Evidence map›Paper›PMID 26517761›Full record

ReviewChimerism2015

Transient mixed chimerism for allograft tolerance.

Tetsu Oura, Kiyohiko Hotta, A B Cosimi, Tatsuo Kawai

Open access · bronzeAbstract readHistorical ArticleReview
In one paragraph

Review in Chimerism, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Helical TomoTherapy Total Lymphoid Irradiation and Hematopoietic Cell Transplantation for Kidney Transplant Tolerance in Rhesus Macaques.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Recent Progress in Cell Therapy in Solid Organ Transplantation.International journal of organ transplantation medicine · 2017
    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

4 authors at 2 institutions in 1 country.

Tetsu Ouraa Department of Surgery , Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School , Boston , MA , USA.
Kiyohiko Hottaa Department of Surgery , Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School , Boston , MA , USA.
A B Cosimia Department of Surgery , Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School , Boston , MA , USA.
Tatsuo Kawai
Harvard University · USHarvard Global Health Institute · US

Funding

Tolerance to Composite Islet-Kidney Transplants in Non-Human PrimatesU19AI102405 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI COSIMI, A BENEDICT · 2012 to 2016
$7.7M
NIAID NIH HHS U19 AI102405
6 · The paper itself

Abstract

Mixed chimerism discovered in Freemartin cattle by Ray Owen 70 years ago paved the way for research on immune tolerance. Since his discovery, significant progress has been made in the effort to induce allograft tolerance via mixed chimerism in various murine models. However, induction of persistent mixed chimerism has proved to be extremely difficult in major histocompatibility complex mismatched humans. Chimerism induced in humans tends to either disappear or convert to full donor chimerism, depending on the intensity of the conditioning regimen. Nevertheless, our studies in both NHPs and humans have clearly demonstrated that renal allograft tolerance can be induced by transient mixed chimerism. Our studies have shown that solid organ allograft tolerance via transient mixed chimerism 1) requires induction of multilineage hematologic chimerism, 2) depends on peripheral regulatory mechanisms, rather than thymic deletion, for long-term maintenance, 3) is organ specific (kidney and lung but not heart allograft tolerance are feasible). A major advantage of tolerance induction via transient mixed chimerism is exclusion of the risk of graft-versus-host disease. Our ongoing studies are directed toward improving the consistency of tolerance induction, reducing the morbidity of the conditioning regimen, substituting clinically available agents, such as Belatacept for the now unavailable anti-CD2 monoclonal antibody, and extending the protocol to recipients of deceased donor allografts.

Indexed as

ChimerismImmune ToleranceTransplantation ImmunologyAllograftsAnimalsBone Marrow TransplantationCattleHistory, 20th CenturyHistory, 21st CenturyHumansOrgan SpecificityOrgan TransplantationATGcombined Kidney/BMTDonor BMT; Freemartin cattle; full chimerismGVHDHLA-matchHLA-mismatchmixed chimerismmultilineage chimerismneonatal toleranceNHPnonmyeloablativeoperational tolerancepersistent (durable) mixed chimerismTBITITLITMEMtransient mixed chimerism

Identifiers

PMID26517761
PMCPMC5064472
OpenAlexW2274815614

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.