Evidence map›Paper›PMID 27989013›Full record

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

Relationship Among Viremia/Viral Infection, Alloimmunity, and Nutritional Parameters in the First Year After Pediatric Kidney Transplantation.

R Ettenger, H Chin, K Kesler, N Bridges, P Grimm, E F Reed, M Sarwal, R Sibley, E Tsai, B Warshaw and 1 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyObservational 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. It is linked to trial NCT00951353 (Immune Development and Alloimmunity in Pediatric Renal Transplant Recipients), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-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.

NCT00951353 completednot on this map

Immune Development and Alloimmunity in Pediatric Renal Transplant Recipients

TypeobservationalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2009 to 2013Enrolled125ConditionsChronic Kidney Failure, End Stage Renal Disease
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trajectory-based weight modeling distinguishes pathologic weight loss and predicts adverse events in nonhuman primate allogeneic kidney transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  2. Pediatric Kidney Transplantation: A Systematic Review.Children (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Antibodies to angiotensin II type 1 receptor and endothelin type A receptor are associated with cytokine production enriched for type 2 immune response and antibody production in pediatric kidney transplant recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Development of Non-HLA Antibodies and Their Association With Antibody-Mediated Rejection in Pediatric Kidney Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Immunosuppressive Agents and Infectious Risk in Transplantation: Managing the "Net State of Immunosuppression".Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Review
  17. Relationship between antithymocyte globulin, T cell phenotypes, and clinical outcomes in pediatric kidney transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  18. Review
  19. Article
  20. Long-Term Outcomes of Kidney Transplantation in Children.Pediatric clinics of North America · 2019
    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

11 authors at 8 institutions in 1 country.

R EttengerDepartment of Pediatrics, University of California, Los Angeles, Los Angeles, CA.
H ChinRho Inc, Chapel Hill, NC.
K KeslerRho Inc, Chapel Hill, NC.
N BridgesTransplantation Branch, NIAID National Institutes of Health, Bethesda, MD.
P GrimmDepartment of Pediatrics and Pathology, Stanford University, Palo Alto, CA.
E F ReedDepartment of Pediatrics, University of California, Los Angeles, Los Angeles, CA.
M SarwalDepartment of Surgery, University of California, San Francisco, San Francisco, CA.
R SibleyDepartment of Pediatrics and Pathology, Stanford University, Palo Alto, CA.
E TsaiDepartment of Pediatrics, University of California, Los Angeles, Los Angeles, CA.
B WarshawDepartments of Pediatrics and Surgery, Children's Healthcare of Atlanta and Emory University, Atlanta, GA.
A D KirkDepartments of Surgery and Pediatrics, Duke University, Durham, NC.
Rho (United States) · USStanford University · USUniversity of California, Los Angeles · USChildren's Healthcare of Atlanta · USDuke University · USEmory University · USNational Institutes of Health · USUniversity of California, San Francisco · US

Funding

Transplantation GroupUM2AI117870 · NIAID · RHO FEDERAL SYSTEMS DIVISION, INC. · PI DAVID, GLORIA · 2015 to 2023
$208.1M
Development of Transplant Strategies Uniquely Responsive to the Needs of ChildrenU01AI077821 · NIAID · EMORY UNIVERSITY · PI KIRK, ALLAN D. · 2008 to 2012
$7.5M
T Cell Maturation and the Nexus of Viral- and Allo-ImmunityR01AI097423 · NIAID · EMORY UNIVERSITY · PI KIRK, ALLAN D. · 2012 to 2016
$2.6M
NIAID NIH HHS R01 AI097423NIAID NIH HHS U01 AI077821NIAID NIH HHS UM2 AI117870
6 · The paper itself

Abstract

The Immune Development in Pediatric Transplantation (IMPACT) study was conducted to evaluate relationships among alloimmunity, protective immunity, immune development, physical parameters, and clinical outcome in children undergoing kidney transplantation. We prospectively evaluated biopsy-proven acute rejection (BPAR), de novo donor-specific antibody (dnDSA) formation, viremia, viral infection, T cell immunophenotyping, and body mass index (BMI)/weight Z scores in the first year posttransplantation in 106 pediatric kidney transplant recipients. Outcomes were excellent with no deaths and 98% graft survival. Rejection and dnDSAs occurred in 24% and 22%, respectively. Pretransplant cytomegalovirus (CMV) and Epstein-Barr virus (EBV) serologies and subsequent viremia were unrelated to BPAR or dnDSA. Viremia occurred in 73% of children (EBV, 34%; CMV, 23%; BMK viremia, 23%; and JC virus, 21%). Memory lymphocyte phenotype at baseline was not predictive of alloimmune complications. Patients who developed viral infection had lower weight (-2.1) (p = 0.028) and BMI (-1.2) (p = 0.048) Z scores at transplantation. The weight difference persisted to 12 months compared with patients without infection (p = 0.038). These data indicate that there is a high prevalence of viral disease after pediatric kidney transplantation, and underweight status at transplantation appears to be a risk factor for subsequent viral infection. The occurrence of viremia/viral infection is not associated with alloimmune events.

Indexed as

AdolescentAdultAutoimmune DiseasesChildChild Nutrition DisordersChild, PreschoolCytomegalovirusCytomegalovirus InfectionsEpstein-Barr Virus InfectionsFemaleFollow-Up StudiesGlomerular Filtration RateGraft RejectionGraft SurvivalHerpesvirus 4, HumanHumansclinical research/practiceinfection and infectious agentskidney transplantation/nephrologynutritionpediatricsrejectiontranslational research/scienceviral

Identifiers

PMID27989013
PMCPMC5445007
OpenAlexW2563517383

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

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.