Evidence map›Paper›PMID 27104811›Full record

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

Complement C5 Inhibition Reduces T Cell-Mediated Allograft Vasculopathy Caused by Both Alloantibody and Ischemia Reperfusion Injury in Humanized Mice.

L Qin, G Li, N Kirkiles-Smith, P Clark, C Fang, Y Wang, Z-X Yu, D Devore, G Tellides, J S Pober and 1 more

Open access · hybridAbstract 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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.1field-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, 23 citations in OpenAlex.

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  18. NFκB and Kidney Injury.Frontiers in immunology · 2019
    Review
  19. Recent advances in allograft vasculopathy.Current opinion in organ transplantation · 2017
    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

11 authors at 2 institutions in 1 country.

L QinDepartment of Surgery, Yale School of Medicine, New Haven, CT.
G LiDepartment of Surgery, Yale School of Medicine, New Haven, CT.
N Kirkiles-SmithDepartment of Immunobiology, Yale School of Medicine, New Haven, CT.
P ClarkDepartment of Immunobiology, Yale School of Medicine, New Haven, CT.
C FangDepartment of Immunobiology, Yale School of Medicine, New Haven, CT.
Y WangAlexion Pharmaceuticals Inc., New Haven, CT.
Z-X YuAlexion Pharmaceuticals Inc., New Haven, CT.
D DevoreAlexion Pharmaceuticals Inc., New Haven, CT.
G TellidesDepartment of Surgery, Yale School of Medicine, New Haven, CT.
J S PoberDepartment of Immunobiology, Yale School of Medicine, New Haven, CT.
D Jane-WitDepartment of Cardiovascular Medicine, Yale School of Medicine, New Haven, CT.
Yale University · USAlexion Pharmaceuticals (United States) · US

Funding

Yale Pathology Tissue Services Shared ResourceP30CA016359 · NCI · YALE UNIVERSITY · PI MEGAN C KING · 1985 to 2026
$85.0M
IMMUNOHEMATOLOGY/TRANSFUSION MEDICINE RESEARCH TRAININGT32HL007974 · NHLBI · YALE UNIVERSITY · PI JEANNE E HENDRICKSON, Diane S Krause · 2001 to 2026
$8.1M
Regulating Anti-Endothelial T Cell Responses in Graft ArteriosclerosisR01HL109455 · NHLBI · YALE UNIVERSITY · PI BOTHWELL, ALFRED LM, POBER, JORDAN S · 2011 to 2014
$2.5M
Mechanisms of Non-Canonical NF-kB Activation in Transplant ArteriosclerosisR00HL125895 · NHLBI · YALE UNIVERSITY · PI JANE-WIT, DANIEL · 2017 to 2019
$732k
Mechanisms of Non-Canonical NF-kB Activation in Transplant ArteriosclerosisK99HL125895 · NHLBI · YALE UNIVERSITY · PI JANE-WIT, DANIEL · 2015 to 2015
$132k
NCI NIH HHS P30 CA016359NHLBI NIH HHS K99 HL125895NHLBI NIH HHS R00 HL125895NHLBI NIH HHS R01 HL109455NHLBI NIH HHS T32 HL007974
6 · The paper itself

Abstract

Allograft vasculopathy (AV) is characterized by diffuse stenoses in the vasculature of solid organ transplants. Previously, we developed two humanized models showing that alloantibody and ischemia reperfusion injury (IRI) exacerbated T cell-mediated AV in human arterial xenografts in vivo. Herein we examined a causal role for terminal complement activation in both settings. IRI, in contrast to alloantibody, elicited widespread membrane attack complex (MAC) assembly throughout the vessel wall. Both alloantibody and IRI caused early (24 h) and robust endothelial cell (EC) activation localized to regions of intimal MAC deposition, indicated by increases in nuclear factor kappa B (NF-κB)-inducing kinase, an MAC-dependent activator of noncanonical NF-kB, VCAM-1 expression and Gr-1+ neutrophil infiltration. Endothelial cell activation by alloantibody was inhibited by antimouse C5 mAb, but not by anti-C5a mAb or by control mAb, implicating MAC as the primary target of anti-C5 mAb. Antimouse C5 mAb significantly reduced alloantibody- and IRI-enhanced T cell infiltration and AV-like changes, including neointimal hyperplasia as well as intraluminal thrombosis in a subset of IRI-treated arterial grafts. These results indicate that increased AV lesion formation in response to either alloantibody or IRI is dependent on complement C5 activation and, accordingly, inhibition of this pathway may attenuate AV.

Indexed as

AllograftsAnimalsAntibodies, MonoclonalCells, CulturedComplement ActivationComplement C5HumansIsoantibodiesMiceMice, SCIDNF-kappa BReperfusion InjuryT-LymphocytesVascular DiseasesAntibodies, MonoclonalComplement C5IsoantibodiesNF-kappa Balloantibodybasic (laboratory) research/sciencecomplement biologyfusion proteins and monoclonal antibodiesimmunobiologyimmunosuppressantimmunosuppression/immune modulationischemia reperfusion injury (IRI)organ transplantation in generaltranslational research/sciencevasculopathy

Identifiers

PMID27104811
PMCPMC5075274
OpenAlexW2340604195

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.