Evidence map›Paper›PMID 29392897›Full record

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

Long- and short-term outcomes in renal allografts with deceased donors: A large recipient and donor genome-wide association study.

Maria P Hernandez-Fuentes, Christopher Franklin, Irene Rebollo-Mesa, Jennifer Mollon, Florence Delaney, Esperanza Perucha, Caragh Stapleton, Richard Borrows, Catherine Byrne, Gianpiero Cavalleri and 36 more

Abstract readMulticenter Study
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 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Article
  4. Review
  5. Observational
  6. Novel Aspects of Immunogenetics and Post-Transplant Events in Kidney Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  7. KiT-GENIE, the French genetic biobank of kidney transplantation.European journal of human genetics : EJHG · 2023
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Review
  17. The Clinical Impact of the CFrontiers in pharmacology · 2020
    Review
  18. Non-HLA donor-recipient mismatches in kidney transplantation-A stone left unturned.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Review
  19. Article
  20. The impact of donor and recipient common clinical and genetic variation on estimated glomerular filtration rate in a European renal transplant population.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

46 authors.

Maria P Hernandez-FuentesKing's College London, MRC Centre for Transplantation, London, UK.ORCID 0000-0002-7558-9441
Christopher FranklinWelcome Trust Sanger Institute, Human Genetics, Cambridge, UK.ORCID 0000-0003-3893-0759
Irene Rebollo-MesaKing's College London, MRC Centre for Transplantation, London, UK.
Jennifer MollonKing's College London, MRC Centre for Transplantation, London, UK.
Florence DelaneyKing's College London, MRC Centre for Transplantation, London, UK.
Esperanza PeruchaKing's College London, MRC Centre for Transplantation, London, UK.ORCID 0000-0002-7802-0875
Caragh StapletonRoyal College of Surgeons in Ireland, Dublin, Ireland.ORCID 0000-0002-5354-7822
Richard BorrowsRenal Institute of Birmingham, Department of Nephrology and Transplantation, Birmingham, UK.
Catherine ByrneNottingham Renal and Transplant Unit, Nottingham University Hospitals NHS Trust, Nottingham, UK.ORCID 0000-0002-0741-2521
Gianpiero CavalleriRoyal College of Surgeons in Ireland, Dublin, Ireland.ORCID 0000-0002-9802-0506
Brendan ClarkeTransplant and Cellular Immunology, Leeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID 0000-0001-9945-6646
Menna ClatworthyDepartment of Medicine, University of Cambridge, Cambridge, UK.
John FeehallyLeicester General Hospital, Leicester, UK.
Susan FuggleTransplant Immunology & Immunogenetics, Churchill Hospital, Oxford, UK.
Sarah A GaglianoCenter for Statistical Genetics, Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0003-1306-1868
Sian GriffinCardiff & Vale University Health Board, Cardiff University, Cardiff, UK.ORCID 0000-0001-5860-9036
Abdul HammadThe Royal Liverpool and Broadgreen University Hospitals, Liverpool, UK.ORCID 0000-0002-4952-0096
Robert HigginsUniversity Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.ORCID 0000-0003-1960-0359
Alan JardineSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.ORCID 0000-0001-5815-9370
Mary KeoganBeaumont Hospital, Dublin, Ireland.ORCID 0000-0002-2596-0660
Timothy LeachQueen Alexandra Hospital, Portsmouth, UK.
Iain MacPheeSt Georges' Hospital NHS Trust, London, UK.ORCID 0000-0003-2322-7622
Patrick B MarkSchool of Medicine, Dentistry and Nursing, University of Glasgow, Glasgow, UK.ORCID 0000-0003-3387-2123
James MarshEpsom and St Helier University Hospitals Trust, Carshalton, UK.
Peter MaxwellSchool of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, Belfast, UK.ORCID 0000-0002-6110-7253
William McKaneSheffield Kidney Institute, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Adam McLeanKidney and Transplant, Imperial College Healthcare NHS Trust, London, UK.
Charles NewsteadLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Titus AugustineCentral Manchester University Hospitals NHS Trust, Manchester, UK.ORCID 0000-0002-7391-1839
Paul PhelanNHS Lothian, Edinburgh, UK.ORCID 0000-0003-2549-5049
Steve PowisDivision of Medicine, University College London, London, UK.ORCID 0000-0003-2534-6131
Peter RowePlymouth Hospitals NHS Trust, Plymouth, UK.
Neil SheerinThe Medical School, Newcastle University Newcastle, Newcastle upon Tyne, UK.ORCID 0000-0002-3743-2371
Ellen SolomonDivision of Genetics& Molecular Medicine, King's College London, London, UK.
Henry StephensNHS Lothian, Edinburgh, UK.ORCID 0000-0001-8657-4766
Raj ThuraisinghamBarts Health NHS Trust, London, UK.
Richard TrembathDivision of Genetics& Molecular Medicine, King's College London, London, UK.ORCID 0000-0003-0550-3400
Peter TophamLeicester General Hospital, Leicester, UK.
Robert VaughanClinical Transplantation Laboratory at Guy's Hospital, Guy's and St Thomas' NHS Trust, London, UK.
Steven H SacksKing's College London, MRC Centre for Transplantation, London, UK.
Peter ConlonRoyal College of Surgeons in Ireland, Dublin, Ireland.ORCID 0000-0001-6772-9531
Gerhard OpelzUniversity of Heidelberg, Transplantation Immunology, Heidelberg, Germany.
Nicole SoranzoWelcome Trust Sanger Institute, Human Genetics, Cambridge, UK.ORCID 0000-0003-1095-3852
Michael E WealeDivision of Genetics& Molecular Medicine, King's College London, London, UK.ORCID 0000-0003-4593-1186
Graham M LordKing's College London, MRC Centre for Transplantation, London, UK.ORCID 0000-0003-2069-4743
United Kingdom and Ireland Renal Transplant Consortium (UKIRTC) and the Wellcome Trust Case Control Consortium (WTCCC)-3

