Evidence map›Paper›PMID 30531916›Full record

ArticleBone marrow transplantation2019

Beneficial role of CD8+ T-cell reconstitution after HLA-haploidentical stem cell transplantation for high-risk acute leukaemias: results from a clinico-biological EBMT registry study mostly in the T-cell-depleted setting.

Attilio Bondanza, Loredana Ruggeri, Maddalena Noviello, Dirk-Jan Eikema, Chiara Bonini, Christian Chabannon, Steffie van der Werf, Anja van Biezen, Liesbeth C de Wreede, Lara Crucitti and 12 more

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In one paragraph

Article in Bone marrow transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

9 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Improved Vδ2Annals of hematology · 2023
    Article
  5. Article
  6. Review
  7. Review
  8. Role of Stem-Cell Transplantation in Leukemia Treatment.Stem cells and cloning : advances and applications · 2020
    Review
  9. Review
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

22 authors at 7 institutions in 5 countries.

Attilio BondanzaSan Raffaele University Hospital and Scientific Institute, Milan, Italy. attilio.bondanza@gmail.com.
Loredana RuggeriPerugia General Hospital and University, Perugia, Italy.
Maddalena NovielloSan Raffaele University Hospital and Scientific Institute, Milan, Italy.
Dirk-Jan EikemaLeiden University Medical Center, Leiden, Netherlands.
Chiara BoniniSan Raffaele University Hospital and Scientific Institute, Milan, Italy.
Christian ChabannonInstitut Paoli-Calmettes and Inserm CBT-1409, Marseille, France.ORCID http://orcid.org/0000-0002-3755-4889
Steffie van der WerfLeiden University Medical Center, Leiden, Netherlands.
Anja van BiezenLeiden University Medical Center, Leiden, Netherlands.
Liesbeth C de WreedeLeiden University Medical Center, Leiden, Netherlands.
Lara CrucittiUniversity of Milan, Milan, Italy.
Luca VagoSan Raffaele University Hospital and Scientific Institute, Milan, Italy.
Mara MerluzziPerugia General Hospital and University, Perugia, Italy.
Maria Speranza MasseiPerugia General Hospital and University, Perugia, Italy.
Hendrik VeelkenLeiden University Medical Center, Leiden, Netherlands.
Yener KocMedical Park Hospitals, Antalya, Turkey.
Peter BaderUniversity Hospital Frankfurt, Goethe University, Frankfurt/Main, Germany.
Bernd GruhnJena University Hospital, Jena, Germany.
Franco LocatelliIRCCS Ospedale Pediatrico Bambino Gesù, Rome, Italy.
Fabio CiceriSan Raffaele University Hospital and Scientific Institute, Milan, Italy.
Antoine ToubertHôpital Saint-Louis, Paris, France.
Andrea VelardiPerugia General Hospital and University, Perugia, Italy.
EBMT Cell Therapy and Immunobiology Working Party
University of Perugia · ITLeiden University Medical Center · NLGoethe University Frankfurt · DEInserm · FRSan Raffaele University of Rome · ITUniversity of Milan · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

HLA-haploidentical haematopoietic stem cell transplantation (haplo-HSCT) is increasingly offered to patients with high-risk acute leukaemia. Unfortunately, haplo-HSCT is followed by a delayed immunoreconstitution. The aim of this EBMT registry study was to explore the clinical impact of lymphocyte subset counts after haplo-HSCT. We considered 144 leukaemic patients transplanted in the period 2001-2012. Pre-transplantation clinical variables and differential immune-cell counts (CD3, CD4, CD8 T cells, NK and B cells) measured before day 100 were evaluated for their capacity to predict overall survival, relapse mortality or non-relapse mortality (NRM). Negative prognostic factors for overall survival were advanced disease state at transplantation, host age and CMV seropositivity. Higher CD3, CD4 and CD8 counts were associated with a better overall survival and a lower NRM. Strikingly, when tested in multivariable analysis, higher CD3 and CD8 counts were still significantly associated with a lower NRM. These results indicate that an accelerated T-cell reconstitution correlates with less transplantation mortality, likely due to the protective role of T cells against viral infections. This observation suggests that CD8+ T-cell counts should be investigated as surrogate biomarkers of outcome in prospective haplo-HSCT trials.

Indexed as

AdolescentAdultAgedCD8-Positive T-LymphocytesChildChild, PreschoolFemaleHumansLeukemiaMaleMiddle AgedRegistriesRisk FactorsStem Cell TransplantationTransplantation, HaploidenticalYoung Adult

Identifiers

PMID30531916
OpenAlexW2903771102

What OpenQuestion holds

Textmetadata
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.