Evidence map›Paper›PMID 24990882›Full record

ArticleScience translational medicine2014

Recipient NK cell inactivation and intestinal barrier loss are required for MHC-matched graft-versus-host disease.

Sam C Nalle, H Aimee Kwak, Karen L Edelblum, Nora E Joseph, Gurminder Singh, Galina F Khramtsova, Eric D Mortenson, Peter A Savage, Jerrold R Turner

Abstract read
In one paragraph

Article in Science translational medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.1field-weighted citation impact, top 13% 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

35 citing papers in PubMed, 52 citations in OpenAlex.

  1. Tight Junction Defects in Aganglionic and Ganglionic Colon in Children With Hirschsprung Disease.Laboratory investigation; a journal of technical methods and pathology · 2026
    Article
  2. Loss of GLP-2R signaling in Glp2rMolecular metabolism · 2026
    Article
  3. Article
  4. Gut microbiota and acute graft-versus-host disease.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  5. Review
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  9. Article
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  14. Article
  15. The Epithelial Cell Leak Pathway.International journal of molecular sciences · 2021
    Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Gut-liver crosstalk in sepsis-induced liver injury.Critical care (London, England) · 2020
    Review
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

9 authors at 1 institution in 1 country.

Sam C NalleDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA.
H Aimee KwakDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA.
Karen L EdelblumDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA.
Nora E JosephDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA.
Gurminder SinghDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA.
Galina F KhramtsovaDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA.
Eric D MortensonDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA.
Peter A SavageDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA. jturner@bsd.uchicago.edu psavage@bsd.uchicago.edu.
Jerrold R TurnerDepartment of Pathology, The University of Chicago, Chicago, IL 60637, USA. jturner@bsd.uchicago.edu psavage@bsd.uchicago.edu.
University of Chicago · US

Funding

VIRAL ONCOLOGY CORE FACILITYP30CA014599 · NCI · UNIVERSITY OF CHICAGO · PI THOMAS F GAJEWSKI · 1985 to 2026
$122.1M
ULTRASTRUCTURE AND CYTOMORPHOLOGY COREP30DK042086 · NIDDK · UNIVERSITY OF CHICAGO · PI ABADIE, VALERIE · 1990 to 2025
$29.8M
TRANSLATIONAL RESEARCH UNIVERSITY OF CHICAGO: CLINICAL TRIALSUL1RR024999 · NCRR · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2007 to 2011
$25.3M
ZO-1-MEDIATED PROTEIN INTERACTIONS: REGULATORS AND INTEGRATORS OF DIVERSE EPITHELIAL FUNCTIONS IN HEALTH AND DISEASER01DK061931 · NIDDK · UNIVERSITY OF CHICAGO · PI JERROLD R. TURNER · 2001 to 2026
$15.0M
Therapeutic targeting of protein interactions to reverse MLCK1-mediated intestinal barrier loss and ameliorate disease.R01DK068271 · NIDDK · UNIVERSITY OF CHICAGO · PI JERROLD R. TURNER · 2005 to 2026
$11.3M
Translational Approaches to Develop Drug Therapy for DiarrheaR24DK099803 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI DONOWITZ, MARK · 2014 to 2019
$8.9M
CARDIOVASCULAR PATHOPHYSIOLOGY &BIOCHEMISTRY TRAININGT32HL007237 · NHLBI · UNIVERSITY OF CHICAGO · PI GETZ, GODFREY SHALOM · 1985 to 2011
$5.0M
Transcriptional Regulation of NHE-3 Isoform in Human IntestineP01DK067887 · NIDDK · UNIVERSITY OF ILLINOIS AT CHICAGO · PI HECHT, GAIL A · 2006 to 2011
$4.9M
Development and specificity of endogeneous tumor-infiltrating regulatory T cellsR01CA160371 · NCI · UNIVERSITY OF CHICAGO · PI SAVAGE, PETER AIDAN · 2011 to 2015
$1.6M
gd IEL migration and epithelial interactions in intestinal diseaseK01DK093627 · NIDDK · UNIVERSITY OF CHICAGO · PI EDELBLUM, KAREN LEIGH · 2012 to 2016
$752k
NCI NIH HHS P30 CA014599NCI NIH HHS P30CA14599NCI NIH HHS R01CA160371NCRR NIH HHS UL1 RR024999NCRR NIH HHS UL1RR024999NHLBI NIH HHS T32 HL007237NHLBI NIH HHS T32HL007237NIDDK NIH HHS K01 DK093627NIDDK NIH HHS P01 DK067887NIDDK NIH HHS P01DK67887NIDDK NIH HHS P30 DK042086NIDDK NIH HHS P30DK42086NIDDK NIH HHS R01 DK061931NIDDK NIH HHS R01 DK068271NIDDK NIH HHS R01DK61931NIDDK NIH HHS R01DK68271NIDDK NIH HHS R24 DK099803
6 · The paper itself

Abstract

Previous studies have shown a correlation between pretransplant conditioning intensity, intestinal barrier loss, and graft-versus-host disease (GVHD) severity. However, because irradiation and other forms of pretransplant conditioning have pleiotropic effects, the precise role of intestinal barrier loss in GVHD pathogenesis remains unclear. We developed GVHD models that allowed us to isolate the specific contributions of distinct pretransplant variables. Intestinal damage was required for the induction of minor mismatch [major histocompatibility complex (MHC)-matched] GVHD, but was not necessary for major mismatch GVHD, demonstrating fundamental pathogenic distinctions between these forms of disease. Moreover, recipient natural killer (NK) cells prevented minor mismatch GVHD by limiting expansion and target organ infiltration of alloreactive T cells via a perforin-dependent mechanism, revealing an immunoregulatory function of MHC-matched recipient NK cells in GVHD. Minor mismatch GVHD required MyD88-mediated Toll-like receptor 4 (TLR4) signaling on donor cells, and intestinal damage could be bypassed by parenteral lipopolysaccharide (LPS) administration, indicating a critical role for the influx of bacterial components triggered by intestinal barrier loss. In all, the data demonstrate that pretransplant conditioning plays a dual role in promoting minor mismatch GVHD by both depleting recipient NK cells and inducing intestinal barrier loss.

Indexed as

AnimalsDNA-Binding ProteinsEnzyme-Linked Immunosorbent AssayFemaleFlow CytometryGraft vs Host DiseaseKiller Cells, NaturalLipopolysaccharidesMajor Histocompatibility ComplexMiceMice, Mutant StrainsToll-Like Receptor 4DNA-Binding ProteinsLipopolysaccharidesRag2 protein, mouseTlr4 protein, mouseToll-Like Receptor 4

Identifiers

PMID24990882
PMCPMC4161673
OpenAlexW2034679207

What OpenQuestion holds

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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.