Evidence map›Paper›PMID 28103284›Full record

ArticlePloS one2017

Gene Expression Profiling of Bronchoalveolar Lavage Cells Preceding a Clinical Diagnosis of Chronic Lung Allograft Dysfunction.

S Samuel Weigt, Xiaoyan Wang, Vyacheslav Palchevskiy, Aric L Gregson, Naman Patel, Ariss DerHovanessian, Michael Y Shino, David M Sayah, Shirin Birjandi, Joseph P Lynch and 6 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04234919 (A Longitudinal Study of Donor-Derived Cell Free DNA in Lung Transplant), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.7field-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.

NCT04234919 completednot on this mapstarted 2020, after this paper: background citation

A Longitudinal Study of Donor-Derived Cell Free DNA in Lung Transplant

TypeobservationalSponsorUniversity of Colorado, DenverRan2020 to 2021Enrolled24ConditionsLung Transplant Rejection
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Understanding Machine Learning Applications in Lung Transplantation: A Narrative Review.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  4. Review
  5. Macrophage and CD8 T cell discordance are associated with acute lung allograft dysfunction progression.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Article
  6. Article
  7. Article
  8. Expansions of adaptive-like NK cells with a tissue-resident phenotype in human lung and blood.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  9. Article
  10. Review
  11. Circulating exosomes with lung self-antigens as a biomarker for chronic lung allograft dysfunction: A retrospective analysis.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2020
    Article
  12. Fibroproliferation in chronic lung allograft dysfunction: Association of mesenchymal cells in bronchoalveolar lavage with phenotypes and survival.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2020
    Article
  13. Antibody-mediated rejection after lung transplantation.Annals of translational medicine · 2020
    Review
  14. Article
  15. Usefulness of gene expression profiling of bronchoalveolar lavage cells in acute lung allograft rejection.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2019
    Article
  16. Article
  17. A novel mechanism for immune regulation after human lung transplantation.The Journal of thoracic and cardiovascular surgery · 2019
    Article
  18. Review
  19. Article
  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

16 authors at 2 institutions in 1 country.

S Samuel WeigtDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.ORCID http://orcid.org/0000-0001-5351-8936
Xiaoyan WangDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Vyacheslav PalchevskiyDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Aric L GregsonDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Naman PatelDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Ariss DerHovanessianDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Michael Y ShinoDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
David M SayahDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Shirin BirjandiDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Joseph P LynchDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Rajan SaggarDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Abbas ArdehaliDepartment of Surgery, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
David J RossDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
Scott M PalmerDepartment of Medicine, Duke University, Durham, North Carolina, United States of America.
David ElashoffDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
John A BelperioDepartment of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, United States of America.
University of California, Los Angeles · USDuke University · US

Funding

UCLA Clinical Translational Science InstituteUL1TR001881 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ARLEEN F. BROWN, ARASH NAEIM · 2016 to 2026
$118.1M
Noninvasive Markers and Transplant Outcome in HumansU01AI063594 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HEEGER, PETER SCOTT · 2004 to 2022
$66.5M
Immune Mechanisms of AlloinjuryR01HL112990 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI BELPERIO, JOHN A · 2012 to 2016
$2.2M
Non-invasive surveillance of the lung allograft post transplantationK23HL138256 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SHINO, YUSAKU MICHAEL · 2017 to 2021
$902k
The Role of Aspergillus in the Pathogenesis of Bronchiolitis Obliterans SyndromeK23HL094746 · NHLBI · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WEIGT, STEPHEN S · 2009 to 2013
$644k
NCATS NIH HHS UL1 TR001881NHLBI NIH HHS K23 HL094746NHLBI NIH HHS K23 HL138256NHLBI NIH HHS R01 HL112990NIAID NIH HHS U01 AI063594
6 · The paper itself

Abstract

backgroundChronic Lung Allograft Dysfunction (CLAD) is the main limitation to long-term survival after lung transplantation. Although CLAD is usually not responsive to treatment, earlier identification may improve treatment prospects.

methodsIn a nested case control study, 1-year post transplant surveillance bronchoalveolar lavage (BAL) fluid samples were obtained from incipient CLAD (n = 9) and CLAD free (n = 8) lung transplant recipients. Incipient CLAD cases were diagnosed with CLAD within 2 years, while controls were free from CLAD for at least 4 years following bronchoscopy. Transcription profiles in the BAL cell pellets were assayed with the HG-U133 Plus 2.0 microarray (Affymetrix). Differential gene expression analysis, based on an absolute fold change (incipient CLAD vs no CLAD) >2.0 and an unadjusted p-value ≤0.05, generated a candidate list containing 55 differentially expressed probe sets (51 up-regulated, 4 down-regulated).

resultsThe cell pellets in incipient CLAD cases were skewed toward immune response pathways, dominated by genes related to recruitment, retention, activation and proliferation of cytotoxic lymphocytes (CD8+ T-cells and natural killer cells). Both hierarchical clustering and a supervised machine learning tool were able to correctly categorize most samples (82.3% and 94.1% respectively) into incipient CLAD and CLAD-free categories.

conclusionsThese findings suggest that a pathobiology, similar to AR, precedes a clinical diagnosis of CLAD. A larger prospective investigation of the BAL cell pellet transcriptome as a biomarker for CLAD risk stratification is warranted.

Indexed as

Bronchoalveolar Lavage FluidCase-Control StudiesFemaleGene Expression ProfilingGraft RejectionHumansLung TransplantationMaleMiddle AgedOligonucleotide Array Sequence Analysis

Identifiers

PMID28103284
PMCPMC5245825
OpenAlexW2571890433

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.