Evidence map›Paper›PMID 27663514›Full record

ArticleJournal of translational medicine2016

Inhibition of complement improves graft outcome in a pig model of kidney autotransplantation.

Pierre-Olivier Delpech, Raphael Thuillier, Thibault SaintYves, Jerome Danion, Sylvain Le Pape, Edwin S van Amersfoort, Beatrijs Oortwijn, Gilles Blancho, Thierry Hauet

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
2.9field-weighted citation impact, top 10% 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

26 citing papers in PubMed, 42 citations in OpenAlex.

  1. Back-table intra-arterial administration of C1 esterase inhibitor to deceased donor kidney allografts improves posttransplant allograft function: Results of a randomized double-blind placebo-controlled clinical trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Trial
  2. Therapeutic Potential of C1-Inhibitor in Vascular Diseases and Beyond.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Sterile Pancreas Inflammation during Preservation and after Transplantation.International journal of molecular sciences · 2023
    Review
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. C1q as a potential tolerogenic therapeutic in transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Targeted donor complement blockade after brain death prevents delayed graft function in a nonhuman primate model of kidney transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  19. Review
  20. Article
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

9 authors at 6 institutions in 2 countries.

Pierre-Olivier DelpechDépartement d'Urologie, CHU de Poitiers, 86000, Poitiers, France.
Raphael ThuillierInserm U1082, 86000, Poitiers, France.
Thibault SaintYvesDépartement D'urologie, CH D'Angoulème, 16000, Angoulème, France.
Jerome DanionService de Chirurgie Viscérale, CHU de Poitiers, 86000, Poitiers, France.
Sylvain Le PapeInserm U1082, 86000, Poitiers, France.
Edwin S van AmersfoortPharming Technologies BV, NL-2333CR, Leiden, The Netherlands.
Beatrijs OortwijnPharming Technologies BV, NL-2333CR, Leiden, The Netherlands.
Gilles BlanchoInstitut de Transplantation Urologie et Néphrologie (ITUN), CHU de Nantes, Faculté de Médecine et des Techniques Médicales de Nantes, Université de Nantes, Inserm U1064, 44000, Nantes, France.
Thierry HauetInserm U1082, 86000, Poitiers, France. thierry.hauet@chu-poitiers.fr.
Centre Hospitalier Universitaire de Poitiers · FRPharming Group (Netherlands) · NLUniversité de Poitiers · FRCentre Hospitalier d'Angoulême · FRInserm · FRNantes Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIschemia reperfusion injury (IRI) induced immune response is a critical issue in transplantation. Complement and contact system activation are among its key mechanisms. STUDY

designWe investigated the benefits of pre-reperfusion treatment with recombinant human C1INH (rhC1INH), inhibitor of both complement and contact activation, in a pig model of kidney autotransplantation, subjecting the organ to 60 min warm ischemia prior to 24 h static preservation to maximize damage.

resultsSerum creatinine measurement showed that treated animals recovered glomerular function quicker than the Vehicle group. However, no difference was observed in tubular function recovery, and elevated level of urinary NGal (Neutrophil gelatinase-associated lipocalin) and plasma AST (Aspartate Aminotransferase) were detected, indicating that treatment did not influence IRI-mediated tubular cell necrosis. Regarding chronic graft outcome, rhC1INH significantly prevented fibrosis development and improved function. Immunohistochemistry and western blot showed decreased invasion by macrophages and T lymphocytes, and reduction of epithelial to mesenchymal transition. We determined the effect of treatment on complement activation with immunofluorescence analyses at 30 min post reperfusion, showing an inhibition of C4d deposition and MBL staining in treated animals.

conclusionsIn this model, the inhibition of complement activation by rhC1INH at reperfusion, while not completely counteracting IRI, limited immune system activation, significantly improving graft outcome on the short and long term.

Indexed as

Complement system proteinsDrug evaluationIschemiaKidney transplantationPreclinicalReperfusion injury

Identifiers

PMID27663514
PMCPMC5035455
OpenAlexW2521429693

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.