Evidence map›Paper›PMID 25394378›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2014

Use of CTLA4Ig for induction of mixed chimerism and renal allograft tolerance in nonhuman primates.

Y Yamada, T Ochiai, S Boskovic, O Nadazdin, T Oura, D Schoenfeld, K Cappetta, R-N Smith, R B Colvin, J C Madsen and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  8. Article
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  10. Review
  11. Characterization, biology, and expansion of regulatory T cells in the Cynomolgus macaque for preclinical studies.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Article
  12. Secondary lymphoid tissue and costimulation-blockade resistant rejection: A nonhuman primate renal transplant study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Article
  13. Review
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  18. Article
  19. Memory T cells are significantly increased in rejected liver allografts of rhesus monkeys.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2018
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Y YamadaTransplant Center, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
T Ochiai
S Boskovic
O Nadazdin
T Oura
D Schoenfeld
K Cappetta
R-N Smith
R B Colvin
J C Madsen
D H Sachs
G Benichou
A B Cosimi
T Kawai
Harvard University · USMassachusetts General Hospital · US

Funding

XENOGENIC TOLERANCE IN MICEP01HL018646 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MADSEN, JOREN C · 1985 to 2019
$37.5M
Tolerance to Composite Islet-Kidney Transplants in Non-Human PrimatesU19AI102405 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI COSIMI, A BENEDICT · 2012 to 2016
$7.7M
Tolerance Strategies in Non-Human Primate Cardiac Allograft RecipientsU01AI094374 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MADSEN, JOREN C · 2010 to 2016
$5.9M
NHLBI NIH HHS P01 HL018646NHLBI NIH HHS P0-1 HL 18646-25NIAID NIH HHS AI102405-01NIAID NIH HHS U01 AI094374NIAID NIH HHS U19 AI102405
6 · The paper itself

Abstract

We have previously reported successful induction of renal allograft tolerance via a mixed chimerism approach in nonhuman primates. In those studies, we found that costimulatory blockade with anti-CD154 mAb was an effective adjunctive therapy for induction of renal allograft tolerance. However, since anti-CD154 mAb is not clinically available, we have evaluated CTLA4Ig as an alternative agent for effecting costimulation blockade in this treatment protocol. Two CTLA4Igs, abatacept and belatacept, were substituted for anti-CD154 mAb in the conditioning regimen (low dose total body irradiation, thymic irradiation, anti-thymocyte globulin and a 1-month posttransplant course of cyclosporine [CyA]). Three recipients treated with the abatacept regimen failed to develop comparable lymphoid chimerism to that achieved with anti-CD154 mAb treatment and these recipients rejected their kidney allografts early. With the belatacept regimen, four of five recipients developed chimerism and three of these achieved long-term renal allograft survival (>861, >796 and >378 days) without maintenance immunosuppression. Neither chimerism nor long-term allograft survival were achieved in two recipients treated with the belatacept regimen but with a lower, subtherapeutic dose of CyA. This study indicates that CD28/B7 blockade with belatacept can provide a clinically applicable alternative to anti-CD154 mAb for promoting chimerism and renal allograft tolerance.

Indexed as

Bone Marrow TransplantationChimerismKidney TransplantationAbataceptAnimalsAntibodies, MonoclonalFlow CytometryGraft RejectionGraft SurvivalImmunoconjugatesImmunosuppressive AgentsKidney DiseasesKidney Function TestsMacaca fascicularisTissue DonorsTransplantation ChimeraAbataceptAntibodies, MonoclonalImmunoconjugatesImmunosuppressive AgentsBasic (laboratory) research/sciencebone marrow/hematopoietic stem cell transplantationkidney transplantation/nephrologytolerance: chimerismtolerance: costimulation blockadetolerance: experimental

Identifiers

PMID25394378
PMCPMC4236265
OpenAlexW2097228520

What OpenQuestion holds

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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.