Evidence map›Paper›PMID 28157735›Full record

ArticleTransplantation2017

An Investigation of Extracellular Histones in Pig-To-Baboon Organ Xenotransplantation.

Tao Li, Whayoung Lee, Hidetaka Hara, Cassandra Long, Mohamed Ezzelarab, David Ayares, Hai Huang, Yi Wang, Charles T Esmon, David K C Cooper and 1 more

Open 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. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.7field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Regulatory macrophages in solid organ xenotransplantation.Korean journal of transplantation · 2023
    Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Macrophages in xenotransplantation.Korean journal of transplantation · 2019
    Review
  13. Article
  14. Evidence for the important role of inflammation in xenotransplantation.Journal of inflammation (London, England) · 2019
    Review
  15. Serum amyloid a as an indicator of impending xenograft failure: Experimental studies.International journal of surgery (London, England) · 2018
    Article
  16. Xenotransplantation: past, present, and future.Current opinion in organ transplantation · 2017
    Review
  17. Article
  18. 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

11 authors at 3 institutions in 2 countries.

Tao Li1 Thomas E. Starzl Transplantation Institute, University of Pittsburgh, Pittsburgh, PA. 2 Center for Kidney Transplantation, Second Affiliated Hospital of the University of South China, Hengyang, Hunan, China. 3 Revivicor, Blacksburg, VA. 4 Coagulation Biology Laboratory, Oklahoma Medical Research Foundation, Oklahoma City, OK.
Whayoung Lee
Hidetaka Hara
Cassandra Long
Mohamed Ezzelarab
David Ayares
Hai Huang
Yi Wang
Charles T Esmon
David K C Cooper
Hayato Iwase
University of Pittsburgh · USOklahoma Medical Research Foundation · USUniversity of South China · CN

Funding

Analysis and Characterization of Trauma-Induced CoagulopathyUM1HL120877 · NHLBI · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI MORRISSEY, JAMES H., WISNIEWSKI, STEPHEN R · 2013 to 2019
$26.6M
Prolonging life-supported pig kidney and heart graft survival in baboons by suppressing inflammationU19AI090959 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI COOPER, DAVID KC · 2010 to 2024
$26.3M
CORE--BABOON RESEARCH RESOURCE PROGRAMP40RR012317 · NCRR · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI WHITE, GARY L · 1998 to 2011
$13.0M
Thromboregulation to Prevent Thrombotic MicroangiopathyU01AI068642 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI COOPER, DAVID KC · 2005 to 2008
$2.7M
Tolerance to Carbohydrate Antigens in TransplantationR21AI074844 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI COOPER, DAVID KC · 2007 to 2008
$405k
NCRR NIH HHS P40 RR012317NHLBI NIH HHS UM1 HL120877NIAID NIH HHS R21 AI074844NIAID NIH HHS U01 AI068642NIAID NIH HHS U19 AI090959
6 · The paper itself

Abstract

backgroundSerum (extracellular) histone levels are increased in inflammatory states and in the presence of coagulation dysfunction, for example, trauma, chemical/ischemic injury, infection. There is increasing evidence of a systemic inflammatory response associated with the presence of a pig xenograft in a nonhuman primate. We evaluated extracellular histone levels in baboons with various pig xenografts.

methodsWe measured serum histones in baboons with pig heterotopic heart (n = 8), life-supporting kidney (n = 5), orthotopic liver (n = 4), and artery patch (n = 9) grafts by enzyme-linked immunosorbent assay. C-reactive protein (CRP), free triiodothyronine (fT3), serum amyloid A (SAA), and platelet counts were also measured, all of which may provide an indication of an inflammatory state. We investigated the effect of histones on platelet aggregation and on cytotoxicity of pig cells in vitro.

resultsSerum histones increased when baboons developed consumptive coagulopathy (eg, thrombocytopenia) or infection. CRP levels tended to be higher and fT3 levels lower when consumptive coagulopathy developed. Measurement of SAA correlated fairly well with CRP and indicated the state of inflammation. Treatment of the recipient with tocilizumab reduced the level of serum histones, CRP, and SAA, and increased the level of fT3 and platelet counts. In vitro, histone-induced platelet aggregation and endothelial cell apoptosis were both significantly reduced by the NF-κB pathway inhibitor, parthenolide.

conclusionsThese noninvasive assays may be useful for monitoring the health status of nonhuman primate recipients of pig organ grafts and may help in management after xenotransplantation. Tocilizumab and NF-κB inhibitors might prove valuable in reducing the inflammatory response to a pig xenograft.

Indexed as

Heart TransplantationKidney TransplantationLiver TransplantationAnimalsAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsArteriesBlood CoagulationBlood PlateletsC-Reactive ProteinHeterograftsHistonesHumansImmunosuppressive AgentsInflammationInflammation MediatorsAntibodies, Monoclonal, HumanizedAnti-Inflammatory AgentsC-Reactive ProteinHistonesImmunosuppressive AgentsInflammation MediatorsNF-kappa BparthenolideSerum Amyloid A ProteinSesquiterpenestocilizumabTriiodothyronine

Identifiers

PMID28157735
PMCPMC5856196
OpenAlexW2586293350

What OpenQuestion holds

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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.