Evidence map›Paper›PMID 23974274›Full record

ArticleChimerism

Complex chimerism: pregnancy after solid organ transplantation.

Kimberly K Ma, Margaret G Petroff, Lisa A Coscia, Vincent T Armenti, Kristina M Adams Waldorf

Open access · bronzeAbstract read
In one paragraph

Article in Chimerism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Guideline
  2. Review
  3. Review
  4. 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

5 authors at 5 institutions in 2 countries.

Kimberly K MaDepartment of Obstetrics & Gynecology; University of Washington; Seattle, WA USA.
Margaret G Petroff
Lisa A Coscia
Vincent T Armenti
Kristina M Adams Waldorf
Gift of Life Michigan · USNational Cancer Registry · IESeattle University · USUniversity of Kansas Medical Center · USUniversity of Washington · US

Funding

INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Restoring FMRP Phenotypes Frpm Temporal Regional and Splice- Isoforms VarationsP30HD002274 · NICHD · UNIVERSITY OF WASHINGTON · PI GURALNICK, MICHAEL J · 1985 to 2013
$33.6M
WOMEN'S REPRODUCTIVE HEALTH RESEARCH CAREER DEVELOPMENTK12HD001264 · NICHD · UNIVERSITY OF WASHINGTON · PI Barbara Ann Goff · 1998 to 2026
$8.6M
GBS mediated in utero fetal injuryR01AI100989 · NIAID · SEATTLE CHILDREN'S HOSPITAL · PI ADAMS WALDORF, KRISTINA M., RAJAGOPAL, LAKSHMI · 2012 to 2016
$3.9M
Maternal Tolerance to Fetal AlloantigensR01HD045611 · NICHD · UNIVERSITY OF KANSAS MEDICAL CENTER · PI PETROFF, MARGARET G · 2004 to 2014
$2.8M
Toll-Like Receptor Antagonism as a Potential Treatment for Preterm LaborK08AI067910 · NIAID · UNIVERSITY OF WASHINGTON · PI ADAMS WALDORF, KRISTINA M. · 2007 to 2011
$632k
NCRR NIH HHS UL1 RR025014NCRR NIH HHS UL1RR025014NIAID NIH HHS K08 AI067910NIAID NIH HHS K08AI067910NIAID NIH HHS R01 AI100989NIAID NIH HHS R01AI100989NICHD NIH HHS K12 HD001264NICHD NIH HHS K12HD001264NICHD NIH HHS P30 HD002274NICHD NIH HHS P30HD002274NICHD NIH HHS R01 HD045611NICHD NIH HHS R01HD045611
6 · The paper itself

Abstract

Thousands of women with organ transplantation have undergone successful pregnancies, however little is known about how the profound immunologic changes associated with pregnancy might influence tolerance or rejection of the allograft. Pregnant women with a solid organ transplant are complex chimeras with multiple foreign cell populations from the donor organ, fetus, and mother of the pregnant woman. We consider the impact of complex chimerism and pregnancy-associated immunologic changes on tolerance of the allograft both during pregnancy and the postpartum period. Mechanisms of allograft tolerance are likely dynamic during pregnancy and affected by the influx of fetal microchimeric cells, HLA relationships (between the fetus, pregnant woman and/or donor), peripheral T cell tolerance to fetal cells, and fetal minor histocompatibility antigens. Further research is necessary to understand the complex immunology during pregnancy and the postpartum period of women with a solid organ transplant.

Indexed as

ChimerismFemaleFetusGraft RejectionHumansImmune ToleranceMaternal-Fetal ExchangeOrgan TransplantationPre-EclampsiaPregnancyTransplantation Tolerancechimerismgraft rejectionkidneylivermicrochimerismpregnancytolerancetransplanttransplantation

Identifiers

PMID23974274
PMCPMC3782547
OpenAlexW2062330137

What OpenQuestion holds

Textmetadata
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.