Evidence map›Paper›PMID 30010623›Full record

ArticleThe Journal of clinical investigation2018

P2X7R mutation disrupts the NLRP3-mediated Th program and predicts poor cardiac allograft outcomes.

Francesca D'Addio, Andrea Vergani, Luciano Potena, Anna Maestroni, Vera Usuelli, Moufida Ben Nasr, Roberto Bassi, Sara Tezza, Sergio Dellepiane, Basset El Essawy and 16 more

Abstract read
In one paragraph

Article in The Journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing 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

27 citing papers in PubMed.

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  16. Extracellular ATP and Imbalance of CD4+ T Cell Compartment in Pediatric COVID-19.Frontiers in cellular and infection microbiology · 2022
    Article
  17. Observational
  18. miR-21 antagonism reprograms macrophage metabolism and abrogates chronic allograft vasculopathy.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  19. 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

26 authors.

Francesca D'AddioInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Andrea VerganiNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Luciano PotenaHeart Failure and Heart Transplant Program, Department of Experimental Diagnostic and Specialty Medicine, Alma Mater-University of Bologna, Bologna, Italy.
Anna MaestroniInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Vera UsuelliNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Moufida Ben NasrInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Roberto BassiNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Sara TezzaNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Sergio DellepianeNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Basset El EssawyMedicine, Al-Azhar University, Cairo, Egypt.
Maria IasconeLaboratorio Genetica Medica and.
Attilio IacovoniDipartimento Cardiovascolare, ASST Papa Giovanni XXIII, Bergamo, Italy.
Laura BorgeseHeart Failure and Heart Transplant Program, Department of Experimental Diagnostic and Specialty Medicine, Alma Mater-University of Bologna, Bologna, Italy.
Kaifeng LiuDivision of Respiratory Diseases, Boston Children's Hospital, Boston, Massachusetts, USA.
Gary VisnerDivision of Respiratory Diseases, Boston Children's Hospital, Boston, Massachusetts, USA.
Sirano Dhe-PaganonDepartment of Cancer Biology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Domenico CorradiDepartment of Biomedical, Biotechnological and Translational Sciences, Unit of Pathology, University of Parma, Parma, Italy.
Reza AbdiTransplantation Research Center, Nephrology Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Randall C StarlingHeart Failure Center, Heart & Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Franco FolliEndocrinology and Metabolism, Department of Health Science, University of Milan, ASST Santi Paolo e Carlo, Milan, Italy.
Gian Vincenzo ZuccottiInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Mohamed H SayeghAmerican University of Beirut, Beirut, Lebanon.
Peter S HeegerDepartment of Medicine and Translational Transplant Research Center, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Anil ChandrakerTransplantation Research Center, Nephrology Division, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Francesco GrigioniHeart Failure and Heart Transplant Program, Department of Experimental Diagnostic and Specialty Medicine, Alma Mater-University of Bologna, Bologna, Italy.
Paolo FiorinaInternational Center for Type 1 Diabetes, Pediatric Clinical Research Center Romeo ed Enrica Invernizzi, "L. Sacco" Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.

Funding

Noninvasive Markers and Transplant Outcome in HumansU01AI063594 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HEEGER, PETER SCOTT · 2004 to 2022
$66.5M
Novel Therapies to Improve Renal and Cardiac Allograft OutcomesU01AI063623 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI CHANDRAKER, ANIL · 2004 to 2013
$30.9M
Developing novel biomarkers of renal transplant rejectionK24AI116925 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI ABDI, REZA · 2016 to 2023
$1.4M
NIAID NIH HHS K24 AI116925NIAID NIH HHS U01 AI063594NIAID NIH HHS U01 AI063623
6 · The paper itself

Abstract

Purinergic receptor-7 (P2X7R) signaling controls Th17 and Th1 generation/differentiation, while NOD-like receptor P3 (NLRP3) acts as a Th2 transcriptional factor. Here, we demonstrated the existence of a P2X7R/NLRP3 pathway in T cells that is dysregulated by a P2X7R intracellular region loss-of-function mutation, leading to NLRP3 displacement and to excessive Th17 generation due to abrogation of the NLRP3-mediated Th2 program. This ultimately resulted in poor outcomes in cardiac-transplanted patients carrying the mutant allele, who showed abnormal Th17 generation. Transient NLRP3 silencing in nonmutant T cells or overexpression in mutant T cells normalized the Th profile. Interestingly, IL-17 blockade reduced Th17 skewing of human T cells in vitro and abrogated the severe allograft vasculopathy and abnormal Th17 generation observed in preclinical models in which P2X7R was genetically deleted. This P2X7R intracellular region mutation thus impaired the modulatory effects of P2X7R on NLRP3 expression and function in T cells and led to NLRP3 dysregulation and Th17 skewing, delineating a high-risk group of cardiac-transplanted patients who may benefit from personalized therapy.

Indexed as

Heart TransplantationMutationAllograftsFemaleGraft RejectionHumansNLR Family, Pyrin Domain-Containing 3 ProteinPrecision MedicineReceptors, Purinergic P2X7Th17 CellsTh2 CellsNLR Family, Pyrin Domain-Containing 3 ProteinNLRP3 protein, humanReceptors, Purinergic P2X7Genetic variationImmunologyOrgan transplantationT cellsTransplantation

Identifiers

PMID30010623
PMCPMC6063506

What OpenQuestion holds

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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.