Evidence map›Paper›PMID 25243511›Full record

ArticleTransplantation2014

Porcine cytomegalovirus infection is associated with early rejection of kidney grafts in a pig to baboon xenotransplantation model.

Kazuhiko Yamada, Masayuki Tasaki, Mitsuhiro Sekijima, Robert A Wilkinson, Vincenzo Villani, Shannon G Moran, Taylor A Cormack, Isabel M Hanekamp, Robert J Hawley, J Scott Arn and 3 more

Erratum issuedAbstract read
In one paragraph

Article in Transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
9.4field-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.

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

62 citing papers in PubMed, 126 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. How Does a Porcine Herpesvirus, PCMV/PRV, Induce a Xenozoonosis.International journal of molecular sciences · 2025
    Review
  6. Review
  7. Article
  8. Review
  9. Role of a Porcine Herpesvirus, PCMV/PRV, in Xenotransplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  10. Article
  11. Article
  12. Infectious Diseases and Clinical Xenotransplantation.Emerging infectious diseases · 2024
    Review
  13. Article
  14. Progress in Orthotopic Pig Heart Transplantation in Nonhuman Primates.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  15. Article
  16. The Evolution of Immunosuppressive Therapy in Pig-to-Nonhuman Primate Organ Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  17. Clinical Pig Heart Xenotransplantation-Where Do We Go From Here?Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  18. Review
  19. Review
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
    Hawley, Robert J [added]
5 · Who and what money

Authors and funding

13 authors at 2 institutions in 2 countries.

Kazuhiko YamadaTransplantation Biology Research Center, Massachusetts General Hospital, Harvard Medical School, Cambridge, MA. 1 Address correspondence to: Kazuhiko Yamada, M.D., Ph.D., Organ Transplantation Tolerance and Xenotransplantation Laboratory, Transplantation Biology Research Center, Massachusetts General Hospital, MGH-East, Bldg. 149-9019, 13th Street, Boston, MA, 02129.
Masayuki Tasaki
Mitsuhiro Sekijima
Robert A Wilkinson
Vincenzo Villani
Shannon G Moran
Taylor A Cormack
Isabel M Hanekamp
Robert J Hawley
J Scott Arn
Jay A Fishman
Akira Shimizu
David H Sachs
Apple (Israel) · ILMassachusetts General Hospital · US

Funding

XENOGRAFT TOLERANCE THROUGH MIXED CHIMERISMP01AI045897 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI Megan Sykes · 2000 to 2026
$71.9M
RES FACIL CONST: XENOTRANSPLANTATION, LUNG ALLOGRAFT REJECTION IN SWINEC06RR020135 · NCRR · MASSACHUSETTS GENERAL HOSPITAL · PI SLAVIN, PETER L · 2004 to 2004
$2.7M
NCRR NIH HHS C06 RR020135NCRR NIH HHS C06 RR020135-01NIAID NIH HHS 2P01AI45897NIAID NIH HHS P01 AI045897
6 · The paper itself

Abstract

backgroundRecent survivals of our pig-to-baboon kidney xenotransplants have been markedly shorter than the graft survivals we previously reported. The discovery of high levels of porcine cytomegalovirus (pCMV) in one of the rejected xenografts led us to evaluate whether this reduction in graft survival might be because of the inadvertent introduction of pCMV into our α1,3-galactosyltransferase gene knockout swine herd.

methodsArchived frozen sections of xeno-kidney grafts over the past 10 years were analyzed for the presence of pCMV, using real-time polymerase chain reaction. Three prospective pig-to-baboon renal transplants using kidneys from swine delivered by cesarean section (C-section) and raised in isolation were likewise analyzed.

resultsKidney grafts, from which 8 of the 18 archived samples were derived were found to be pCMV-negative, showed a mean graft survival of 48.3 days and were from transplants performed before 2008. None showed signs of disseminated intravascular coagulopathy and were lost because of proteinuria or infectious complications. In contrast, 10 of the archived samples were pCMV positive, were from kidney transplants with a mean graft survival of 14.1 days, had been performed after 2008, and demonstrated early vascular changes and decreased platelet counts. Three prospective xenografts from swine delivered by C-section were pCMV negative and survived an average of 53.0 days.

conclusionsDecreased survivals of α1,3-galactosyltransferase gene knockout renal xenografts in this laboratory correlate temporally with latent pCMV in the donor animals and pCMV in the rejected xeno-kidneys. Transmission of pCMV to swine offspring may be avoided by C-section delivery and scrupulous isolation of donor animals.

Indexed as

AnimalsCytomegalovirus InfectionsFemaleGalactosyltransferasesGraft RejectionGraft SurvivalIntercellular Adhesion Molecule-1Kidney TransplantationMalePapio hamadryasSwineTransplantation, HeterologousTransplantation ToleranceGalactosyltransferasesIntercellular Adhesion Molecule-1N-acetyllactosaminide alpha-1,3-galactosyltransferase

Identifiers

PMID25243511
PMCPMC4176773
OpenAlexW2312631434

What OpenQuestion holds

Textmetadata
LicenceTDM
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.