Evidence map›Paper›PMID 29288556›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2018

RNA expression profiling of nonhuman primate renal allograft rejection identifies tolerance.

R N Smith, M Matsunami, B A Adam, I A Rosales, T Oura, A B Cosimi, T Kawai, M Mengel, R B Colvin

Abstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Can mouse kidney transplant models inform mechanisms of injury and acceptance in clinical kidney transplantation?American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  2. Article
  3. Banff 2019 Meeting Report: Molecular diagnostics in solid organ transplantation-Consensus for the Banff Human Organ Transplant (B-HOT) gene panel and open source multicenter validation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  4. AKI and Collapsing Glomerulopathy Associated with COVID-19 andJournal of the American Society of Nephrology : JASN · 2020
    Article
  5. Article
  6. 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

9 authors.

R N SmithDepartment of Pathology, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
M MatsunamiDepartment of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
B A AdamDepartment of Laboratory Medicine and Pathology, University of Alberta, Edmonton, Canada.ORCID 0000-0003-1908-1739
I A RosalesDepartment of Pathology, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
T OuraDepartment of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
A B CosimiDepartment of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
T KawaiDepartment of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
M MengelDepartment of Surgery, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.
R B ColvinDepartment of Pathology, Harvard Medical School and Massachusetts General Hospital, Boston, MA, USA.

Funding

XENOGENIC TOLERANCE IN MICEP01HL018646 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI MADSEN, JOREN C · 1985 to 2019
$37.5M
Project 3: The Role of Erythropoietin in Kidney Transplant ToleranceP01AI123086 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MADSEN, JOREN C · 2016 to 2020
$10.6M
Tolerance to Composite Islet-Kidney Transplants in Non-Human PrimatesU19AI102405 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI COSIMI, A BENEDICT · 2012 to 2016
$7.7M
MIXED CHIMERISM AND TOLERANCE IN CYNOMOLGUS MONKEYSR21AI037692 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI KAWAI, TATSUO · 2000 to 2000
$232k
NHLBI NIH HHS P01 HL018646NIAID NIH HHS P01 AI123086NIAID NIH HHS R21 AI037692NIAID NIH HHS U19 AI102405
6 · The paper itself

Abstract

Tolerance induction to prevent allograft rejection is a long-standing clinical goal. However, convincing and dependable tolerance identification remains elusive. Hypothesizing that intragraft RNA expression is informative in both rejection and tolerance, we profile intrarenal allograft RNA expression in a mixed chimerism renal allograft model of cynomolgus monkeys and identify biologically significant tolerance. Analysis of 67 genes identified 3 dominant factors, each with a different pattern of gene expressions, relating to T cell-mediated rejection (TCMR), chronic antibody-mediated rejection (CAMR), or Tolerance. Clustering these 3 factors created 9 groups. One of the 9 clustered groups, the Tolerance cluster, showed the lowest probability of terminal rejection, the longest duration of allograft survival, and the lowest relative risk of terminal rejection. The Tolerance factor consists of a novel set of gene expressions including cytokine and immunoregulatory genes adding mechanistic insights into tolerance. The Tolerance factor could not be identified within current pathologic diagnostic categories. The TCMR and CAMR factors are dominant to the Tolerance factor, causing rejection even if the Tolerance factor is present. These 3 factors determine the probability of terminal rejection or tolerance. This novel a posteriori approach permits identification of pathways of rejection, including tolerance.

Indexed as

Gene Expression ProfilingKidney TransplantationTransplantation ToleranceAnimalsGraft RejectionGraft SurvivalImmunosuppressive AgentsMacaca fascicularisPrimatesRNAImmunosuppressive AgentsRNAbasic (laboratory) research/sciencekidney transplantation/nephrologyrejectiontolerancetranslational research/science

Identifiers

PMID29288556
PMCPMC6021122

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.