Evidence map›Paper›PMID 26285015›Full record

ArticleTransplantation2016

Evidence to Support a Contribution of Polyreactive Antibodies to HLA Serum Reactivity.

Baoshan Gao, Chunshu Rong, Fabrice Porcheray, Carolina Moore, Timothy C Girouard, Susan L Saidman, Waichi Wong, Yaowen Fu, Emmanuel Zorn

Abstract read
In one paragraph

Article in Transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Review
  2. Profiling non-HLA antibody responses in antibody-mediated rejection following heart transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  3. Review
  4. Review
  5. Outstanding questions in transplantation: B cells, alloantibodies, and humoral rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Review
  6. Review
  7. Article
  8. Review
  9. Heterogeneity of memory B cells.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2018
    Review
  10. Review
  11. Article
  12. Transplant genetics and genomics.Nature reviews. Genetics · 2017
    Review
  13. Article
  14. Polyreactive natural antibodies in transplantation.Current opinion in organ transplantation · 2017
    Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Baoshan Gao1 Department of Surgery, Transplant Center, Massachusetts General Hospital, Harvard Medical School, Boston, MA. 2 Transplant Center, The First Hospital of Jilin University, Changchun, China. 3 The Affiliated Hospital to Changchun University of Chinese Medicine, Changchun, China. 4 Division of Nephrology, New York Presbyterian Hospital, Columbia University Medical Center, New York, NY. 5 Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Chunshu Rong
Fabrice Porcheray
Carolina Moore
Timothy C Girouard
Susan L Saidman
Waichi Wong
Yaowen Fu
Emmanuel Zorn

Funding

Immune Deregulation and Chronic Humoral Rejection of Kidney Allografts in HumansR01DK083352 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI ZORN, EMMANUEL · 2010 to 2014
$2.1M
NIDDK NIH HHS DK083352NIDDK NIH HHS R01 DK083352
6 · The paper itself

Abstract

backgroundAssessing the serum reactivity to HLA is essential for the evaluation of transplant candidates and the follow-up of allograft recipients. In this study, we look for evidence at the clonal level that polyreactive antibodies cross-reactive to apoptotic cells and multiple autoantigens can also react to HLA and contribute to the overall serum reactivity.

methodsWe immortalized B cell clones from the blood of 2 kidney transplant recipients and characterized their reactivity to self-antigens, apoptotic cells as well as native, denatured, and cryptic HLA determinants using enzyme-linked immunosorbent assay (ELISA), immunofluorescence, flow cytometry and Luminex assays. We also assessed the reactivity of 300 pretransplant serum specimens to HLA and apoptotic cells.

resultsWe report here 4 distinct B cell clones cross-reactive to self and HLA class I. All 4 clones reacted to numerous HLA class I alleles but did not appear to target canonical "shared" epitopes. In parallel experiments, we observed a strong correlation between IgG reactivity to HLA and apoptotic cells in pretransplant serum samples collected from 300 kidney transplant recipients. Further analysis revealed that samples with higher reactivity to apoptotic cells displayed significantly higher class I percent panel-reactive antibodies compared to samples with low reactivity to apoptotic cells.

conclusionsWe provide here (1) proof of principle at the clonal level that human polyreactive antibodies can cross-react to HLA, multiple self-antigens and apoptotic cells and (2) supportive evidence that polyreactive antibodies contribute to overall HLA reactivity in the serum of patients awaiting kidney transplant.

Indexed as

HistocompatibilityKidney TransplantationTransplant RecipientsApoptosisAutoantigensB-LymphocytesBostonClone CellsCoculture TechniquesCross ReactionsEnzyme-Linked Immunosorbent AssayEpitopesFeeder CellsFlow CytometryFluorescent Antibody TechniqueGenes, Immunoglobulin Heavy ChainAutoantigensEpitopesHLA AntigensImmunoglobulin Variable RegionIsoantibodies

Identifiers

PMID26285015
PMCPMC5384715

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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.