OpenAlexW300850842

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.