Evidence map›Paper›PMID 27165816›Full record

ArticleKidney international2016

Natural killer cells play a critical role in mediating inflammation and graft failure during antibody-mediated rejection of kidney allografts.

Naoki Kohei, Toshiaki Tanaka, Kazunari Tanabe, Naoya Masumori, Nina Dvorina, Anna Valujskikh, William M Baldwin, Robert L Fairchild

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Kidney international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.4field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 69 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Can mouse kidney transplant models inform mechanisms of injury and acceptance in clinical kidney transplantation?American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Re-Evaluating the Transplant Glomerulopathy Lesion-Beyond Donor-Specific Antibodies.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  10. Natural Killer Cell Presence in Antibody-Mediated Rejection.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  11. Review
  12. Article
  13. Antibody-suppressor CXCR5American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  14. Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Mechanisms of organ transplant injury mediated by B cells and antibodies: Implications for antibody-mediated rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    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

8 authors at 3 institutions in 2 countries.

Naoki KoheiDepartment of Immunology and the Glickman Urological Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Urology, Tokyo Women's Medical University, Tokyo, Japan.
Toshiaki TanakaDepartment of Immunology and the Glickman Urological Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Kazunari TanabeDepartment of Urology, Tokyo Women's Medical University, Tokyo, Japan.
Naoya MasumoriDepartment of Urology, Sapporo Medical University School of Medicine, Sapporo, Japan.
Nina DvorinaDepartment of Immunology and the Glickman Urological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Anna ValujskikhDepartment of Immunology and the Glickman Urological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
William M BaldwinDepartment of Immunology and the Glickman Urological Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Robert L FairchildDepartment of Immunology and the Glickman Urological Institute, Cleveland Clinic, Cleveland, Ohio, USA. Electronic address: fairchr@ccf.org.
Cleveland Clinic · USSapporo Medical University · JPTokyo Women's Medical University · JP

Funding

Surgery CoreP01AI087586 · NIAID · CLEVELAND CLINIC LERNER COM-CWRU · PI VALUJSKIKH, ANNA · 2010 to 2019
$17.2M
NIAID NIH HHS P01 AI087586
6 · The paper itself

Abstract

While the incidence of antibody-mediated kidney graft rejection has increased, the key cellular and molecular participants underlying this graft injury remain unclear. Rejection of kidney allografts in mice lacking the chemokine receptor CCR5 is dependent on production of donor-specific antibody. Here we determine if cells expressing cytotoxic function contributed to antibody-mediated kidney allograft rejection in these recipients. Wild-type C57BL/6, B6.CCR5(-/-), and B6.CD8(-/-)/CCR5(-/-) mice were transplanted with complete MHC-mismatched A/J kidney grafts, and intragraft inflammatory components were followed to rejection. B6.CCR5(-/-) and B6.CD8(-/-)/CCR5(-/-) recipients rejected kidney allografts by day 35, whereas 65% of allografts in wild-type recipients survived past day 80 post-transplant. Rejected allografts in wild-type C57BL/6, B6.CCR5(-/-), and B6.CD8(-/-)/CCR5(-/-) recipients expressed high levels of VCAM-1 and MMP7 mRNA that was associated with high serum titers of donor-specific antibody. High levels of perforin and granzyme B mRNA expression peaked on day 6 post-transplant in allografts in all recipients, but were absent in isografts. Depletion of natural killer cells in B6.CD8(-/-)/CCR5(-/-) recipients reduced this expression to background levels and promoted the long-term survival of 40% of the kidney allografts. Thus, natural killer cells have a role in increased inflammation during antibody-mediated kidney allograft injury and in rejection of the grafts.

Indexed as

AllograftsAnimalsAntibodiesCD8-Positive T-LymphocytesGraft RejectionGraft SurvivalInflammationKidney TransplantationKiller Cells, NaturalMajor Histocompatibility ComplexMiceMice, Inbred C57BLMice, KnockoutReceptors, CCR5Tissue DonorsTransplantation, HomologousAntibodiesCCR5 protein, mouseReceptors, CCR5antibody-mediated rejectionkidney allograftNK cells

Identifiers

PMID27165816
PMCPMC4868788
OpenAlexW2345078810

What OpenQuestion holds

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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.