Evidence map›Paper›PMID 31996662›Full record

ReviewTransplantation2020

New Insights Into the Molecular Mechanisms and Immune Control of Cytomegalovirus Reactivation.

Taylor A Heald-Sargent, Eleonora Forte, Xuefeng Liu, Edward B Thorp, Michael M Abecassis, Zheng Jenny Zhang, Mary A Hummel

Open access · greenAbstract readReview
In one paragraph

Review in Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

17 citing papers in PubMed, 21 citations in OpenAlex.

  1. Mechanisms and Determinants of CMV Reactivation in Kidney Transplantation.International journal of molecular sciences · 2026
    Review
  2. Cytomegalovirus infection after lung transplant: Incidence, risk factors, and management in a multicenter cohort.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  3. Article
  4. Article
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  7. Article
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  10. A vaccine against cytomegalovirus: how close are we?The Journal of clinical investigation · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Editorial: Cytomegalovirus Pathogenesis and Host Interactions.Frontiers in cellular and infection microbiology · 2021
    Article
  17. Article
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

7 authors at 1 institution in 1 country.

Taylor A Heald-SargentDivision of Pediatric Infectious Diseases, Department of Pediatrics, Ann & Robert H. Lurie Children's Hospital, Chicago, IL.
Eleonora ForteComprehensive Transplant Center, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Xuefeng LiuComprehensive Transplant Center, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Edward B ThorpDepartment of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Michael M AbecassisDepartment of Surgery, University of Arizona College of Medicine - Tucson, Tucson, AZ.
Zheng Jenny ZhangComprehensive Transplant Center, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Mary A HummelComprehensive Transplant Center, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL.
Northwestern University · US

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LEONIDAS C. PLATANIAS · 1993 to 2026
$153.9M
Precision Cell Isolation and Analysis CoreP01AI112522 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LUO, XUNRONG · 2015 to 2019
$11.9M
Efferocytosis-Directed Inflammation Resolution and Repair in the Hypoxic HeartR01HL122309 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI THORP, EDWARD BENJAMIN · 2014 to 2024
$5.0M
Mechanisms of MCMV reactivation in immunodeficient transplant recipientsR01AI112911 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ABECASSIS, MICHAEL M · 2014 to 2017
$1.7M
NCI NIH HHS P30 CA060553NHLBI NIH HHS R01 HL122309NIAID NIH HHS P01 AI112522NIAID NIH HHS R01 AI112911
6 · The paper itself

Abstract

Cytomegalovirus (CMV) is a β-herpesvirus that establishes lifelong latency in infected hosts. Following transplantation of a latently infected organ, reactivation can occur and consists of a spectrum of clinically apparent syndromes from mild symptoms to tissue-invasive, resulting in both direct and indirect sequelae. Before the advent of effective antiviral agents, the primary treatment was reduction in immunosuppression (IS). While antiviral agents provide effective prophylaxis, there are several important caveats associated with their use, including drug toxicity and resistance. The traditional view attributes CMV reactivation and the ensuing clinical disease primarily to IS, either intrinsic to disease-related immune compromise or from the extrinsic administration of IS agents. However, previous data from both animal models and human subjects showed that inflammatory signals could induce upregulation of latent viral gene expression. New data demonstrate that ischemia/reperfusion is necessary and sufficient to induce CMV reactivation following murine transplantation of a latently infected graft. In this article, we review a growing body of evidence that suggests that reactivation of both human CMV and murine CMV is first triggered by molecular events that activate CMV gene expression and lytic infection and viral dissemination are then facilitated by IS. The initial activation of viral gene expression may be mediated by oxidative stress, DNA damage, or inflammatory cytokines, and these factors may act synergistically. New therapeutic approaches are needed to capture this complex array of targets.

Indexed as

Kidney TransplantationAnimalsAntibodies, ViralCytomegalovirusCytomegalovirus InfectionsGraft RejectionHumansImmunosuppressive AgentsVirus ActivationVirus LatencyAntibodies, ViralImmunosuppressive Agents

Identifiers

PMID31996662
PMCPMC7790173
OpenAlexW3003304763

What OpenQuestion holds

Textmetadata
LicenceTDM
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.