Evidence map›Paper›PMID 28446663›Full record

ArticleThorax2017

Short lung transplant donor telomere length is associated with decreased CLAD-free survival.

Hilary E Faust, Jeffrey A Golden, Raja Rajalingam, Angelia S Wang, Gary Green, Steven R Hays, Jasleen Kukreja, Jonathan P Singer, Paul J Wolters, John R Greenland

Abstract readLetter
In one paragraph

Article in Thorax, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

37 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Comparison of Prognosis for Lung Transplantation between Older and Younger Donors: A Systematic Review and Meta-Analysis Based on Cohort Studies.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024
    Pooled it
  2. Article
  3. Article
  4. Frailty in lung transplant recipients is associated with anemia and telomere dysfunction but independent of epigenetic age.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Review
  10. Airway epithelium in lung transplantation: a potential actor for post-transplant complications?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  11. Article
  12. Review
  13. Article
  14. Short airway telomeres are associated with primary graft dysfunction and chronic lung allograft dysfunction.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Lung transplant recipients with idiopathic pulmonary fibrosis have impaired alloreactive immune responses.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2022
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Hilary E FaustPulmonary, Allergy and Critical Care Division, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Jeffrey A GoldenUniversity of California, San Francisco, California, USA.
Raja RajalingamUniversity of California, San Francisco, California, USA.
Angelia S WangUniversity of California, San Francisco, California, USA.
Gary GreenUniversity of California, San Francisco, California, USA.
Steven R HaysUniversity of California, San Francisco, California, USA.
Jasleen KukrejaUniversity of California, San Francisco, California, USA.
Jonathan P SingerUniversity of California, San Francisco, California, USA.
Paul J WoltersUniversity of California, San Francisco, California, USA.
John R GreenlandUniversity of California, San Francisco, California, USA.ORCID 0000-0003-1422-8367

Funding

MUTIDISCIPLINARY TRAINING PROGRAM IN LUNG DISEASEST32HL007185 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI David J Erle, LAURENCE HUANG · 1985 to 2026
$24.6M
Targeting Epithelial Cells To Treat Pulmonary FibrosisP01HL108794 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SHEPPARD, DEAN · 2012 to 2016
$12.6M
Immune Mechanisms of Large-airway Lymphocytic BronchitisIK2CX001034 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI GREENLAND, JOHN · 2015 to 2019
–
CSRD VA IK2 CX001034NHLBI NIH HHS P01 HL108794NHLBI NIH HHS T32 HL007185
6 · The paper itself

Abstract

Telomere length (TL) decreases with cellular ageing and biological stressors. As advanced donor and recipient ages are risk factors for chronic lung allograft dysfunction (CLAD), we hypothesised that decreased age-adjusted donor TL would predict earlier onset of CLAD. Shorter donor TL was associated with increased risk of CLAD or death (HR 1.26 per 1 kb TL decrease, 95% CI 1.03 to 1.54), particularly for young donors. Recipient TL was associated with cytopenias but not CLAD. Shorter TL was also seen in airway epithelium for subjects progressing to CLAD (p=0.02). Allograft TL may contribute to CLAD pathogenesis and facilitate risk stratification.

Indexed as

Living DonorsTransplant RecipientsAdultAgedAge FactorsBiomarkersCaliforniaCohort StudiesFemaleGraft RejectionGraft SurvivalHumansLung TransplantationMaleMiddle AgedRisk AssessmentBiomarkersLung Transplantation

Identifiers

PMID28446663
PMCPMC6550329

What OpenQuestion holds

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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.