Evidence map›Paper›PMID 27278097›Full record

Observational studyAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2017

Donor-Derived Exosomes With Lung Self-Antigens in Human Lung Allograft Rejection.

M Gunasekaran, Z Xu, D K Nayak, M Sharma, R Hachem, R Walia, R M Bremner, M A Smith, T Mohanakumar

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 85 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

85 citing papers in PubMed, 1 synthesis or guideline pooled it, 119 citations in OpenAlex.

  1. International Society for Heart and Lung Transplantation Scientific Statement on pulmonary antibody-mediated rejection and proposed graft, antibody, and pathology (GAP) definition.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
    Guideline
  2. Article
  3. Review
  4. Exosomes as a biomarker in postoperative complications: a literature review.Frontiers in cell and developmental biology · 2026
    Review
  5. Review
  6. Extracellular Vesicles and Immune Activation in Solid Organ Transplantation: The Impact of Immunosuppression.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Review
  15. Molecular monitoring of lung allograft health: is it ready for routine clinical use?European respiratory review : an official journal of the European Respiratory Society · 2023
    Review
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

M GunasekaranNorton Thoracic Institute St. Joseph's Hospital and Medical Center, Phoenix, AZ.
Z XuNorton Thoracic Institute St. Joseph's Hospital and Medical Center, Phoenix, AZ.
D K NayakNorton Thoracic Institute St. Joseph's Hospital and Medical Center, Phoenix, AZ.
M SharmaNorton Thoracic Institute St. Joseph's Hospital and Medical Center, Phoenix, AZ.
R HachemDivision of Pulmonary and Critical Care Medicine, Washington University School of Medicine, St. Louis, MO.
R WaliaNorton Thoracic Institute St. Joseph's Hospital and Medical Center, Phoenix, AZ.
R M BremnerNorton Thoracic Institute St. Joseph's Hospital and Medical Center, Phoenix, AZ.
M A SmithNorton Thoracic Institute St. Joseph's Hospital and Medical Center, Phoenix, AZ.
T MohanakumarNorton Thoracic Institute St. Joseph's Hospital and Medical Center, Phoenix, AZ.
St. Joseph's Hospital · USSt. Joseph's Hospital and Medical Center · USWashington University in St. Louis · US

Funding

IMMUNE MECHANISMS OF REJECTION IN HUMAN LUNG ALLOGRAFTSR01HL056643 · NHLBI · WASHINGTON UNIVERSITY · PI MOHANAKUMAR, THALACHALLOUR · 1996 to 2015
$6.5M
EXOSOMES: ROLE IN ALLOGRAFT REJECTION AND POTENTIAL AS A BIOMARKERR21AI123034 · NIAID · ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER · PI MOHANAKUMAR, THALACHALLOUR · 2016 to 2017
$397k
NHLBI NIH HHS R01 HL056643NIAID NIH HHS R21 AI123034
6 · The paper itself

Abstract

The immunological role of exosomes in allograft rejection remains unknown. We sought to determine whether exosomes are induced during lung allograft rejection and to define the antigenic compositions of HLA, lung-associated self-antigens (SAgs) and microRNAs (miRNAs). Exosomes were isolated from sera and bronchoalveolar lavage fluid from 30 lung transplant recipients (LTxRs) who were stable or who had acute rejection (AR) or bronchiolitis obliterans syndrome (BOS). Exosomes were defined by flow cytometry for CD63 and western blotting for annexin V SAgs, collagen V (Col-V) and Kα1 tubulin were examined by electron microscopy; miRNAs were profiled by a miRNA array. Donor HLA and SAgs were detected on exosomes from LTxRs with AR and BOS but not from stable LTxRs. Exosomes expressing Col-V were isolated from sera from LTxRs 3 mo before AR and 6 mo before BOS diagnosis, suggesting that exosomes with SAgs may be a noninvasive rejection biomarker. Exosomes isolated from LTxRs with AR or BOS also contained immunoregulatory miRNAs. We concluded that exosomes expressing donor HLA, SAgs and immunoregulatory miRNAs are present in the circulation and local site after human lung transplantation and play an important role in the immune pathogenesis of acute allograft rejection and BOS.

Indexed as

Tissue DonorsAutoantigensBronchiolitis ObliteransCase-Control StudiesExosomesFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHumansLung TransplantationMaleMicroRNAsMiddle AgedPostoperative ComplicationsPrognosisAutoantigensMicroRNAsautoantigenbiomarkerbronchiolitis obliterans (BOS)bronchoalveolar lavage (BAL)lung failure/injurylung transplantation/pulmonologytranslational research/science

Identifiers

PMID27278097
PMCPMC5340154
OpenAlexW2418849288

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.