Evidence map›Paper›PMID 32547557›Full record

ArticleFrontiers in immunology2020

Alemtuzumab as a Therapy for Chronic Lung Allograft Dysfunction in Lung Transplant Recipients With Short Telomeres.

Anil J Trindade, Tany Thaniyavarn, Keri Townsend, Robin Klasek, Karen P Tsveybel, John C Kennedy, Hilary J Goldberg, Souheil El-Chemaly

Open access · goldAbstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Review
  3. Review
  4. Lung transplant recipients with telomere-mediated pulmonary fibrosis have increased risk for hematologic complications.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023
    Article
  5. Induction and maintenance immunosuppression in lung transplantation.Indian journal of thoracic and cardiovascular surgery · 2022
    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

8 authors at 2 institutions in 1 country.

Anil J TrindadePulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Tany ThaniyavarnPulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Keri TownsendPulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Robin KlasekPulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Karen P TsveybelPulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States.
John C KennedyPulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Hilary J GoldbergPulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Souheil El-ChemalyPulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Brigham and Women's Hospital · USHarvard University · US

Funding

Lymphatics and Lung Allograft RejectionR01HL130275 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI EL-CHEMALY, SOUHEIL · 2016 to 2020
$2.2M
NHLBI NIH HHS R01 HL130275
6 · The paper itself

Abstract

Alemtuzumab, a monoclonal antibody targeting CD52 that causes lymphocyte apoptosis, is a form of advanced immunosuppression that is currently used as a therapy for refractory acute cellular rejection and chronic lung allograft dysfunction in lung transplant recipients (1-3). Side effects of alemtuzumab include bone marrow suppression, infection, and malignancy. Whether alemtuzumab can be safely used in allograft recipients that have an increased propensity for bone marrow suppression due to telomeropathies is unknown. In a retrospective case series, we report outcomes associated with alemtuzumab in three lung allograft recipients with short telomere lengths, comparing endpoints such as leukopenia, transfusion needs, infection, hospitalization and survival to those of 17 patients without known telomeropathies that received alemtuzumab. We show that the use of alemtuzumab in lung transplant recipients with short telomeres is safe, though is associated with an increased incidence of neutropenia, thrombocytopenia and anemia requiring packed red blood cell transfusions. Alemtuzumab appears to be an acceptable advanced immunosuppressive therapy in patients with telomeropathies, though given the design and scope of this study, the actual clinical effect needs further evaluation in larger trials.

Indexed as

Telomere ShorteningAlemtuzumabAllograftsCD52 AntigenFemaleGraft RejectionHematologic DiseasesHumansImmunosuppressive AgentsLung TransplantationMaleMiddle AgedRetrospective StudiesSafetyTreatment OutcomeAlemtuzumabCD52 AntigenCD52 protein, humanImmunosuppressive Agentsalemtuzumabaugmented immunosuppressionchronic lung allograft dysfunctionchronic rejectionlung transplantationshort telomerestelomere length

Identifiers

PMID32547557
PMCPMC7270280
OpenAlexW3030041262

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.