Evidence map›Paper›PMID 29170666›Full record

ArticleFrontiers in immunology2017

Low T-Cell Responses to Mitogen Stimulation Predicts Poor Survival in Recipients of Allogeneic Hematopoietic Stem Cell Transplantation.

Michelle K Yong, Paul U Cameron, Monica A Slavin, Allen C Cheng, C Orla Morrissey, Krystal Bergin, Andrew Spencer, David Ritchie, Sharon R Lewin

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Review
  2. Article
  3. Measures of Adaptive Immune Function Predict the Risk of Nosocomial Infection in Pediatric Burn Patients.Journal of burn care & research : official publication of the American Burn Association · 2022
    Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Immune Monitoring for CMV in Transplantation.Current infectious disease reports · 2018
    Review
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

9 authors at 4 institutions in 1 country.

Michelle K YongDepartment of Infectious Diseases, Monash University and Alfred Hospital, Melbourne, VIC, Australia.
Paul U CameronDepartment of Infectious Diseases, Monash University and Alfred Hospital, Melbourne, VIC, Australia.
Monica A SlavinThe Peter Doherty Institute for Infection and Immunity, The University of Melbourne and Royal Melbourne Hospital, Melbourne, VIC, Australia.
Allen C ChengDepartment of Infectious Diseases, Monash University and Alfred Hospital, Melbourne, VIC, Australia.
C Orla MorrisseyDepartment of Infectious Diseases, Monash University and Alfred Hospital, Melbourne, VIC, Australia.
Krystal BerginDepartment of Haematology, Monash University and Alfred Hospital, Melbourne, VIC, Australia.
Andrew SpencerDepartment of Haematology, Monash University and Alfred Hospital, Melbourne, VIC, Australia.
David RitchieDepartment of Clinical Haematology and Bone Marrow Transplant Service, The Royal Melbourne Hospital, Melbourne, VIC, Australia.
Sharon R LewinDepartment of Infectious Diseases, Monash University and Alfred Hospital, Melbourne, VIC, Australia.
Monash University · AUPeter MacCallum Cancer Centre · AUThe Royal Melbourne Hospital · AUUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuccessful engraftment and reconstitution of the innate and adaptive immune system are associated with improved outcomes in recipients of allogeneic hematopoietic stem cell transplantation (HSCT). A clinically meaningful and simple biomarker of immunosuppression could potentially assist clinicians in their decision-making. We aimed to determine the relationship between T-cell production of interferon gamma (IFN-γ) in response to phytohemagglutinin (PHA) to clinical outcomes in HSCT recipients.

methodsA prospective observational multicenter study of 73 adult allogeneic HSCT recipients was conducted in Melbourne, Australia. Eligible participants were >18 years and at risk of cytomegalovirus disease. T-cell responses to PHA were assessed at 3, 6, 9, and 12 months post-HSCT using the commercial quantiferon-cytomegalovirus assay, which quantifies IFN-γ production by ELISA following stimulation with PHA. A low response was defined as IFN-γ <0.5 IU/ml following stimulation with PHA.

resultsAt 3 months post-HSCT, high responses to PHA (median IFN-γ 7.68 IU/ml) were seen in 63% of participants and low responses to PHA (median IFN-γ 0.06 IU/ml) in 37%. IFN-γ responses to PHA were significantly associated with the severity of acute graft versus host disease (AGVHD) (spearman

conclusionLow IFN-γ response to PHA at the 3-month time-point following allogeneic HSCT was predictive of reduced 12-month overall survival, increased NRM, and reduced survival in recipients with AGVHD. Assessing IFN-γ response to PHA post-HSCT may be a clinically useful immune biomarker.

Indexed as

biomarkerhematopoietic stem cell transplantationmitogenmortalityprognosisquantiferon-cytomegalovirusT-cell immunitytransplantation

Identifiers

PMID29170666
PMCPMC5684122
OpenAlexW2767511662

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.