Evidence map›Paper›PMID 28114170›Full record

ArticleTransplantation2017

Humoral Reactivity of Renal Transplant-Waitlisted Patients to Cells From GGTA1/CMAH/B4GalNT2, and SLA Class I Knockout Pigs.

Gregory R Martens, Luz M Reyes, Ping Li, James R Butler, Joseph M Ladowski, Jose L Estrada, Richard A Sidner, Devin E Eckhoff, Matt Tector, A Joseph Tector

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 118 papers.

0numbers the graph read from it
0cells of the map it votes in
118citing papers in PubMed
23.6field-weighted citation impact, top 1% 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

118 citing papers in PubMed, 228 citations in OpenAlex.

  1. Article
  2. Review
  3. Xenotransplantation: Promises and Perils.Annual review of medicine · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Immunometabolism of Liver Xenotransplantation and Prospective Solutions.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  11. Review
  12. Progress in Porcine Kidney Transplantation to Non-Human Primates.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  13. Article
  14. Xenotransplantation Research -the Nonhuman Primate Model Is Preferable to the Human Decedent Model.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

58 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 2 countries.

Gregory R Martens1 Department of Surgery, University of Alabama at Birmingham, Birmingham, AL. 2 Department of Surgery, Indiana University, School of Medicine, Indianapolis, IN. 3 Transplant Surgery, University of Alabama at Birmingham, Birmingham, AL.
Luz M Reyes
Ping Li
James R Butler
Joseph M Ladowski
Jose L Estrada
Richard A Sidner
Devin E Eckhoff
Matt Tector
A Joseph Tector
Apple (Israel) · IL

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM008361 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI YACOUBIAN, TALENE ALENE · 1992 to 2024
$16.8M
NIGMS NIH HHS T32 GM008361
6 · The paper itself

Abstract

backgroundAntipig antibodies are a barrier to clinical xenotransplantation. We evaluated antibody binding of waitlisted renal transplant patients to 3 glycan knockout (KO) pig cells and class I swine leukocyte antigens (SLA).

methodsPeripheral blood mononuclear cells from SLA identical wild type (WT), α1, 3-galactosyltransferase (GGTA1) KO, GGTA1/ cytidine monophosphate-N-acetylneuraminic acid hydroxylase (CMAH) KO, and GGTA1/ CMAH /b1,4 N-acetylgalactosaminyl transferase (B4GalNT2) KO pigs were screened for human antibody binding using flow cytometric crossmatch (FCXM). Sera from 820 patients were screened on GGTA1/CMAH/B4GalNT2 KO cells and a subset with elevated binding was evaluated further. FCXM was performed on SLA intact cells and GGTA1/SLA class I KO cells after depletion with WT pig RBCs to remove cell surface reactive antibodies, but leave SLA antibodies. Lastly, human and pig reactive antibodies were eluted and tested for cross-species binding and reactivity to single-antigen HLA beads.

resultsSequential glycan KO modifications significantly reduce antibody binding of waitlisted patients. Sera exhibiting elevated binding without reduction after depletion with WT RBCs demonstrate reduced binding to SLA class I KO cells. Human IgG, eluted from human and pig peripheral blood mononuclear cells, interacted across species and bound single-antigen HLA beads in common epitope-restricted patterns.

conclusionsMany waitlisted patients have minimal xenoreactive antibody binding to the triple KO pig, but some HLA antibodies in sensitized patients cross-react with class I SLA. SLA class I is a target for genome editing in xenotransplantation.

Indexed as

Gene Knockout TechniquesImmunity, HumoralKidney TransplantationWaiting ListsAnimalsAnimals, Genetically ModifiedAntibodies, HeterophileAntigens, HeterophileCross ReactionsFlow CytometryGalactosyltransferasesGenotypeHistocompatibilityHistocompatibility Antigens Class IHistocompatibility Antigens Class IIHistocompatibility Testingalpha-1,3-galactosyltransferase 1, porcineAntibodies, HeterophileAntigens, Heterophilebeta-1,4-N-acetyl-galactosaminyl transferase 2CMPacetylneuraminate monooxygenaseGalactosyltransferasesHistocompatibility Antigens Class IHistocompatibility Antigens Class IIHLA AntigensImmunoglobulin GMixed Function OxygenasesN-Acetylgalactosaminyltransferasesswine leukocyte antigen

Identifiers

PMID28114170
PMCPMC7228580
OpenAlexW2575274634

What OpenQuestion holds

Textmetadata
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.