Evidence map›Paper›PMID 25629549›Full record

SynthesisKidney international2015

A common gene signature across multiple studies relate biomarkers and functional regulation in tolerance to renal allograft.

Daniel Baron, Gérard Ramstein, Mélanie Chesneau, Yann Echasseriau, Annaick Pallier, Chloé Paul, Nicolas Degauque, Maria P Hernandez-Fuentes, Alberto Sanchez-Fueyo, Kenneth A Newell and 4 more

Abstract readMeta-AnalysisValidation Study
In one paragraph

Synthesis in Kidney international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

39 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. CD4Frontiers in immunology · 2022
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. B cells in transplant tolerance and rejection: friends or foes?Transplant international : official journal of the European Society for Organ Transplantation · 2020
    Review
  16. The five dimensions of B cell tolerance.Immunological reviews · 2019
    Review
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Daniel Baron1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.
Gérard RamsteinLINA COD, UMR 6241, Université de Nantes, Ecole des Mines de Nantes and CNRS, Nantes, France.
Mélanie Chesneau1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.
Yann Echasseriau1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.
Annaick Pallier1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.
Chloé Paul1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.
Nicolas Degauque1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.
Maria P Hernandez-FuentesMRC Centre for Transplantation, King's College London, London, UK.
Alberto Sanchez-FueyoInstitute of Liver Studies, King's College Hospital, Denmark Hill, King's College London, London, UK.
Kenneth A NewellDepartment of Surgery, Emory University, Atlanta, Georgia, USA.
Magali Giral1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.
Jean-Paul Soulillou1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.
Rémi Houlgatte1] Inserm, U954, Nancy, France [2] CHU de Nancy, DRCI, Nancy, France.
Sophie Brouard1] INSERM, UMR 1064, Nantes, France [2] CHU de Nantes, ITUN, Nantes, France [3] Université de Nantes, Faculté de Médecine, Nantes, France.

Funding

Medical Research Council G0801537Medical Research Council MC_PC_15108Medical Research Council MR/J006742/1Medical Research Council MR/L008890/1
6 · The paper itself

Abstract

Patients tolerant to a kidney graft display a specific blood cell transcriptional pattern but results from five different studies were inconsistent, raising the question of relevance for future clinical application. To resolve this, we sought to identify a common gene signature, specific functional and cellular components, and discriminating biomarkers for tolerance following kidney transplantation. A meta-analysis of studies identified a robust gene signature involving proliferation of B and CD4 T cells, and inhibition of CD14 monocyte related functions among 96 tolerant samples. This signature was further supported through a cross-validation approach, yielding 92.5% accuracy independent of the study of origin. Experimental validation, performed on new tolerant samples and using a selection of the top-20 biomarkers, returned 91.7% of good classification. Beyond the confirmation of B-cell involvement, our data also indicated participation of other cell subsets in tolerance. Thus, the use of the top 20 biomarkers, mostly centered on B cells, may provide a common and standardized tool towards personalized medicine for the monitoring of tolerant or low-risk patients among kidney allotransplant recipients. These data point to a global preservation of genes favoring the maintenance of a homeostatic and 'healthy' environment in tolerant patients and may contribute to a better understanding of tolerance maintenance mechanisms.

Indexed as

Kidney TransplantationAllograftsBiomarkersHumansImmune ToleranceLeukocytes, MononuclearTranscriptomeBiomarkers

Identifiers

PMID25629549
PMCPMC4424816

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.