Evidence map›Paper›PMID 26389831›Full record

Trial reportBone marrow transplantation2016

High proportions of regulatory T cells in PBSC grafts predict improved survival after allogeneic haematopoietic SCT.

R D Danby, W Zhang, P Medd, T J Littlewood, A Peniket, V Rocha, D J Roberts

Open access · hybridAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Bone marrow transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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.

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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. High proportions of CD3Molecular and clinical oncology · 2020
    Article
  10. Article
  11. Article
  12. T-cell frequencies of CD8Bone marrow transplantation · 2019
    Article
  13. T Regulatory Cells in Donor Grafts May Predict the Severity of Acute Graft Versus Host Disease After Matched Sibling Donor Allogenic Peripheral Blood Stem Cell Transplantation.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2019
    Article
  14. Article
  15. Article
  16. Increased circulating CD4Oncotarget · 2018
    Article
  17. Clinical Grade Regulatory CD4Frontiers in immunology · 2018
    Review
  18. Review
  19. Review
  20. Review
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

7 authors at 4 institutions in 1 country.

R D DanbyDepartment of Haematology Cancer and Haematology Centre, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, UK.
W ZhangNHS Blood and Transplant, John Radcliffe Hospital, Oxford, UK.
P MeddDepartment of Haematology, Derriford Hospital, Plymouth, UK.
T J LittlewoodDepartment of Haematology Cancer and Haematology Centre, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, UK.
A PeniketDepartment of Haematology Cancer and Haematology Centre, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, UK.
V RochaDepartment of Haematology Cancer and Haematology Centre, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, UK.
D J RobertsDepartment of Haematology Cancer and Haematology Centre, Oxford University Hospitals NHS Trust, Churchill Hospital, Oxford, UK.
John Radcliffe Hospital · GBOxford University Hospitals NHS Trust · GBChurchill Hospital · GBDerriford Hospital · GB

Funding

Department of Health RP-PG-0310-1003Department of Health RP-PG-0310-1004Wellcome Trust 087333
6 · The paper itself

Abstract

Regulatory T cells (Tregs) modulate immune responses and improve survival in murine transplant models. However, whether the Treg content of allogeneic cell grafts influences the outcome in human haematopoietic stem cell (HSC) transplantation is not well established. In a prospective study of 94 adult allogeneic PBSC transplants (60% unrelated; 85% reduced intensity conditioning), the median Treg (CD3(+)CD4(+)CD25(+)FOXP3(+)CD127(dim/-)) dose transplanted was 4.7 × 10(6)/kg, with Tregs accounting for a median of 2.96% of CD4(+) T cells. Patients transplanted with grafts containing a Treg/CD4(+) T-cell ratio above the median had a 3-year overall survival of 75%, compared with 49% in those receiving grafts with a Treg/CD4(+) T-cell ratio below the median (P=0.02), with a 3-year non-relapse mortality of 13% and 35%, respectively (P=0.02). In multivariate analysis, a high graft Treg/CD4(+) T-cell ratio was an independent predictor of lower non-relapse mortality (hazard ratio (HR), 0.30; P=0.02), improved overall survival (HR, 0.45; P=0.03) and improved sustained neutrophil (HR, 0.52; P=0.002), platelet (HR, 0.51; P<0.001) and lymphocyte (HR, 0.54; P=0.009) recovery. These data support the hypothesis that the proportion of Tregs in allogeneic HSC grafts influences clinical outcome and suggest that Treg therapies could improve allogeneic HSC transplantation.

Indexed as

Graft SurvivalHematologic NeoplasmsHematopoietic Stem Cell TransplantationT-Lymphocytes, RegulatoryAdolescentAdultAgedAllograftsAnimalsDisease-Free SurvivalFemaleHumansLymphocyte CountMaleMiceMiddle Aged

Identifiers

PMID26389831
PMCPMC4705424
OpenAlexW2293911525

What OpenQuestion holds

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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.