Evidence map›Paper›PMID 30455697›Full record

ReviewFrontiers in immunology2018

T cell Allorecognition Pathways in Solid Organ Transplantation.

Jacqueline H Y Siu, Veena Surendrakumar, James A Richards, Gavin J Pettigrew

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 116 papers.

0numbers the graph read from it
0cells of the map it votes in
116citing 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

116 citing papers in PubMed.

  1. Biochemistry and biophysics reports · 2026
    Review
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Unraveling CD8American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Baseline Characterization of Swine Leukocyte Antigen Diversity in GFP-Expressing Domestic Swine.Journal of the American Association for Laboratory Animal Science : JAALAS · 2025
    Article
  17. Article
  18. Article
  19. Review
  20. Immune Landscape in Kidney Transplantation.Journal of inflammation research · 2025
    Review

56 more citing papers are in PubMed but not listed here.

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

4 authors.

Jacqueline H Y SiuDepartment of Surgery, University of Cambridge, Cambridge, United Kingdom.
Veena SurendrakumarDepartment of Surgery, University of Cambridge, Cambridge, United Kingdom.
James A RichardsDepartment of Surgery, University of Cambridge, Cambridge, United Kingdom.
Gavin J PettigrewDepartment of Surgery, University of Cambridge, Cambridge, United Kingdom.

Funding

British Heart Foundation FS/12/87/29899
6 · The paper itself

Abstract

Transplantation is unusual in that T cells can recognize alloantigen by at least two distinct pathways: as intact MHC alloantigen on the surface of donor cells via the direct pathway; and as self-restricted processed alloantigen via the indirect pathway. Direct pathway responses are viewed as strong but short-lived and hence responsible for acute rejection, whereas indirect pathway responses are typically thought to be much longer lasting and mediate the progression of chronic rejection. However, this is based on surprisingly scant experimental evidence, and the recent demonstration that MHC alloantigen can be re-presented intact on recipient dendritic cells-the semi-direct pathway-suggests that the conventional view may be an oversimplification. We review recent advances in our understanding of how the different T cell allorecognition pathways are triggered, consider how this generates effector alloantibody and cytotoxic CD8 T cell alloresponses and assess how these responses contribute to early and late allograft rejection. We further discuss how this knowledge may inform development of cellular and pharmacological therapies that aim to improve transplant outcomes, with focus on the use of induced regulatory T cells with indirect allospecificity and on the development of immunometabolic strategies.

Indexed as

Organ TransplantationDendritic CellsGraft RejectionHistocompatibility Antigens Class IIHumansIsoantibodiesIsoantigensT-Lymphocytes, CytotoxicT-Lymphocytes, Helper-InducerT-Lymphocytes, RegulatoryTransplantation, HomologousHistocompatibility Antigens Class IIIsoantibodiesIsoantigenschronic allograft vasculopathycytotoxic CD8 T cellsexhaustiongerminal centerindirect presentationT cell allorecognitionT follicular helper celltransplantation

Identifiers

PMID30455697
PMCPMC6230624

What OpenQuestion holds

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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.