Evidence map›Paper›PMID 24127489›Full record

ArticleThe Journal of experimental medicine2013

A common rejection module (CRM) for acute rejection across multiple organs identifies novel therapeutics for organ transplantation.

Purvesh Khatri, Silke Roedder, Naoyuki Kimura, Katrien De Vusser, Alexander A Morgan, Yongquan Gong, Michael P Fischbein, Robert C Robbins, Maarten Naesens, Atul J Butte and 1 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The Journal of experimental medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01331668 (Biobank Renal Transplantation University Hospitals Leuven), which is not on this map. Cited by 153 papers, 18 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 18 pooled it
12.7field-weighted citation impact, top 1% 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.

NCT01331668 recruitingnot on this map

Biobank Renal Transplantation University Hospitals Leuven

TypeobservationalSponsorUniversitaire Ziekenhuizen KU LeuvenRan2004 to 2099Enrolled5,000ConditionsKidney Failure
3 · Its place in the literature

Who cites it

153 citing papers in PubMed, 18 syntheses or guidelines pooled it, 230 citations in OpenAlex.

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  9. Gene Expression Analysis to Assess the Relevance of Rodent Models to Human Lung Injury.American journal of respiratory cell and molecular biology · 2017
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  12. META-ANALYSIS OF CONTINUOUS PHENOTYPES IDENTIFIES A GENE SIGNATURE THAT CORRELATES WITH COPD DISEASE STATUS.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2017
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93 more citing papers are in PubMed but not listed here.

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

11 authors at 5 institutions in 3 countries.

Purvesh KhatriDepartment of Pediatrics; 2 Stanford Cardiovascular Institute; 3 Department of Cardiothoracic Surgery; 4 Stanford Center for Biomedical Informatics Research, Department of Medicine; and 5 Institute for Immunity, Transplant, and Infection; Stanford University, Stanford, CA 94305.
Silke Roedder
Naoyuki Kimura
Katrien De Vusser
Alexander A Morgan
Yongquan Gong
Michael P Fischbein
Robert C Robbins
Maarten Naesens
Atul J Butte
Minnie M Sarwal
Stanford University · USCardiovascular Institute of the South · USKU Leuven · BECalifornia Pacific Medical Center · USInstitute of Infection and Immunity · CA

Funding

POSTDOCTORAL TRAINING IN MEDICAL INFORMATION SCIENCEST15LM007033 · NLM · STANFORD UNIVERSITY · PI SYLVIA KATINA PLEVRITIS · 1985 to 2026
$25.5M
Repositioning drugs for the treatment of small cell lung cancerR01GM079719 · NIGMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BUTTE, ATUL J · 2006 to 2015
$4.4M
Comparative functional genomics for lung cancer gene discoveryR01CA138256 · NCI · STANFORD UNIVERSITY · PI BUTTE, ATUL J, SAGE, JULIEN · 2008 to 2012
$2.8M
NCI NIH HHS R01 CA138256NIGMS NIH HHS R01 GM079719NLM NIH HHS T15 LM007033
6 · The paper itself

Abstract

Using meta-analysis of eight independent transplant datasets (236 graft biopsy samples) from four organs, we identified a common rejection module (CRM) consisting of 11 genes that were significantly overexpressed in acute rejection (AR) across all transplanted organs. The CRM genes could diagnose AR with high specificity and sensitivity in three additional independent cohorts (794 samples). In another two independent cohorts (151 renal transplant biopsies), the CRM genes correlated with the extent of graft injury and predicted future injury to a graft using protocol biopsies. Inferred drug mechanisms from the literature suggested that two FDA-approved drugs (atorvastatin and dasatinib), approved for nontransplant indications, could regulate specific CRM genes and reduce the number of graft-infiltrating cells during AR. We treated mice with HLA-mismatched mouse cardiac transplant with atorvastatin and dasatinib and showed reduction of the CRM genes, significant reduction of graft-infiltrating cells, and extended graft survival. We further validated the beneficial effect of atorvastatin on graft survival by retrospective analysis of electronic medical records of a single-center cohort of 2,515 renal transplant patients followed for up to 22 yr. In conclusion, we identified a CRM in transplantation that provides new opportunities for diagnosis, drug repositioning, and rational drug design.

Indexed as

Organ SpecificityAllograftsAnimalsAtorvastatinBiopsyCohort StudiesDasatinibDatabases as TopicDisease Models, AnimalDrug ApprovalElectronic Health RecordsGene Expression RegulationGene Regulatory NetworksGraft RejectionGraft SurvivalHeart TransplantationAtorvastatinDasatinibHeptanoic AcidsPyrimidinesPyrrolesThiazoles

Identifiers

PMID24127489
PMCPMC3804941
OpenAlexW2160026116

What OpenQuestion holds

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LicenceCC BY-NC-SA
Read underepoch 390

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.