Evidence map›Paper›PMID 27472094›Full record

ReviewTransplantation2016

Costimulation Blockade in Kidney Transplantation: An Update.

Paolo Malvezzi, Thomas Jouve, Lionel Rostaing

Open access · greenAbstract readReview
In one paragraph

Review in Transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 41 citations in OpenAlex.

  1. Xenotransplantation in Nephrology: A Narrative Review.Journal of personalized medicine · 2026
    Review
  2. Differential induction of donor-reactive Foxp3American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  3. Review
  4. Article
  5. Nanoparticle delivery ofScience advances · 2022
    Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. CD11b is a novel alternate receptor for CD154 during alloimmunity.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  11. Article
  12. Article
  13. Review
  14. Skin xenotransplantation: Historical review and clinical potential.Burns : journal of the International Society for Burn Injuries · 2018
    Review
  15. Recent advances in kidney transplantation: a viewpoint from the Descartes advisory board.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2018
    Review
  16. Article
  17. Article
  18. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Paolo Malvezzi1 Clinique Universitaire de Néphrologie, Unité de Transplantation Rénale, CHU Grenoble, France. 2 Université Joseph Fourier, Grenoble, France. 3 UniversitéToulouse III Paul Sabatier, Toulouse, France. 4 INSERM U563, IFR-BMT, CHU Purpan, Toulouse, France.
Thomas Jouve
Lionel Rostaing
Inserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the setting of solid-organ transplantation, calcineurin inhibitor (CNI)-based therapy remains the cornerstone of immunosuppression. However, long-term use of CNIs is associated with some degree of nephrotoxicity. This has led to exploring the blockade of some costimulation pathways as an efficient immunosuppressive tool instead of using CNIs. The only agent already in clinical use and approved by the health authorities for kidney transplant patients is belatacept (Nulojix), a fusion protein that interferes with cytotoxic T lymphocyte-associated protein 4. Belatacept has been demonstrated to be as efficient as cyclosporine-based immunosuppression and is associated with significantly better renal function, that is, no nephrotoxicity. However, in the immediate posttransplant period, significantly more mild/moderate episodes of acute rejection have been reported, favored by the fact that cytotoxic T lymphocyte-associated protein pathway has an inhibitory effect on the alloimmune response; thereby its inhibition is detrimental in this regard. This has led to the development of antibodies that target CD28. The most advanced is FR104, it has shown promise in nonhuman primate models of autoimmune diseases and allotransplantation. In addition, research into blocking the CD40-CD154 pathway is underway. A phase II study testing ASK1240, that is, anti-CD40 antibody has been completed, and the results are pending.

Indexed as

Kidney TransplantationAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedB7-1 AntigenB7-2 AntigenCalcineurin InhibitorsCD28 AntigensCD40 AntigensCTLA-4 AntigenHumansImmunosuppressive AgentsAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedB7-1 AntigenB7-2 AntigenbleselumabCalcineurin InhibitorsCD28 AntigensCD40 AntigensCTLA-4 AntigenImmunosuppressive Agents

Identifiers

PMID27472094
PMCPMC5084636
OpenAlexW2504081668

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.