Evidence map›Paper›PMID 27625357›Full record

ArticleBlood2016

Late acute graft-versus-host disease: a prospective analysis of clinical outcomes and circulating angiogenic factors.

Shernan G Holtan, Nandita Khera, John E Levine, Xiaoyu Chai, Barry Storer, Hien D Liu, Yoshihiro Inamoto, George L Chen, Sebastian Mayer, Mukta Arora and 24 more

Open access · bronzeAbstract read
In one paragraph

Article in Blood, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.2field-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

34 citing papers in PubMed, 59 citations in OpenAlex.

  1. Trial
  2. Hyperacute Graft-Versus-Host Disease.Bone marrow transplantation · 2026
    Review
  3. The role of the EASIX score in patients with hypertension: a cross-sectional study.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  4. Review
  5. Optimal GVHD Prophylaxis.Advances in experimental medicine and biology · 2025
    Review
  6. Modern-Era Challenges in the Clinical Management of Graft-Versus-Host Disease.Advances in experimental medicine and biology · 2025
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Acute GVHD: think before you treat.Hematology. American Society of Hematology. Education Program · 2021
    Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

34 authors at 20 institutions in 3 countries.

Shernan G HoltanHematology, Oncology and Transplant, University of Minnesota, Minneapolis, MN.
Nandita KheraMayo Clinic, Phoenix, AZ.
John E LevineBlood and Marrow Transplantation Program, The Icahn School of Medicine at Mount Sinai, New York, NY.
Xiaoyu ChaiClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Barry StorerClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Hien D LiuBlood and Marrow Transplant Program, Cleveland Clinic, Cleveland, OH.
Yoshihiro InamotoStem Cell Transplantation Division, National Cancer Center Hospital, Tokyo, Japan.
George L ChenDepartment of Medicine, Roswell Park Cancer Institute, Buffalo, NY.
Sebastian MayerDepartment of Medicine, Weill Cornell Medical Center, New York, NY.
Mukta AroraHematology, Oncology and Transplant, University of Minnesota, Minneapolis, MN.
Jeanne PalmerMayo Clinic, Phoenix, AZ.
Mary E D FlowersClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Corey S CutlerHematologic Malignancies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Alexander LukezHematologic Malignancies, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA.
Sally AraiDivision of Blood and Marrow Transplantation, Stanford University Medical Center, Stanford, CA.
Aleksandr LazaryanHematology, Oncology and Transplant, University of Minnesota, Minneapolis, MN.
Laura F NewellCenter for Hematologic Malignancies, Oregon Health and Science University, Portland, OR.
Christa KrupskiDivision of Hematology/Oncology, Stem Cell Transplantation, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Madan H JagasiaDivision of Hematology/Oncology, Stem Cell Transplantation, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN.
Iskra PusicMedical Oncology, Washington University Medical Center, St. Louis, MO.
William WoodHematology/Oncology, University of North Carolina Healthcare, Chapel Hill, NC.
Anne S RenteriaBlood and Marrow Transplantation Program, The Icahn School of Medicine at Mount Sinai, New York, NY.
Gregory YanikBlood and Marrow Transplantation Program, University of Michigan, Ann Arbor, MI.
William J HoganBlood and Marrow Transplantation Program, Mayo Clinic, Rochester, MN.
Elizabeth HexnerAbramson Cancer Center, University of Pennsylvania, Philadelphia PA.
Francis AyukDepartment of Stem Cell Transplantation, University Medical Center, Hamburg-Eppendorf, Germany.
Ernst HollerBlood and Marrow Transplantation Program, University of Regensburg, Regensburg, Germany.
Phandee WatanaboonyongcharoenBlood and Marrow Transplantation Program, Chulalongkorn University, Bangkok, Thailand.
Yvonne A EfeberaBlood and Marrow Transplantation Program, Ohio State University, Columbus, OH; and.
James L M FerraraBlood and Marrow Transplantation Program, The Icahn School of Medicine at Mount Sinai, New York, NY.
Angela Panoskaltsis-MortariHematology, Oncology and Transplant, University of Minnesota, Minneapolis, MN.
Daniel WeisdorfHematology, Oncology and Transplant, University of Minnesota, Minneapolis, MN.
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Joseph PidalaBlood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL.
University of Minnesota · USFred Hutch Cancer Center · USIcahn School of Medicine at Mount Sinai · USMayo Clinic Hospital · USVanderbilt University Medical Center · USChulalongkorn University · THCleveland Clinic · USCornell University · USDana-Farber Cancer Institute · USHarvard University · USMayo Clinic in Arizona · USMoffitt Cancer Center · USOregon Health & Science University · USRoswell Park Comprehensive Cancer Center · USStanford Medicine · USThe Ohio State University · USUniversity Medical Center Hamburg-Eppendorf · DEUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · USUniversity of Regensburg · DE