Funding

Medical Research Council G0600698Medical Research Council G0600892Medical Research Council G0701320Medical Research Council G0802068Medical Research Council MC_PC_15025Medical Research Council MR/J006742/1Medical Research Council MR/K002996/1Medical Research Council MR/K500999/1Wellcome TrustWellcome Trust 088849/Z/09/ZWellcome Trust 090355/A/09/ZWellcome Trust 090355/B/09/ZWellcome Trust WT091310Wellcome Trust WT098051
6 · The paper itself

Abstract

Improvements in immunosuppression have modified short-term survival of deceased-donor allografts, but not their rate of long-term failure. Mismatches between donor and recipient HLA play an important role in the acute and chronic allogeneic immune response against the graft. Perfect matching at clinically relevant HLA loci does not obviate the need for immunosuppression, suggesting that additional genetic variation plays a critical role in both short- and long-term graft outcomes. By combining patient data and samples from supranational cohorts across the United Kingdom and European Union, we performed the first large-scale genome-wide association study analyzing both donor and recipient DNA in 2094 complete renal transplant-pairs with replication in 5866 complete pairs. We studied deceased-donor grafts allocated on the basis of preferential HLA matching, which provided some control for HLA genetic effects. No strong donor or recipient genetic effects contributing to long- or short-term allograft survival were found outside the HLA region. We discuss the implications for future research and clinical application.

Indexed as

Genome-Wide Association StudyKidney TransplantationTissue DonorsTransplant RecipientsAdultDNA ReplicationFemaleGenotypeGraft SurvivalHistocompatibility TestingHumansMaleMiddle AgedPolymorphism, Single NucleotideTransplantation, Homologousbasic (laboratory) research/sciencegenomicsgraft survivalkidney transplantation/nephrologyrejectiontranslational research/science

Identifiers

PMID29392897
PMCPMC6001640

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Registered trials

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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.