Evidence map›Paper›PMID 32516138›Full record

Trial reportThe Journal of clinical investigation2020

Peripheral host T cells survive hematopoietic stem cell transplantation and promote graft-versus-host disease.

Sherrie J Divito, Anders T Aasebø, Tiago R Matos, Pei-Chen Hsieh, Matthew Collin, Christopher P Elco, John T O'Malley, Espen S Bækkevold, Henrik Reims, Tobias Gedde-Dahl and 15 more

Open access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in The Journal of clinical investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
4.5field-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

48 citing papers in PubMed, 1 synthesis or guideline pooled it, 85 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

25 authors at 5 institutions in 3 countries.

Sherrie J DivitoDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Anders T AasebøDepartment of Pathology, University of Oslo and Oslo University Hospital-Rikshospitalet, Oslo, Norway.
Tiago R MatosDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Pei-Chen HsiehDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Matthew CollinNewcastle University, Translational and Clinical Research Institute, Newcastle upon Tyne, United Kingdom.
Christopher P ElcoDepartment of Pathology and Laboratory Medicine, Brown University, Providence, Rhode Island, USA.
John T O'MalleyDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Espen S BækkevoldDepartment of Pathology, University of Oslo and Oslo University Hospital-Rikshospitalet, Oslo, Norway.
Henrik ReimsDepartment of Pathology, Oslo University Hospital-Rikshospitalet, Oslo, Norway.
Tobias Gedde-DahlDepartment of Hematology, Institute of Clinical Medicine, University of Oslo and Oslo University Hospital-Rikshospitalet, Oslo, Norway.
Michael HagerstromDepartment of Pathology and.
Jude HilaireDepartment of Pathology and.
John W LianDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Edgar L MilfordRenal Transplant Program, Division of Renal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Geraldine S PinkusDepartment of Pathology and.
Vincent T HoDivision of Hematological Malignancies and Stem Cell Transplantation and.
Robert J SoifferDivision of Hematological Malignancies and Stem Cell Transplantation and.
Haesook T KimDepartment of Data Sciences, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Martin C MihmDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Jerome RitzDivision of Hematological Malignancies and Stem Cell Transplantation and.
Indira GuleriaRenal Transplant Program, Division of Renal Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Corey S CutlerDivision of Hematological Malignancies and Stem Cell Transplantation and.
Rachael A ClarkDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Frode L JahnsenDepartment of Pathology, University of Oslo and Oslo University Hospital-Rikshospitalet, Oslo, Norway.
Thomas S KupperDepartment of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Brigham and Women's Hospital · USOslo University Hospital · NOBrown University · USDana-Farber Cancer Institute · USNewcastle University · GB

Funding

The Next Generation Immunoanalysis CoreP30AR069625 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN · 2016 to 2025
$8.8M
DERMATOLOGY TRAINING GRANTT32AR007098 · NIAMS · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI THOMAS S. KUPPER · 1986 to 2026
$8.1M
Skin Homing T CellsR01AR065807 · NIAMS · BRIGHAM AND WOMEN'S HOSPITAL · PI KUPPER, THOMAS S. · 2013 to 2022
$6.3M
Generation of Robust Resident Memory T cells in Barrier Tissues through Skin VaccinationR01AI127654 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN, KUPPER, THOMAS S. · 2017 to 2021
$6.0M
Transforming the diagnosis and care of patients with CTCL using TCR sequencingR01CA203721 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI CLARK, RACHAEL ANN, KUPPER, THOMAS S. · 2016 to 2020
$3.4M
Investigating a novel cell population in delayed-onset drug hypersensitivity reactionsDP5OD023091 · OD · BRIGHAM AND WOMEN'S HOSPITAL · PI DIVITO, SHERRIE JILL · 2016 to 2020
$2.1M
NCI NIH HHS R01 CA203721NIAID NIH HHS R01 AI127654NIAMS NIH HHS P30 AR069625NIAMS NIH HHS R01 AR065807NIAMS NIH HHS T32 AR007098NIH HHS DP5 OD023091
6 · The paper itself

Abstract

Graft-versus-host disease (GVHD) is a major cause of morbidity and mortality in hematopoietic stem cell transplantation (HSCT). Donor T cells are key mediators in pathogenesis, but a contribution from host T cells has not been explored, as conditioning regimens are believed to deplete host T cells. To evaluate a potential role for host T cells in GVHD, the origin of skin and blood T cells was assessed prospectively in patients after HSCT in the absence of GVHD. While blood contained primarily donor-derived T cells, most T cells in the skin were host derived. We next examined patient skin, colon, and blood during acute GVHD. Host T cells were present in all skin and colon acute GVHD specimens studied, yet were largely absent in blood. We observed acute skin GVHD in the presence of 100% host T cells. Analysis demonstrated that a subset of host T cells in peripheral tissues were proliferating (Ki67+) and producing the proinflammatory cytokines IFN-γ and IL-17 in situ. Comparatively, the majority of antigen-presenting cells (APCs) in tissue in acute GVHD were donor derived, and donor-derived APCs were observed directly adjacent to host T cells. A humanized mouse model demonstrated that host skin-resident T cells could be activated by donor monocytes to generate a GVHD-like dermatitis. Thus, host tissue-resident T cells may play a previously unappreciated pathogenic role in acute GVHD.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAllograftsAnimalsAntigen-Presenting CellsFemaleGraft vs Host DiseaseHumansInterferon-gammaInterleukin-17MaleMiceMice, Inbred NODMice, SCIDProspective StudiesSkinIFNG protein, humanInterferon-gammaInterleukin-17Bone marrow transplantationImmunologyT cellsTransplantation

Identifiers

PMID32516138
PMCPMC7456221
OpenAlexW3033972398

What OpenQuestion holds

Textmetadata
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.