Evidence map›Paper›PMID 30787020›Full record

ArticleBlood advances2019

Immune cytopenia post-cord transplant in Hurler syndrome is a forme fruste of graft rejection.

David Deambrosis, Su Han Lum, Ryan M Hum, Kay Poulton, Wendy Ogden, Simon Jones, Simon Stanworth, Denise Bonney, Prashant Hiwarkar, Robert F Wynn

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Blood advances, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05425043 (The Use of Granulocyte Transfusions After Umbilical Cord Blood Transplant for Leukaemia), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 12% 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.

NCT05425043 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

The Use of Granulocyte Transfusions After Umbilical Cord Blood Transplant for Leukaemia: A Prospective, Non-randomised, Single-centre Study to Evaluate Safety and Immune Reconstitution

TypeinterventionalSponsorUniversity of ManchesterRan2021 to 2026Enrolled40ConditionsPediatric CancerArmsGranulocytes
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 18 citations in OpenAlex.

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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

10 authors at 4 institutions in 1 country.

David DeambrosisDepartment of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Su Han LumDepartment of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Ryan M HumFaculty of Biology, Medicine and Health, The University of Manchester, Manchester, United Kingdom.
Kay PoultonTransplantation Laboratory, Manchester Royal Infirmary, Manchester, United Kingdom.
Wendy OgdenTransplantation Laboratory, Manchester Royal Infirmary, Manchester, United Kingdom.
Simon JonesDepartment of Inherited Metabolic Disease, Royal Manchester Children's Hospital, Manchester, United Kingdom; and.
Simon StanworthDepartment of Haematology, John Radcliffe Hospital, Oxford, United Kingdom.
Denise BonneyDepartment of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Prashant HiwarkarDepartment of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Robert F WynnDepartment of Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, United Kingdom.
Royal Manchester Children's Hospital · GBManchester Royal Infirmary · GBJohn Radcliffe Hospital · GBUniversity of Manchester · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Umbilical cord blood (UCB) is the preferred donor cell source for children with Hurler syndrome undergoing transplant, and its use has been associated with improved "engrafted survival" rates. However, as in other pediatric recipients of UCB transplants for nonmalignant disease, immune-mediated cytopenia (IMC) is a significant complication. This article describes 8 episodes of IMC in 36 patients with Hurler syndrome undergoing UCB transplant. The incidence of IMC was increased in those with a higher preconditioning absolute lymphocyte count and in those conditioned with fludarabine-containing regimens rather than cyclophosphamide, and it included red cell alloantibodies directed at cord blood group antigens that are novel to the recipient. In several cases, IMC was a precursor to immune-mediated complete graft rejection. We describe IMC as part of a spectrum of graft rejection by a residual competent host immune system and a forme fruste of complete graft rejection.

Indexed as

Transplantation ConditioningFetal BloodGraft RejectionHumansLymphocyte CountLymphopeniaMucopolysaccharidosis I

Identifiers

PMID30787020
PMCPMC6391675
OpenAlexW2915455013

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.