Evidence map›Paper›PMID 26928779›Full record

ArticlePloS one2016

Depression of Complement Regulatory Factors in Rat and Human Renal Grafts Is Associated with the Progress of Acute T-Cell Mediated Rejection.

Kazuaki Yamanaka, Yoichi Kakuta, Shuji Miyagawa, Shigeaki Nakazawa, Taigo Kato, Toyofumi Abe, Ryoichi Imamura, Masayoshi Okumi, Akira Maeda, Hiroomi Okuyama and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Complement Recognition Pathways in Renal Transplantation.Journal of the American Society of Nephrology : JASN · 2017
    Review
  10. Article
  11. Complement in Kidney Transplantation.Frontiers in 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

12 authors at 3 institutions in 1 country.

Kazuaki YamanakaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Yoichi KakutaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Shuji MiyagawaDivision of Organ Transplantation, Department of Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Shigeaki NakazawaDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Taigo KatoDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Toyofumi AbeDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Ryoichi ImamuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Masayoshi OkumiDepartment of Urology, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan.
Akira MaedaDivision of Organ Transplantation, Department of Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Hiroomi OkuyamaDivision of Organ Transplantation, Department of Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Masashi MizunoDepartment of Nephrology and Renal Replacement Therapy, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Norio NonomuraDepartment of Urology, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Osaka University · JPNagoya University · JPTokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association of complement with the progression of acute T cell mediated rejection (ATCMR) is not well understood. We investigated the production of complement components and the expression of complement regulatory proteins (Cregs) in acute T-cell mediated rejection using rat and human renal allografts.

methodsWe prepared rat allograft and syngeneic graft models of renal transplantation. The expression of Complement components and Cregs was assessed in the rat grafts using quantitative real-time PCR (qRT-PCR) and immunofluorescent staining. We also administered anti-Crry and anti-CD59 antibodies to the rat allograft model. Further, we assessed the relationship between the expression of membrane cofactor protein (MCP) by immunohistochemical staining in human renal grafts and their clinical course.

resultsqRT-PCR results showed that the expression of Cregs, CD59 and rodent-specific complement regulator complement receptor 1-related gene/protein-y (Crry), was diminished in the rat allograft model especially on day 5 after transplantation in comparison with the syngeneic model. In contrast, the expression of complement components and receptors: C3, C3a receptor, C5a receptor, Factor B, C9, C1q, was increased, but not the expression of C4 and C5, indicating a possible activation of the alternative pathway. When anti-Crry and anti-CD59 mAbs were administered to the allograft, the survival period for each group was shortened. In the human ATCMR cases, the group with higher MCP expression in the grafts showed improved serum creatinine levels after the ATCMR treatment as well as a better 5-year graft survival rate.

conclusionsWe conclude that the expression of Cregs in allografts is connected with ATCMR. Our results suggest that controlling complement activation in renal grafts can be a new strategy for the treatment of ATCMR.

Indexed as

Kidney TransplantationAdultAgedAllograftsAnimalsAntibodies, MonoclonalAntigens, SurfaceCD59 AntigensComplement Pathway, AlternativeComplement System ProteinsDisease Models, AnimalFemaleGene Expression RegulationGraft RejectionGraft SurvivalHumansAntibodies, MonoclonalAntigens, SurfaceCD59 AntigensComplement System ProteinsCr1l protein, ratReceptors, Cell Surface

Identifiers

PMID26928779
PMCPMC4771804
OpenAlexW2290903322

What OpenQuestion holds

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LicenceCC BY
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.