Evidence map›Paper›PMID 29935708›Full record

ReviewTransplantation reviews (Orlando, Fla.)2018

Innate networking: Thrombotic microangiopathy, the activation of coagulation and complement in the sensitized kidney transplant recipient.

Miriam Manook, Jean Kwun, Steven Sacks, Anthony Dorling, Nizam Mamode, Stuart Knechtle

Abstract readReview
In one paragraph

Review in Transplantation reviews (Orlando, Fla.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Observational
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  3. Review
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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

6 authors.

Miriam ManookRenal and Transplant Department, Guy's and St Thomas' NHS Foundation Trust, London, UK; Duke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Jean KwunDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA.
Steven SacksMRC Centre for Transplantation, King's College, London, UK.
Anthony DorlingMRC Centre for Transplantation, King's College, London, UK.
Nizam MamodeRenal and Transplant Department, Guy's and St Thomas' NHS Foundation Trust, London, UK.
Stuart KnechtleDuke Transplant Center, Department of Surgery, Duke University Medical Center, Durham, NC 27710, USA. Electronic address: stuart.knechtle@duke.edu.

Funding

The Risks and Opportunities of Homeostatic RepopulationU19AI131471 · NIAID · DUKE UNIVERSITY · PI Andrew Serghios Barbas · 2017 to 2026
$30.4M
Medical Research Council G0401591Medical Research Council G0600892Medical Research Council G0801965Medical Research Council G1001197Medical Research Council MC_PC_15031Medical Research Council MR/J006742/1NIAID NIH HHS U19 AI131471
6 · The paper itself

Abstract

Thrombotic microangiopathy (TMA) is a histological feature of antibody-mediated rejection and has the potential to cause problematic graft dysfunction, particularly for highly sensitized cross-match positive kidney transplant recipients. Prompt recognition of pertinent histopathological and systemic features of TMA in kidney transplantation is necessary. Underlying mechanisms of this process involve the activation of both complement and coagulation systems as a response to HLA antibody. As serine proteases, coagulation and complement cascades exhibit similar characteristics with respect to homeostatic function. Increasing evidence now exists for the interaction between these innate defenses in both activation and regulation, lending scope for intervention. Understanding the complexities of these interactions remains a challenge. This review provides an overview of the current understanding, particularly with respect to the activation of coagulation and complement by HLA antibody in the setting of highly sensitized kidney transplantation.

Indexed as

Blood CoagulationComplement ActivationGraft RejectionHumansImmunity, InnateKidney TransplantationThrombotic MicroangiopathiesAntibody incompatible transplantationCoagulationComplementHighly sensitizedHLA-incompatible transplantationKidney transplantationThrombotic microangiopathy

Identifiers

PMID29935708
PMCPMC6497150

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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.