Evidence map›Paper›PMID 26367000›Full record

SynthesisPloS one2015

A Computational Gene Expression Score for Predicting Immune Injury in Renal Allografts.

Tara K Sigdel, Oriol Bestard, Tim Q Tran, Szu-Chuan Hsieh, Silke Roedder, Izabella Damm, Flavio Vincenti, Minnie M Sarwal

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02776111 (The Use of Microfluidics and Transcriptomics to Implement Precision Medicine in Post Solid Organ Transplant Patients), which is not on this map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
2.3field-weighted citation impact, top 13% 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.

NCT02776111 terminatednot on this mapstarted 2016, after this paper: background citation

The Use of Microfluidics and Transcriptomics to Implement Precision Medicine in Post Solid Organ Transplant Patients

TypeobservationalSponsorUniversity of FloridaRan2016 to 2019Enrolled7ConditionsImmunosuppressionArmsBlood Sample
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 47 citations in OpenAlex.

  1. Avoidance of CNI and steroids using belatacept-Results of the Clinical Trials in Organ Transplantation 16 trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Trial
  2. Article
  3. Gene expression-based molecular scoring of pancreas transplant rejection for a quantitative assessment of rejection severity and resistance to treatment.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. T Cells With ActivatedFrontiers in immunology · 2022
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Advances in Detection of Kidney Transplant Injury.Molecular diagnosis & therapy · 2019
    Review
  19. Article
  20. 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

8 authors at 2 institutions in 2 countries.

Tara K SigdelDivision of Transplant Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA 94017, United States of America.
Oriol BestardDivision of Transplant Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA 94017, United States of America; Kidney Transplant Unit, Bellvitge University Hospital, UB, Barcelona, Spain.
Tim Q TranDivision of Transplant Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA 94017, United States of America.
Szu-Chuan HsiehDivision of Transplant Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA 94017, United States of America.
Silke RoedderDivision of Transplant Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA 94017, United States of America.
Izabella DammDivision of Transplant Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA 94017, United States of America.
Flavio VincentiDivision of Transplant Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA 94017, United States of America.
Minnie M SarwalDivision of Transplant Surgery, Department of Surgery, University of California San Francisco, San Francisco, CA 94017, United States of America.
University of California, San Francisco · USBellvitge University Hospital · ES

Funding

Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAISSE, CHRISTIAN · 2003 to 2019
$21.8M
Urinary Proteome Monitoring for Transplant InjuryR01DK083447 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CAMP, DAVID G, SARWAL, MINNIE M · 2010 to 2013
$2.4M
NIDDK NIH HHS P30 DK063720NIDDK NIH HHS R01 DK083447
6 · The paper itself

Abstract

backgroundWhole genome microarray meta-analyses of 1030 kidney, heart, lung and liver allograft biopsies identified a common immune response module (CRM) of 11 genes that define acute rejection (AR) across different engrafted tissues. We evaluated if the CRM genes can provide a molecular microscope to quantify graft injury in acute rejection (AR) and predict risk of progressive interstitial fibrosis and tubular atrophy (IFTA) in histologically normal kidney biopsies.

methodsComputational modeling was done on tissue qPCR based gene expression measurements for the 11 CRM genes in 146 independent renal allografts from 122 unique patients with AR (n = 54) and no-AR (n = 92). 24 demographically matched patients with no-AR had 6 and 24 month paired protocol biopsies; all had histologically normal 6 month biopsies, and 12 had evidence of progressive IFTA (pIFTA) on their 24 month biopsies. Results were correlated with demographic, clinical and pathology variables.

resultsThe 11 gene qPCR based tissue CRM score (tCRM) was significantly increased in AR (5.68 ± 0.91) when compared to STA (1.29 ± 0.28; p < 0.001) and pIFTA (7.94 ± 2.278 versus 2.28 ± 0.66; p = 0.04), with greatest significance for CXCL9 and CXCL10 in AR (p <0.001) and CD6 (p<0.01), CXCL9 (p<0.05), and LCK (p<0.01) in pIFTA. tCRM was a significant independent correlate of biopsy confirmed AR (p < 0.001; AUC of 0.900; 95% CI = 0.705-903). Gene expression modeling of 6 month biopsies across 7/11 genes (CD6, INPP5D, ISG20, NKG7, PSMB9, RUNX3, and TAP1) significantly (p = 0.037) predicted the development of pIFTA at 24 months.

conclusionsGenome-wide tissue gene expression data mining has supported the development of a tCRM-qPCR based assay for evaluating graft immune inflammation. The tCRM score quantifies injury in AR and stratifies patients at increased risk of future pIFTA prior to any perturbation of graft function or histology.

Indexed as

Computer SimulationGene Expression RegulationKidney TransplantationModels, ImmunologicalAcute Kidney InjuryAdolescentAdultAllograftsChildFemaleGraft RejectionHumansMale

Identifiers

PMID26367000
PMCPMC4569485
OpenAlexW2204363100

What OpenQuestion holds

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LicenceCC BY
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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.