Evidence map›Paper›PMID 25830760›Full record

ArticleKidney international2015

B-lymphocytes support and regulate indirect T-cell alloreactivity in individual patients with chronic antibody-mediated rejection.

Kin Y Shiu, Laura McLaughlin, Irene Rebollo-Mesa, Jingyue Zhao, Vikki Semik, H Terence Cook, Candice Roufosse, Paul Brookes, Robert W Bowers, Jack Galliford and 4 more

Abstract read
PubMed Publisher
In one paragraph

Article in Kidney international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–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

25 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Review
  4. Review
  5. Activation and Regulation of Indirect Alloresponses in Transplanted Patients With Donor Specific Antibodies and Chronic Rejection.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  6. Article
  7. Article
  8. Analysis of T-cell alloantigen responseFrontiers in immunology · 2023
    Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. B lymphocytes in renal interstitial fibrosis.Journal of cell communication and signaling · 2017
    Review
  16. Review
  17. Observational
  18. IL-2-MediatedFrontiers in immunology · 2017
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Kin Y ShiuMRC Centre for Transplantation, King's College London, Guy's Hospital, London, UK.
Laura McLaughlinMRC Centre for Transplantation, King's College London, Guy's Hospital, London, UK.
Irene Rebollo-MesaMRC Centre for Transplantation, King's College London, Guy's Hospital, London, UK.
Jingyue ZhaoMRC Centre for Transplantation, King's College London, Guy's Hospital, London, UK.
Vikki SemikMRC Centre for Transplantation, King's College London, Guy's Hospital, London, UK.
H Terence CookWest London Renal and Transplant Centre, Imperial College London and Imperial College NHS Trust, Hammersmith Hospital, London, UK.
Candice RoufosseWest London Renal and Transplant Centre, Imperial College London and Imperial College NHS Trust, Hammersmith Hospital, London, UK.
Paul BrookesWest London Renal and Transplant Centre, Imperial College London and Imperial College NHS Trust, Hammersmith Hospital, London, UK.
Robert W BowersWest London Renal and Transplant Centre, Imperial College London and Imperial College NHS Trust, Hammersmith Hospital, London, UK.
Jack GallifordWest London Renal and Transplant Centre, Imperial College London and Imperial College NHS Trust, Hammersmith Hospital, London, UK.
David TaubeWest London Renal and Transplant Centre, Imperial College London and Imperial College NHS Trust, Hammersmith Hospital, London, UK.
Robert I LechlerMRC Centre for Transplantation, King's College London, Guy's Hospital, London, UK.
Maria P Hernandez-FuentesMRC Centre for Transplantation, King's College London, Guy's Hospital, London, UK.
Anthony DorlingMRC Centre for Transplantation, King's College London, Guy's Hospital, London, UK.

Funding

Department of Health 11/100/34Medical Research Council G0401591Medical Research Council G0801537Medical Research Council G0801965Medical Research Council G84/6713Medical Research Council MR/J006742/1
6 · The paper itself

Abstract

We explored how B-lymphocytes influence in vitro T-cell alloresponses in patients with antibody-mediated rejection (AMR), testing whether B-cells would be preferentially involved in this group of patients. Peripheral blood mononuclear cells were collected from 65 patients having biopsy: 14 patients with AMR and 5 with no pathology on protocol; 38 with AMR and 8 with nonimmunologic damage on 'for cause'. Using enzyme-linked immunosorbent spot assays, we found interferon-γ production by indirect allorecognition in 45 of 119 total samples from the 65 patients. B-cells preferentially processed and presented donor alloantigens in samples from AMR patients. In a further 25 samples, B-cell-dependent allo-specific reactivity was shown by depletion of CD25(+) cells and these individuals had higher percentages of CD4CD25hi cells. In 21 samples, reactivity was shown by depletion of CD19(+) cells, associated with polarized cytokine production toward IL-10 after polyclonal activation by IgG/IgM. Overall, this shows a significant contribution by B-cells to indirect donor-specific T-cell reactivity in vitro in patients with AMR. Active suppression by distinct phenotypes of T- or B-cells in approximately half of the patients indicates that chronic AMR is not characterized by a universal loss of immune regulation. Thus, stratified approaches that accommodate the heterogeneity of cell-mediated immunity might be beneficial to treat graft dysfunction.

Indexed as

Cell CommunicationImmunity, HumoralBiopsyB-LymphocytesCells, CulturedChronic DiseaseEnzyme-Linked Immunospot AssayGraft RejectionHumansImmunophenotypingInterferon-gammaInterferon-gamma Release TestsIsoantibodiesIsoantigensKidneyKidney TransplantationIFNG protein, humanInterferon-gammaIsoantibodiesIsoantigens

Identifiers

PMID25830760

What OpenQuestion holds

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Registered trials

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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.