Evidence map›Paper›PMID 23842189›Full record

ArticleTransplantation2013

Elevated pretransplantation soluble BAFF is associated with an increased risk of acute antibody-mediated rejection.

Gemma Banham, Davide Prezzi, Sarah Harford, Craig J Taylor, Rizwan Hamer, Rob Higgins, J Andrew Bradley, Menna R Clatworthy

Registry-linked trialAbstract read
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. It is linked to trial NCT02294032 (The Role of B Cells in Kidney Allograft Dysfunction), which is not on this map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
7.1field-weighted citation impact, top 2% 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.

NCT02294032 completednot on this mapstarted 2014, after this paper: background citation

The Role of B Cells in Kidney Allograft Dysfunction

Typeobservational_patient_registrySponsorLoma Linda UniversityRan2014 to 2023Enrolled180ConditionsKidney, Complications, Allograft, Transplantation InfectionArmsImmunosuppressive Agents
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 71 citations in OpenAlex.

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  20. Postdepletion Lymphocyte Reconstitution During Belatacept and Rapamycin Treatment in Kidney Transplant Recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2016
    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

8 authors at 2 institutions in 1 country.

Gemma BanhamDepartment of Medicine, University of Cambridge, Francis Crick Avenue, Cambridge Biomedical Campus, Cambridge, UK.
Davide Prezzi
Sarah Harford
Craig J Taylor
Rizwan Hamer
Rob Higgins
J Andrew Bradley
Menna R Clatworthy
University of Cambridge · GBCambridge University Hospitals NHS Foundation Trust · GB

Funding

Wellcome Trust 081020
6 · The paper itself

Abstract

backgroundB cells play an important role in renal allograft pathology, particularly in acute and chronic antibody-mediated rejection (AMR). B-cell activating factor belonging to the tumor necrosis factor family (BAFF; also known as BLyS) is a cytokine that enhances B-cell survival and proliferation.

methodsWe analyzed serum BAFF levels in 32 patients undergoing antibody-incompatible (Ai) renal transplantation and 319 antibody-compatible transplant recipients and sought to determine whether there was a correlation with acute rejection and with transplant function and survival.

resultsWe demonstrate that, in patients undergoing Ai transplantation, elevated serum BAFF levels at baseline (before both antibody removal/desensitization and transplantation) are associated with an increased risk of subsequent AMR. In antibody-compatible transplant recipients at lower risk of AMR, no statistically significant association was observed between pretransplantation serum BAFF and AMR.

conclusionsThese data raise the possibility that, in high immunologic risk patients undergoing Ai transplantation, the presence of elevated pretransplantation serum BAFF might identify those at increased risk of AMR. BAFF neutralization may be an interesting therapeutic strategy to explore in these patients, particularly because such agents are available and have already been used in the treatment of autoimmunity.

Indexed as

Acute DiseaseAdolescentAdultAgedB-Cell Activating FactorBiomarkersB-LymphocytesCohort StudiesFemaleGraft RejectionHLA AntigensHumansIsoantibodiesKidney Failure, ChronicKidney TransplantationMaleB-Cell Activating FactorBiomarkersHLA AntigensIsoantibodiesTNFSF13B protein, human

Identifiers

PMID23842189
PMCPMC4170143
OpenAlexW2318505824

What OpenQuestion holds

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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.