Evidence map›Paper›PMID 29082660›Full record

ArticlePediatric transplantation2018

Anellovirus loads are associated with outcomes in pediatric lung transplantation.

Joshua A Blatter, Stuart C Sweet, Carol Conrad, Lara A Danziger-Isakov, Albert Faro, Samuel B Goldfarb, Don Hayes, Ernestina Melicoff, Marc Schecter, Gregory Storch and 3 more

Open access · greenAbstract read
In one paragraph

Article in Pediatric transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 3% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Anellovirus-mediated interferon dysregulation enhances virus-induced lung injury.American journal of respiratory cell and molecular biology · 2026
    Article
  5. Article
  6. Review
  7. Torque Teno Virus: A Promising Biomarker in Kidney Transplant Recipients.International journal of molecular sciences · 2024
    Article
  8. Review
  9. Article
  10. Review
  11. Brief Report: The Virome of Bladder Tumors Arising in People Living With HIV.Journal of acquired immune deficiency syndromes (1999) · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. The respiratory microbiome after lung transplantation: Reflection or driver of respiratory disease?American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 10 institutions in 1 country.

Joshua A BlatterDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-4948-1023
Stuart C SweetDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Carol ConradDepartment of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Lara A Danziger-IsakovDivision of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0002-5691-5221
Albert FaroCystic Fibrosis Foundation, Bethesda, MD, USA.
Samuel B GoldfarbDepartment of Pediatrics, University of Pennsylvania, Philadelphia, PA, USA.
Don HayesDepartment of Pediatrics, The Ohio State University, Columbus, OH, USA.
Ernestina MelicoffDepartment of Pediatrics, Baylor College of Medicine, Houston, TX, USA.ORCID 0000-0001-5696-7112
Marc SchecterDepartment of Pediatrics, University of Cincinnati, Cincinnati, OH, USA.
Gregory StorchDepartment of Pediatrics, Washington University School of Medicine, St. Louis, MO, USA.
Gary A VisnerDepartment of Pediatrics, Harvard Medical School, Boston, MA, USA.
Nikki M WilliamsNational Institutes of Health, Bethesda, MD, USA.
David WangDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Washington University in St. Louis · USBaylor College of Medicine · USCincinnati Children's Hospital Medical Center · USCystic Fibrosis Foundation · USHarvard University · USNational Institutes of Health · USStanford University · USThe Ohio State University · USUniversity of Cincinnati · USUniversity of Pennsylvania · US

Funding

Viral Triggers of Alloimmunity and Autoimmunity in Pediatric Lung TransplantationU01AI077810 · NIAID · WASHINGTON UNIVERSITY · PI SWEET, STUART C · 2008 to 2017
$11.1M
Omics of Inflammatory Airway DiseasesK12HL120002 · NHLBI · WASHINGTON UNIVERSITY · PI COHEN, BARAK A, COLE, FRANCIS SESSIONS · 2013 to 2017
$1.3M
NHLBI NIH HHS K12 HL120002NIAID NIH HHS U01 AI077810
6 · The paper itself

Abstract

Anelloviruses are DNA viruses ubiquitously present in human blood. Due to their elevated levels in immunosuppressed patients, anellovirus levels have been proposed as a marker of immune status. We hypothesized that low anellovirus levels, reflecting relative immunocompetence, would be associated with adverse outcomes in pediatric lung transplantation. We assayed blood samples from 57 patients in a multicenter study for alpha- and betatorquevirus, two anellovirus genera. The primary short-term outcome of interest was acute rejection, and longer-term outcomes were analyzed individually and as "composite" (death, chronic rejection, or retransplant within 2 years). Patients with low alphatorquevirus levels at 2 weeks post-transplantation were more likely to develop acute rejection within 3 months after transplant (P = .013). Low betatorquevirus levels at 6 weeks and 6 months after transplant were associated with death (P = .047) and the composite outcome (P = .017), respectively. There was an association between low anellovirus levels and adverse outcomes in pediatric lung transplantation. Alphatorquevirus levels were associated with short-term outcomes (ie, acute rejection), while betatorquevirus levels were associated with longer-term outcomes (ie, death, or composite outcome within 2 years). These observations suggest that anelloviruses may serve as useful biomarkers of immune status and predictors of adverse outcomes.

Indexed as

Lung TransplantationViral LoadAdolescentAnelloviridaeBiomarkersChildChild, PreschoolFemaleFollow-Up StudiesGraft RejectionHumansImmune ToleranceImmunosuppression TherapyInfantInfant, NewbornKaplan-Meier EstimateBiomarkersacute rejectionbiomarkerschronicimmunosuppressionpediatric lung transplantationrejection

Identifiers

PMID29082660
PMCPMC5811341
OpenAlexW2766190394

What OpenQuestion holds

Textmetadata
LicenceTDM
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.