Evidence map›Paper›PMID 31929419›Full record

ArticleTransplantation2020

Liposomal Delivery Improves the Efficacy of Prednisolone to Attenuate Renal Inflammation in a Mouse Model of Acute Renal Allograft Rejection.

Carla M A van Alem, Martina Schmidbauer, Song Rong, Katja Derlin, Jessica Schmitz, Jan H Bräsen, Anja Thorenz, Rongjun Chen, Jurjen M Ruben, Elizabeth M Winter and 9 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Review
  6. Article
  7. Nanotherapeutics in transplantation: How do we get to clinical implementation?American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    Review
  8. Review
  9. Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 3 institutions in 2 countries.

Carla M A van AlemDepartment of Internal Medicine, Division of Nephology, Leiden University Medical Center, Leiden, The Netherlands.
Martina SchmidbauerInstitute of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.
Song RongNephrology, Hannover Medical School, Hannover, Germany.
Katja DerlinInstitute of Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany.
Jessica SchmitzInstitute of Pathology, Nephropathology Unit, Hannover Medical School, Hannover, Germany.
Jan H BräsenInstitute of Pathology, Nephropathology Unit, Hannover Medical School, Hannover, Germany.
Anja ThorenzNephrology, Hannover Medical School, Hannover, Germany.
Rongjun ChenNephrology, Hannover Medical School, Hannover, Germany.
Jurjen M RubenDepartment of Internal Medicine, Division of Nephology, Leiden University Medical Center, Leiden, The Netherlands.
Elizabeth M WinterDepartment of Internal Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, The Netherlands.
Maaike SchilperoortDepartment of Internal Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, The Netherlands.
Sander KooijmanDepartment of Internal Medicine, Division of Endocrinology, Leiden University Medical Center, Leiden, The Netherlands.
Reshma A LalaiDepartment of Internal Medicine, Division of Nephology, Leiden University Medical Center, Leiden, The Netherlands.
Josbert M MetselaarEnceladus Pharmaceuticals, Naarden, the Netherlands.
Christian KlemannDepartment of Pediatric Pneumology, Allergy and Neonatology, Hannover Medical School, Hannover, Germany.
Martin MeierInstitute of Animal Science Imaging Center, Hannover Medical School, Germany.
Cees van KootenDepartment of Internal Medicine, Division of Nephology, Leiden University Medical Center, Leiden, The Netherlands.
Faikah GuelerNephrology, Hannover Medical School, Hannover, Germany.
Joris I RotmansDepartment of Internal Medicine, Division of Nephology, Leiden University Medical Center, Leiden, The Netherlands.
Medizinische Hochschule Hannover · DELeiden University Medical Center · NLEnceladus Pharmaceuticals (Netherlands) · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSystemic exposure to high-dose corticosteroids effectively combats acute rejection after kidney transplantation, but at the cost of substantial side effects. In this study, a murine acute renal allograft rejection model was used to investigate whether liposomal-encapsulated prednisolone (LP) facilitates local exposure to enhance its therapeutic effect.

methodsMale BalbC recipients received renal allografts from male C57BL/6J donors. Recipients were injected daily with 5 mg/kg cyclosporine A and received either 10 mg/kg prednisolone (P), or LP intravenously on day 0, 3, and 6, or no additional treatment. Functional magnetic resonance imaging (fMRI) was performed on day 6 to study allograft perfusion and organs were retrieved on day 7 for further analysis.

resultsStaining of polyethylene-glycol-labeled liposomes and high performance liquid chromatography analysis revealed accumulation in the LP treated allograft. LP treatment induced the expression of glucocorticoid responsive gene Fkbp5 in the allograft. Flow-cytometry of allografts revealed liposome presence in CD45 cells, and reduced numbers of F4/80 macrophages, and CD3 T-lymphocytes upon LP treatment. Banff scoring showed reduced interstitial inflammation and tubulitis and fMRI analysis revealed improved allograft perfusion in LP versus NA mice.

conclusionsLiposomal delivery of prednisolone improved renal bio-availability, increased perfusion and reduced cellular infiltrate in the allograft, when compared with conventional prednisolone. Clinical studies should reveal if treatment with LP results in improved efficacy and reduced side effects in patients with renal allograft rejection.

Indexed as

Kidney TransplantationAllograftsAnimalsCalcineurin InhibitorsCyclosporineDisease Models, AnimalGlucocorticoidsGraft RejectionInjections, IntravenousKidneyLiposomesMaleMice, Inbred BALB CMice, Inbred C57BLNephritisPrednisoloneCalcineurin InhibitorsCyclosporineGlucocorticoidsLiposomesPrednisolone

Identifiers

PMID31929419
PMCPMC7147400
OpenAlexW2999541385

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.