Evidence map›Paper›PMID 31677358›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2020

Pseudomonas aeruginosa and acute rejection independently increase the risk of donor-specific antibodies after lung transplantation.

Hrishikesh S Kulkarni, Kevin Tsui, Suraj Sunder, Alex Ganninger, Laneshia K Tague, Chad A Witt, Derek E Byers, Elbert P Trulock, Ruben Nava, Varun Puri and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. International Society for Heart and Lung Transplantation Scientific Statement on pulmonary antibody-mediated rejection and proposed graft, antibody, and pathology (GAP) definition.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2026
    Guideline
  2. Article
  3. Review
  4. Science translational medicine · 2025
    Article
  5. Article
  6. Article
  7. IL-33: Friend or foe in transplantation?The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Review
  8. Article
  9. Organizing pneumonia is associated with molecular allograft injury and the development of antibody-mediated rejection.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2024
    Article
  10. Evaluation ofJournal of dentistry (Shiraz, Iran) · 2024
    Article
  11. Review
  12. Review
  13. Pseudomonas-dominant microbiome elicits sustained IL-1β upregulation in alveolar macrophages from lung transplant recipients.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Article
  14. Article
  15. Review
  16. Immune processes in the pathogenesis of chronic lung allograft dysfunction: identifying the missing pieces of the puzzle.European respiratory review : an official journal of the European Respiratory Society · 2022
    Review
  17. Review
  18. Article
  19. Donor derived cell free DNA% is elevated with pathogens that are risk factors for acute and chronic lung allograft injury.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021
    Article
  20. Can we decloak how infections drive complications after lung transplantation?The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Hrishikesh S KulkarniDepartment of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.ORCID 0000-0003-4830-5084
Kevin TsuiAdvocate Christ Medical Center, Chicago, Illinois, USA.
Suraj SunderDepartment of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.
Alex GanningerDepartment of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.
Laneshia K TagueDepartment of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.ORCID 0000-0002-6243-1901
Chad A WittDepartment of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.
Derek E ByersDepartment of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.
Elbert P TrulockDepartment of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.
Ruben NavaDepartment of Surgery, Washington University School of Medicine, Saint Louis, Missouri, USA.
Varun PuriDepartment of Surgery, Washington University School of Medicine, Saint Louis, Missouri, USA.
Daniel KreiselDepartment of Surgery, Washington University School of Medicine, Saint Louis, Missouri, USA.ORCID 0000-0002-7711-8651
Thalachallour MohanakumarNorton Thoracic Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Andrew E GelmanDepartment of Surgery, Washington University School of Medicine, Saint Louis, Missouri, USA.
Ramsey R HachemDepartment of Medicine, Washington University School of Medicine, Saint Louis, Missouri, USA.
Washington University in St. Louis · USAdvocate Christ Medical Center · USSt. Joseph's Hospital and Medical Center · US

Funding

Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
PREDICTIVE MODELING IN LUNG CANCERK07CA178120 · NCI · WASHINGTON UNIVERSITY · PI PURI, VARUN · 2013 to 2017
$789k
C3 Mitigates Epithelial Injury in PneumoniaK08HL148510 · NHLBI · WASHINGTON UNIVERSITY · PI KULKARNI, HRISHIKESH SATISH · 2019 to 2023
$740k
Influence of Mycophenolic Acid Pharmacogenomics on Lung Transplant OutcomesK01HL155231 · NHLBI · WASHINGTON UNIVERSITY · PI TAGUE, LANESHIA K · 2021 to 2024
$596k
American Lung AssociationCystic Fibrosis FoundationNCATS NIH HHS KL2 TR002346NCI NIH HHS K07 CA178120NHLBI NIH HHS K01 HL155231NHLBI NIH HHS K08 HL148510NIMHD NIH HHS L32 MD015438
6 · The paper itself

Abstract

Factors contributing to donor-specific HLA antibody (DSA) development after lung transplantation have not been systematically evaluated. We hypothesized that the isolation of Pseudomonas aeruginosa in respiratory specimens would increase the risk of DSA development. Our objective was to determine the risk of DSA development associated with the isolation of Pseudomonas aeruginosa after lung transplantation. We conducted a single-center retrospective cohort study of primary lung transplant recipients and examined risk factors for DSA development using Cox regression models. Of 460 recipients, 205 (45%) developed DSA; the majority developed Class II DSA (n = 175, 85%), and 145 of 205 (71%) developed DSA to HLA-DQ alleles. Univariate time-dependent analyses revealed that isolation of Pseudomonas from respiratory specimens, acute cellular rejection, and lymphocytic bronchiolitis are associated with an increased risk of DSA development. In multivariable analyses, Pseudomonas isolation, acute cellular rejection, and lymphocytic bronchiolitis remained independent risk factors for DSA development. Additionally, there was a direct association between the number of positive Pseudomonas cultures and the risk of DSA development. Our findings suggest that pro-inflammatory events including acute cellular rejection, lymphocytic bronchiolitis, and Pseudomonas isolation after transplantation are associated with an increased risk of DSA development.

Indexed as

Lung TransplantationPseudomonas aeruginosaAntibodiesGraft RejectionHLA AntigensHumansIsoantibodiesRetrospective StudiesTissue DonorsAntibodiesHLA AntigensIsoantibodiesalloantibodyantibody biologyclinical research/practicegraft survivalimmunobiologyinfection and infectious agents - bacteriallung (allograft) function/dysfunctionlung transplantation/pulmonology

Identifiers

PMID31677358
PMCPMC7103544
OpenAlexW2987823915

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.