Evidence map›Paper›PMID 23919437›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2013

Polyreactive antibodies developing amidst humoral rejection of human kidney grafts bind apoptotic cells and activate complement.

F Porcheray, J W Fraser, B Gao, A McColl, J DeVito, I Dargon, Y Helou, W Wong, T C Girouard, S L Saidman and 6 more

Abstract readComparative Study
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
–field-weighted citation impact
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

36 citing papers in PubMed.

  1. Review
  2. Review
  3. Best practices of heart transplantation in mice.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  4. Science translational medicine · 2025
    Article
  5. Article
  6. Autoantibodies against DNA topoisomerase I promote renal allograft rejection by increasing alloreactive T cell responses.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Outstanding questions in transplantation: B cells, alloantibodies, and humoral rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Review
  13. Review
  14. Article
  15. New insights into immune mechanisms of antiperlecan/LG3 antibody production: Importance of T cells and innate B1 cells.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Article
  16. Article
  17. Article
  18. Review
  19. Heterogeneity of memory B cells.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2018
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

F PorcherayTransplant Center, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
J W Fraser
B Gao
A McColl
J DeVito
I Dargon
Y Helou
W Wong
T C Girouard
S L Saidman
R B Colvin
A Palmisano
U Maggiore
A Vaglio
R N Smith
E Zorn

Funding

Immune Deregulation and Chronic Humoral Rejection of Kidney Allografts in HumansR01DK083352 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ZORN, EMMANUEL · 2010 to 2014
$2.1M
NIDDK NIH HHS DK083352NIDDK NIH HHS R01 DK083352
6 · The paper itself

Abstract

Antibody mediated rejection (AMR) is associated with a variety of graft-reactive antibodies following kidney transplant. To characterize these antibodies, we immortalized 107 B cell clones from a patient with AMR. In a previous study, we showed that six clones were reacting to multiple self-antigens as well as to HLA and MICA for two of them, thus displaying a pattern of polyreactivity. We show here that all six polyreactive clones also reacted to apoptotic but not viable cells. More generally we observed a nearly perfect overlap between polyreactivity and reactivity to apoptotic cells. Functionally, polyreactive antibodies can activate complement, resulting in the deposition of C3d and C4d at the surface of target cells. Testing the serum of 88 kidney transplant recipients revealed a significantly higher IgG reactivity to apoptotic cells in AMR patients than in patients with stable graft function. Moreover, total IgG purified from AMR patients had increased complement activating properties compared to IgG from non-AMR patients. Overall, our studies show the development of polyreactive antibodies cross-reactive to apoptotic cells during AMR. Further studies are now warranted to determine their contribution to the detection of C4d in graft biopsies as well as their role in the pathophysiology of AMR.

Indexed as

Kidney TransplantationAdolescentAdultAgedAged, 80 and overApoptosisAutoantibodiesBlotting, WesternCase-Control StudiesComplement ActivationComplement C4bEnzyme-Linked Immunosorbent AssayFemaleFluorescent Antibody TechniqueGraft RejectionHumansAutoantibodiesComplement C4bcomplement C4dImmunoglobulin GPeptide FragmentsAntibody-mediated rejectionapoptosisC4dpolyreactive antibodies

Identifiers

PMID23919437
PMCPMC3864117

What OpenQuestion holds

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Registered trials

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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.