Evidence map›Paper›PMID 29316217›Full record

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

Exosomes expressing the self-antigens myosin and vimentin play an important role in syngeneic cardiac transplant rejection induced by antibodies to cardiac myosin.

Monal Sharma, Wei Liu, Sudhir Perincheri, Muthukumar Gunasekaran, T Mohanakumar

Open access · hybridAbstract 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 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.6field-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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Annexin A2 Contributes to Release of Extracellular Vimentin in Response to Inflammation.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
    Article
  4. Extracellular Vesicles and Immune Activation in Solid Organ Transplantation: The Impact of Immunosuppression.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2025
    Review
  5. Review
  6. Review
  7. Autoantibodies against DNA topoisomerase I promote renal allograft rejection by increasing alloreactive T cell responses.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  8. Hypothermic Perfusion Modifies the Association Between Anti-LG3 Antibodies and Delayed Graft Function in Kidney Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  9. Extracellular Vesicles in Transplantation.Frontiers in immunology · 2022
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Respiratory viral infection in lung transplantation induces exosomes that trigger chronic rejection.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2020
    Article
  16. Review
  17. Impact of extracellular vesicles on innate immunity.Current opinion in organ transplantation · 2019
    Review
  18. Review
  19. A novel mechanism for immune regulation after human lung transplantation.The Journal of thoracic and cardiovascular surgery · 2019
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Monal SharmaNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Wei LiuNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
Sudhir PerincheriDepartment of Pathology, Yale School of Medicine, New Haven, CT, USA.
Muthukumar GunasekaranNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
T MohanakumarNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, AZ, USA.
St. Joseph's Hospital and Medical Center · USYale University · US

Funding

ALLOANTIBODIES TO MHC INDUCES AUTOIMMUNITY AND OBLITERATIVE AIRWAY DISEASE (OAD)R01HL092514 · NHLBI · WASHINGTON UNIVERSITY · PI MOHANAKUMAR, THALACHALLOUR · 2009 to 2018
$3.0M
EXOSOMES: ROLE IN ALLOGRAFT REJECTION AND POTENTIAL AS A BIOMARKERR21AI123034 · NIAID · ST. JOSEPH'S HOSPITAL AND MEDICAL CENTER · PI MOHANAKUMAR, THALACHALLOUR · 2016 to 2017
$397k
NHLBI NIH HHS R01 HL092514NIAID NIH HHS R21 AI123034
6 · The paper itself

Abstract

Long-term success of heart transplantation is hindered by humoral and cell-mediated immune responses. We studied preexisting antibodies to cardiac self-antigens, myosin and vimentin, and exosomes induced by antibodies to self-antigens in eliciting immune responses to cardiac grafts. After syngeneic heterotopic murine heart transplantation, rabbit anti-myosin or normal rabbit immunoglobulin was administered at day 0 or 7. Sera were collected after heartbeat cessation, cellular infiltration was analyzed, and exosomes were isolated from sera. Histopathologic examination of the controls' transplanted hearts demonstrated normal architecture, and their sera demonstrated neither antibodies to self-antigens nor exosomes expressing self-antigens. Administration of antibodies to cardiac myosin immediately posttransplantation (day 0) but not on day 7 triggered graft failure on day 7, and histopathologic examination revealed marked cellular infiltration with neutrophils and lymphocytes. Histopathologic examination of rejected hearts also demonstrated myocyte damage as sera had increased antibodies to myosin and vimentin and development of exosomes expressing self-antigens. Administration of exosomes isolated from failed grafts containing self-antigens induced graft dysfunction; exosomes isolated from stable mice did not induce graft failure. Antibodies to self-antigens can induce exosomes containing self-antigens, initiating an immune response and causing graft failure after cardiac transplantation.

Indexed as

AnimalsAutoantigensCardiac MyosinsExosomesGraft RejectionGraft SurvivalHeart TransplantationIsoantibodiesMaleMiceMice, Inbred C57BLTissue DonorsTransplantation, IsogeneicVimentinAutoantigensCardiac MyosinsIsoantibodiesVimentinanimal models: murineantigen presentation/recognitionautoantibodyautoantigenautoimmunitybasic (laboratory) research/scienceheart transplantation/cardiologyimmunobiologyimmunosuppression/immune modulationtranslational research/science

Identifiers

PMID29316217
PMCPMC6035065
OpenAlexW2784112198

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.