Evidence map›Paper›PMID 29296858›Full record

ArticleBlood advances2017

Successful desensitization with proteasome inhibition and costimulation blockade in sensitized nonhuman primates.

Jean Kwun, Christopher Burghuber, Miriam Manook, Brian Ezekian, Jaeberm Park, Janghoon Yoon, John S Yi, Neal Iwakoshi, Adriana Gibby, Jung Joo Hong and 3 more

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05145296 (Non-Randomized, Single-Center Pilot Trial Assessing The Safety/Efficacy Of Targeting Peripheral And Central Humoral Alloimmune Memory With Daratumumab And With Belatacept In Highly HLA-Sensitized Patients Awaiting Kidney Transplantation), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.2field-weighted citation impact, top 5% 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.

NCT05145296 phase2terminatednot on this mapstarted 2022, after this paper: background citation

Non-Randomized, Single-Center Pilot Trial Assessing The Safety/Efficacy Of Targeting Peripheral And Central Humoral Alloimmune Memory With Daratumumab And With Belatacept In Highly HLA-Sensitized Patients Awaiting Kidney Transplantation

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2022 to 2025Enrolled5ConditionsSensitisation, Highly Sensitised Dialysis PatientsArmsEach patient will undergo in the first step of the study belatacept treatment and in the second apheresis and daratumumab
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 49 citations in OpenAlex.

  1. A prospective, iterative, adaptive trial of carfilzomib-based desensitization.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Trial
  2. A novel immunoglobulin G- and immunoglobulin cleaving enzyme MG (IceMG), for antibody-mediated rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  3. Article
  4. Belatacept in Kidney Transplantation: Reflecting on the Past, Shaping the Future.Transplant international : official journal of the European Society for Organ Transplantation · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Addition of interleukin-6 receptor blockade to carfilzomib-based desensitization in a highly sensitized nonhuman primate model.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Desensitizing highly sensitized heart transplant candidates with the combination of belatacept and proteasome inhibition.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  16. Reversing donor-specific antibody responses and antibody-mediated rejection with bortezomib and belatacept in mice and kidney transplant recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  17. Donor apoptotic cell-based therapy for effective inhibition of donor-specific memory T and B cells to promote long-term allograft survival in allosensitized recipients.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  18. Experimental modeling of desensitization: What have we learned about preventing AMR?American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 3 institutions in 2 countries.

Jean KwunDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC.
Christopher BurghuberEmory Transplant Center, Department of Surgery, Emory University School of Medicine, Atlanta, GA.
Miriam ManookDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC.
Brian EzekianDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC.
Jaeberm ParkDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC.
Janghoon YoonDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC.
John S YiDivision of Surgical Sciences, Department of Surgery, Duke University Medical Center, Durham, NC.
Neal IwakoshiEmory Transplant Center, Department of Surgery, Emory University School of Medicine, Atlanta, GA.
Adriana GibbyEmory Transplant Center, Department of Surgery, Emory University School of Medicine, Atlanta, GA.
Jung Joo HongDepartment of Pathology, Emory University School of Medicine, Atlanta, GA; and.
Alton B FarrisDepartment of Pathology, Emory University School of Medicine, Atlanta, GA; and.
Allan D KirkDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC.
Stuart J KnechtleDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC.
Duke Medical Center · USEmory University · USKorea Research Institute of Bioscience and Biotechnology · KR

Funding

Transplant Tolerance in Non-Human PrimatesU19AI051731 · NIAID · UNIVERSITY OF WESTERN ONTARIO · PI ADAMS, ANDREW B · 2002 to 2022
$54.1M
The Risks and Opportunities of Homeostatic RepopulationU19AI131471 · NIAID · DUKE UNIVERSITY · PI Stuart Johnston Knechtle · 2017 to 2026
$30.4M
Nonhuman Primate Reagent ResourceU24AI126683 · NIAID · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI Diogo Magnani · 2016 to 2026
$20.1M
Resource for Nonhuman Primate Cell Depleting AntibodiesR24OD010976 · OD · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI ENGELMAN, KATHLEEN, MAGNANI, DIOGO · 2012 to 2019
$4.7M
NIAID NIH HHS U19 AI051731NIAID NIH HHS U19 AI131471NIAID NIH HHS U24 AI126683NIH HHS R24 OD010976
6 · The paper itself

Abstract

The detrimental effects of donor-directed antibodies in sensitized transplant patients remain a difficult immunologic barrier to successful organ transplantation. Antibody removal is often followed by rebound. Proteasome inhibitors (PIs) deplete antibody-producing plasma cells (PCs) but have shown marginal benefit for desensitization. In an allosensitized nonhuman primate (NHP) model, we observed increased germinal center (GC) formation after PI monotherapy, suggesting a compensatory PC repopulation mediated via GC activation. Here we show that costimulation blockade (CoB) targets GC follicular helper T (Tfh) cells in allosensitized NHPs. Combined PI and CoB significantly reduces bone marrow PCs (CD19

Identifiers

PMID29296858
PMCPMC5737135
OpenAlexW2767115738

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.