Evidence map›Paper›PMID 25948873›Full record

ArticleJournal of the American Society of Nephrology : JASN2015

Urinary C-X-C Motif Chemokine 10 Independently Improves the Noninvasive Diagnosis of Antibody-Mediated Kidney Allograft Rejection.

Marion Rabant, Lucile Amrouche, Xavier Lebreton, Florence Aulagnon, Aurélien Benon, Virginia Sauvaget, Raja Bonifay, Lise Morin, Anne Scemla, Marianne Delville and 6 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03206801 (A Randomized Controlled Trial of Urine CXCL10 Chemokine Monitoring Post-renal Transplant), which is not on this map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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.

NCT03206801 phase2 / phase3completednot on this mapstarted 2018, after this paper: background citation

A Randomized Controlled Trial of Urine CXCL10 Chemokine Monitoring Post-renal Transplant

TypeinterventionalSponsorUniversity of ManitobaRan2018 to 2025Enrolled260ConditionsKidney Transplant, Complications, Rejection of Renal TransplantArmsKidney transplant biopsy
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 147 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. The Biomarker Revolution in Kidney Transplantation.Journal of clinical medicine · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Diagnostic Potential of Urine CXCL10 and Donor-Derived cfDNA in Kidney Transplant Rejection.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  12. Noninvasive Diagnosis of Kidney Allograft Rejection.Journal of the American Society of Nephrology : JASN · 2025
    Review
  13. Detection of Kidney Allograft Rejection Using Urinary Chemokines.Journal of the American Society of Nephrology : JASN · 2025
    Article
  14. Article
  15. Antibody-mediated rejection-treatment standard.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Marion RabantNecker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France; Paris Descartes, Sorbonne Paris Cité University, Paris, France; Pathology Department and.
Lucile AmroucheNecker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France;
Xavier LebretonDepartment of Nephrology and Kidney Transplantation, Necker Hospital, and Centaure Foundation and Labex Transplantex, Necker Hospital, Paris, France.
Florence AulagnonDepartment of Nephrology and Kidney Transplantation, Necker Hospital, and.
Aurélien BenonNecker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France;
Virginia SauvagetNecker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France;
Raja BonifayNecker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France;
Lise MorinDepartment of Nephrology and Kidney Transplantation, Necker Hospital, and.
Anne ScemlaDepartment of Nephrology and Kidney Transplantation, Necker Hospital, and.
Marianne DelvilleDepartment of Nephrology and Kidney Transplantation, Necker Hospital, and.
Frank MartinezDepartment of Nephrology and Kidney Transplantation, Necker Hospital, and.
Marc Olivier TimsitParis Descartes, Sorbonne Paris Cité University, Paris, France; Department of Urology, Georges Pompidou European Hospital-Necker, Assistance Publique-Hôpitaux de Paris, Paris, France; and.
Jean-Paul Duong Van HuyenParis Descartes, Sorbonne Paris Cité University, Paris, France; Pathology Department and.
Christophe LegendreNecker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France; Paris Descartes, Sorbonne Paris Cité University, Paris, France; Department of Nephrology and Kidney Transplantation, Necker Hospital, and Centaure Foundation and Labex Transplantex, Necker Hospital, Paris, France.
Fabiola TerziNecker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France;
Dany AnglicheauNecker-Enfants Malades Institute, French National Institute of Health and Medical Research U1151, Paris, France; Paris Descartes, Sorbonne Paris Cité University, Paris, France; Department of Nephrology and Kidney Transplantation, Necker Hospital, and Centaure Foundation and Labex Transplantex, Necker Hospital, Paris, France dany.anglicheau@nck.aphp.fr.
Institut Necker Enfants Malades · FRDélégation Paris 5 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Urinary levels of C-X-C motif chemokine 9 (CXCL9) and CXCL10 can noninvasively diagnose T cell-mediated rejection (TCMR) of renal allografts. However, performance of these molecules as diagnostic/prognostic markers of antibody-mediated rejection (ABMR) is unknown. We investigated urinary CXCL9 and CXCL10 levels in a highly sensitized cohort of 244 renal allograft recipients (67 with preformed donor-specific antibodies [DSAs]) with 281 indication biopsy samples. We assessed the benefit of adding these biomarkers to conventional models for diagnosing/prognosing ABMR. Urinary CXCL9 and CXCL10 levels, normalized to urine creatinine (Cr) levels (CXCL9:Cr and CXCL10:Cr) or not, correlated with the extent of tubulointerstitial (i+t score; all P<0.001) and microvascular (g+ptc score; all P<0.001) inflammation. CXCL10:Cr diagnosed TCMR (area under the curve [AUC]=0.80; 95% confidence interval [95% CI], 0.68 to 0.92; P<0.001) and ABMR (AUC=0.76; 95% CI, 0.69 to 0.82; P<0.001) with high accuracy, even in the absence of tubulointerstitial inflammation (AUC=0.70; 95% CI, 0.61 to 0.79; P<0.001). Although mean fluorescence intensity of the immunodominant DSA diagnosed ABMR (AUC=0.75; 95% CI, 0.68 to 0.82; P<0.001), combining urinary CXCL10:Cr with immunodominant DSA levels improved the diagnosis of ABMR (AUC=0.83; 95% CI, 0.77 to 0.89; P<0.001). At the time of ABMR, urinary CXCL10:Cr ratio was independently associated with an increased risk of graft loss. In conclusion, urinary CXCL10:Cr ratio associates with tubulointerstitial and microvascular inflammation of the renal allograft. Combining the urinary CXCL10:Cr ratio with DSA monitoring significantly improves the noninvasive diagnosis of ABMR and the stratification of patients at high risk for graft loss.

Indexed as

Graft RejectionAdultAntibodiesArea Under CurveBiomarkersBiopsyChemokine CXCL10Chemokine CXCL9Cohort StudiesCreatinineFemaleHumansInflammationInterferon-gammaKidney TransplantationMaleAntibodiesBiomarkersChemokine CXCL10Chemokine CXCL9CreatinineCXCL10 protein, humanCXCL9 protein, humanInterferon-gammaantibody-mediated rejectionbiomarkerkidney transplantationnoninvasive diagnosis

Identifiers

PMID25948873
PMCPMC4625672
OpenAlexW2104324467

What OpenQuestion holds

Textmetadata
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Registered trials

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.