Funding

TUMOR VACCINES AND BONE MARROW TRANSPLANTATIONP01CA039542 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JAMES L. M. FERRARA · 1985 to 2026
$47.9M
Improving Outcomes Assessment in Chronic GVHDR01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2025
$8.3M
Training and Career Development CoreU54CA163438 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2014
$3.7M
Improving Outcomes Assessment in Chronic GVHDU01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2007 to 2010
$3.1M
BMT CTN Core - Dana-Farber Cancer Institute and MGH ConsortiumUG1HL069249 · NHLBI · DANA-FARBER CANCER INST · PI Mahasweta Gooptu · 2017 to 2026
$2.2M
NCI NIH HHS P01 CA039542NCI NIH HHS R01 CA118953NCI NIH HHS U01 CA118953NCI NIH HHS U54 CA163438NHLBI NIH HHS UG1 HL069249
6 · The paper itself

Abstract

Late acute (LA) graft-versus-host disease (GVHD) is persistent, recurrent, or new-onset acute GVHD symptoms occurring >100 days after allogeneic hematopoietic cell transplantation (HCT). The aim of this analysis is to describe the onset, course, morbidity, and mortality of and examine angiogenic factors associated with LA GVHD. A prospective cohort of patients (n = 909) was enrolled as part of an observational study within the Chronic GVHD Consortium. Eighty-three patients (11%) developed LA GVHD at a median of 160 (interquartile range, 128-204) days after HCT. Although 51 out of 83 (61%) achieved complete or partial response to initial therapy by 28 days, median failure-free survival was only 7.1 months (95% confidence interval, 3.4-19.1 months), and estimated overall survival (OS) at 2 years was 56%. Given recently described alterations of circulating angiogenic factors in classic acute GVHD, we examined whether alterations in such factors could be identified in LA GVHD. We first tested cases (n = 55) and controls (n = 50) from the Chronic GVHD Consortium and then validated the findings in 37 cases from Mount Sinai Acute GVHD International Consortium. Plasma amphiregulin (AREG; an epidermal growth factor [EGF] receptor ligand) was elevated, and an AREG/EGF ratio at or above the median was associated with inferior OS and increased nonrelapse mortality in both cohorts. Elevation of AREG was detected in classic acute GVHD, but not chronic GVHD. These prospective data characterize the clinical course of LA GVHD and demonstrate alterations in angiogenic factors that make LA GVHD biologically distinct from chronic GVHD.

Indexed as

Acute DiseaseAdultAgedAngiogenesis Inducing AgentsCase-Control StudiesChronic DiseaseFemaleGraft vs Host DiseaseHumansMaleMiddle AgedMorbidityProspective StudiesTreatment OutcomeYoung AdultAngiogenesis Inducing Agents

Identifiers

PMID27625357
PMCPMC5106113
OpenAlexW2519813445

What OpenQuestion holds

Textmetadata
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Registered trials

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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.