Evidence map›Paper›PMID 27062199›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2016

Long-Term Persistence of Donor Alveolar Macrophages in Human Lung Transplant Recipients That Influences Donor-Specific Immune Responses.

D K Nayak, F Zhou, M Xu, J Huang, M Tsuji, R Hachem, T Mohanakumar

Open access · bronzeAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 72 papers.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed
11.6field-weighted citation impact, top 1% 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

72 citing papers in PubMed, 121 citations in OpenAlex.

  1. Review
  2. Macrophages in embryonic development.Nature reviews. Immunology · 2026
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  3. Human peritoneal CCR2Human cell · 2026
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  4. Article
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  6. Review
  7. Article
  8. Review
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  11. Article
  12. The ontogeny of synovial tissue macrophages.Frontiers in immunology · 2025
    Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

12 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

D K NayakNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ.
F ZhouDepartment of Surgery, Washington University School of Medicine, Saint Louis, MO.
M XuDepartment of Surgery, Washington University School of Medicine, Saint Louis, MO.
J HuangHIV and Malaria Vaccine Program, Aaron Diamond AIDS Research Center, Affiliate of Rockefeller University, New York, NY.
M TsujiHIV and Malaria Vaccine Program, Aaron Diamond AIDS Research Center, Affiliate of Rockefeller University, New York, NY.
R HachemDepartment of Medicine, Washington University School of Medicine, Saint Louis, MO.
T MohanakumarNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ.
Washington University in St. Louis · USAaron Diamond AIDS Research Center · USRockefeller University · USSt. Joseph's Hospital and Medical Center · US

Funding

IMMUNE MECHANISMS OF REJECTION IN HUMAN LUNG ALLOGRAFTSR01HL056643 · NHLBI · WASHINGTON UNIVERSITY · PI MOHANAKUMAR, THALACHALLOUR · 1996 to 2015
$6.5M
ALLOANTIBODIES TO MHC INDUCES AUTOIMMUNITY AND OBLITERATIVE AIRWAY DISEASE (OAD)R01HL092514 · NHLBI · WASHINGTON UNIVERSITY · PI MOHANAKUMAR, THALACHALLOUR · 2009 to 2018
$3.0M
Mechanisms of induction of protective anti-malarial CD8+ T CellsR01AI102891 · NIAID · AARON DIAMOND AIDS RESEARCH CENTER · PI TSUJI, MORIYA · 2014 to 2017
$1.4M
NHLBI NIH HHS R01 HL056643NHLBI NIH HHS R01 HL092514NIAID NIH HHS R01 AI102891
6 · The paper itself

Abstract

Steady-state alveolar macrophages (AMs) are long-lived lung-resident macrophages with sentinel function. Evidence suggests that AM precursors originate during embryogenesis and populate lungs without replenishment by circulating leukocytes. However, their presence and persistence are unclear following human lung transplantation (LTx). Our goal was to examine donor AM longevity and evaluate whether AMs of recipient origin seed the transplanted lungs. Origin of AMs was accessed using donor-recipient HLA mismatches. We demonstrate that 94-100% of AMs present in bronchoalveolar lavage (BAL) were donor derived and, importantly, AMs of recipient origin were not detected. Further, analysis of BAL cells up to 3.5 years post-LTx revealed that the majority of AMs (>87%) was donor derived. Elicitation of de novo donor-specific antibody (DSA) is a major post-LTx complication and a risk factor for development of chronic rejection. The donor AMs responded to anti-HLA framework antibody (Ab) with secretion of inflammatory cytokines. Further, in an experimental murine model, we demonstrate that adoptive transfer of allogeneic AMs stimulated humoral and cellular immune responses to alloantigen and lung-associated self-antigens and led to bronchiolar obstruction. Therefore, donor-derived AMs play an essential role in the DSA-induced inflammatory cascade leading to obliterative airway disease of the transplanted lungs.

Indexed as

Lung TransplantationAirway ObstructionAnimalsAutoantigensCytokinesGraft RejectionGraft SurvivalHistocompatibility Antigens Class IIHumansImmunity, CellularIsoantibodiesLung DiseasesMacrophages, AlveolarMiceMice, Inbred BALB CMice, Inbred C57BLAutoantigensCytokinesHistocompatibility Antigens Class IIIsoantibodiesalloantibodyanimal modelbasic (laboratory) research/sciencebronchiolitis obliterans (BOS)clinical research/practiceimmunosuppression/immune modulationlung (allograft) function/dysfunctionlung transplantation/pulmonologymacrophage/monocyte biology

Identifiers

PMID27062199
PMCPMC5289407
OpenAlexW2328617446

What OpenQuestion holds

Textmetadata
LicenceTDM
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.