Evidence map›Paper›PMID 32158639›Full record

ArticleCurrent transplantation reports2019

Belatacept and CD28 Costimulation Blockade: Preventing and Reducing Alloantibodies over the Long Term.

Ronald F Parsons, Christian P Larsen, Thomas C Pearson, I Raul Badell

Open access · bronzeAbstract read
In one paragraph

Article in Current transplantation reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Memory T follicular helper cells drive donor-specific antibodies independent of memory B cells and primary germinal center and alloantibody formation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  7. Article
  8. Article
  9. Current perspective of immunomodulators for lung transplant.Indian journal of thoracic and cardiovascular surgery · 2022
    Review
  10. Review
  11. Superior inhibition of alloantibody responses with selective CD28 blockade is CTLA-4 dependent and T follicular helper cell specific.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  12. Review
  13. Macrophages in Organ Transplantation.Frontiers in immunology · 2020
    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

4 authors at 1 institution in 1 country.

Ronald F ParsonsEmory Transplant Center, Atlanta, GA 30322.
Christian P LarsenEmory Transplant Center, Atlanta, GA 30322.
Thomas C PearsonEmory Transplant Center, Atlanta, GA 30322.
I Raul BadellEmory Transplant Center, Atlanta, GA 30322.
Emory Healthcare · US

Funding

Mechanisms of Selective CD28 Blockade on T Follicular Helper Cell-mediated Donor-specific Antibody Responses in TransplantationK08AI132747 · NIAID · EMORY UNIVERSITY · PI BADELL, IDELBERTO RAUL · 2017 to 2021
$943k
NIAID NIH HHS K08 AI132747
6 · The paper itself

Abstract

Purpose of Review: Highlight developments in T and B cell biology that are helping elucidate the mechanisms underlying CD28 pathway blockade-mediated inhibition of alloantibodies in transplantation, and discuss recent clinical observations on the impact of belatacept on de novo and established HLA antibodies. Recent Findings: The identification of T follicular helper cells as the CD4+ T cell subset required for optimal humoral immunity, along with newly identified roles for CD28 and the B7 molecules on B cell lineage cells has begun to pave the way for improved understanding and discovery of the mechanisms of CD28 costimulation blockade-mediated antibody inhibition. There has been resurgent clinical interest in the ability of belatacept to attenuate alloantibody responses. New reports have continued to document its ability to prevent de novo antibody responses, and more recent studies have surfaced exploring its potential to control nascent or pre-existing HLA antibodies. Summary: A growing understanding of the mechanisms of anti-CD28-mediated alloantibody inhibition and continued clinical successes will guide the clinical optimization of belatacept and next generation CD28 blockers to prevent and reduce alloantibodies over the long-term.

Indexed as

AlloantibodiesBelataceptCD28 pathwayCostimulation blockadeCTLA-4-IgKidney transplantation

Identifiers

PMID32158639
PMCPMC7063534
OpenAlexW2987445365

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.