Evidence map›Paper›PMID 32520785›Full record

ArticleCurrent opinion in organ transplantation2020

Recent advances in precision medicine for individualized immunosuppression.

Shengyi Fu, Ali Zarrinpar

Open access · greenAbstract read
In one paragraph

Article in Current opinion in organ transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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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

2 authors at 1 institution in 1 country.

Shengyi FuDepartment of Surgery, College of Medicine, University of Florida, Gainesville, Florida, USA.
Ali Zarrinpar
University of Florida · US

Funding

Ischemia-reperfusion injury in liver transplantationK08DK113244 · NIDDK · UNIVERSITY OF FLORIDA · PI ZARRINPAR, ALI · 2017 to 2021
$814k
Optimizing Immunosuppression Drug Dosing via Phenotypic Precision MedicineR21DK116140 · NIDDK · UNIVERSITY OF FLORIDA · PI ZARRINPAR, ALI · 2018 to 2019
$364k
NIDDK NIH HHS K08 DK113244NIDDK NIH HHS R21 DK116140
6 · The paper itself

Abstract

purpose of reviewThe current tools to proactively guide and individualize immunosuppression in solid organ transplantation are limited. Despite continued improvements in posttransplant outcomes, the adverse effects of over-immunosuppression or under-immunosuppression are common. The present review is intended to highlight recent advances in individualized immunosuppression. RECENT

findingsThere has been a great focus on genomic information to predict drug dose requirements, specifically on single nucleotide polymorphisms of CYP3A5 and ABCB1. Furthermore, biomarker studies have developed ways to better predict clinical outcomes, such as graft rejection. SUMMARY: The integration of advanced computing tools, such as artificial neural networks and machine learning, with genome sequencing has led to intriguing findings on individual or group-specific dosing requirements. Rapid computing allows for processing of data and discovering otherwise undetected clinical patterns. Genetic polymorphisms of CYP3A5 and ABCB1 have yielded results to suggest varying dose requirements correlated with race and sex. Newly proposed biomarkers offer precise and noninvasive ways to monitor patient's status. Cell-free DNA quantitation is increasingly explored as an indicator of allograft injury and rejection, which can help avoid unneeded biopsies and more frequently monitor graft function.

Indexed as

ATP Binding Cassette Transporter, Subfamily BCytochrome P-450 CYP3AGraft RejectionHumansImmunosuppression TherapyImmunosuppressive AgentsOrgan TransplantationPolymorphism, Single NucleotidePrecision MedicineTransplantation, HomologousABCB1 protein, humanATP Binding Cassette Transporter, Subfamily BCYP3A5 protein, humanCytochrome P-450 CYP3AImmunosuppressive Agents

Identifiers

PMID32520785
PMCPMC7723319
OpenAlexW3033569120

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.