Evidence map›Paper›PMID 28686294›Full record

ArticleBritish journal of clinical pharmacology2017

NFAT-regulated cytokine gene expression during tacrolimus therapy early after renal transplantation.

Sara Bremer, Nils T Vethe, Morten Skauby, Margrete Kasbo, Elisabet D Johansson, Karsten Midtvedt, Stein Bergan

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04645667 (Development of a Population Pharmacokinetic Model to Optimize Tacrolimus Dosing in Adult Recipients of Allogeneic Hematopoietic Stem Cell Transplant.), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT04645667 completednot on this mapstarted 2021, after this paper: background citation

Development of a Population Pharmacokinetic Model to Optimize Tacrolimus Dosing in Adult Recipients of Allogeneic Hematopoietic Stem Cell Transplant.

TypeobservationalSponsorUNC Lineberger Comprehensive Cancer CenterRan2021 to 2023Enrolled38ConditionsAcute GVHDArmsTacrolimus
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Predicting Tacrolimus Concentrations in the Skin of Adult Kidney Transplant Recipients: A Feasibility Study.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. IL-2 gene polymorphisms affect tacrolimus response in myasthenia gravis.European journal of clinical pharmacology · 2019
    Article
  12. Article
  13. Article
  14. 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

7 authors at 1 institution in 1 country.

Sara BremerDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.ORCID http://orcid.org/0000-0002-7380-2798
Nils T VetheDeptartment of Pharmacology, Oslo University Hospital, Oslo, Norway.
Morten SkaubyDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Margrete KasboDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.
Elisabet D JohanssonDepartment of Medical Biochemistry, Oslo University Hospital, Oslo, Norway.
Karsten MidtvedtDepartment of Transplantation Medicine, Oslo University Hospital, Oslo, Norway.
Stein BerganDeptartment of Pharmacology, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsDespite pharmacokinetic monitoring of calcineurin inhibitors, the long-term outcome after transplantation (Tx) is still hampered by the side effects of these drugs. The aim of the present study was to characterize nuclear factor of activated T cells (NFAT)-regulated gene expression as a potential pharmacodynamic biomarker for further individualization of tacrolimus (Tac) therapy.

methodsIn 29 renal allograft recipients, samples were drawn once pre-Tx, and before and 1.5 h after Tac dosing at approximately 1 week, 6 weeks and 1 year post-Tx. Tac concentrations were measured by immunoassay, while the expression of genes encoding NFAT-regulated cytokines [interleukin 2 (IL2), interferon gamma (IFNG), colony stimulating factor 2 (CSF2)] and cytochrome P450 3A5 (CYP3A5) genotyping were determined by real-time polymerase chain reaction.

resultsThe cytokine response after Tac dosing varied up to 46-fold between patients and changed significantly with time post-engraftment. Tac concentrations 1.5 h postdose (C

conclusionsThe findings of our study support the potential of NFAT-regulated gene expression measurements as a pharmacodynamic tool for additional monitoring of Tac therapy, especially in the context of overimmunosuppression and viraemia.

Indexed as

AdultAgedBiomarkers, PharmacologicalCalcineurin InhibitorsCytochrome P-450 CYP3ACytokinesDrug MonitoringFemaleGene Expression ProfilingGene Expression RegulationGraft RejectionHumansKidney TransplantationMaleMiddle AgedNFATC Transcription FactorsBiomarkers, PharmacologicalCalcineurin InhibitorsCYP3A5 protein, humanCytochrome P-450 CYP3ACytokinesNFATC Transcription FactorsTacrolimusacute rejectioncalcineurin inhibitorsNFAT-regulated gene expressionpharmacodynamic drug monitoringrenal transplantationtacrolimusviraemia

Identifiers

PMID28686294
PMCPMC5651309
OpenAlexW2730820750

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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.