Evidence map›Paper›PMID 32589662›Full record

ArticlePloS one2020

A chronic rejection model and potential biomarkers for vascularized composite allotransplantation.

Flemming Puscz, Mehran Dadras, Alexander Dermietzel, Frank Jacobsen, Marcus Lehnhardt, Björn Behr, Tobias Hirsch, Maximilian Kueckelhaus

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2020. 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
1.1field-weighted citation impact, top 24% 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. Review
  3. Chronic Rejection in Facial Vascularized Composite Allotransplantation (fVCA).Results and problems in cell differentiation · 2026
    Review
  4. Review
  5. Review
  6. Implementation of a CAM Assay Using Fibrosarcoma Spheroids.International journal of molecular sciences · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Trends, Gaps, and Collaboration in Facial Transplantation: A Bibliometric Study.Plastic and reconstructive surgery. Global open · 2022
    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

8 authors at 3 institutions in 1 country.

Flemming PusczDepartment of Plastic Surgery, Burn Centre, BG University Hospital Bergmannsheil, Bochum, Germany.ORCID 0000-0002-3599-9243
Mehran DadrasDepartment of Plastic Surgery, Burn Centre, BG University Hospital Bergmannsheil, Bochum, Germany.
Alexander DermietzelDivision of Plastic Surgery, Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
Frank JacobsenDepartment of Plastic Surgery, Burn Centre, BG University Hospital Bergmannsheil, Bochum, Germany.
Marcus LehnhardtDepartment of Plastic Surgery, Burn Centre, BG University Hospital Bergmannsheil, Bochum, Germany.
Björn BehrDepartment of Plastic Surgery, Burn Centre, BG University Hospital Bergmannsheil, Bochum, Germany.
Tobias HirschDivision of Plastic Surgery, Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
Maximilian KueckelhausDivision of Plastic Surgery, Department of Trauma, Hand and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany.
BG University Hospital Bergmannsheil Bochum · DEUniversity Hospital Münster · DEUniversity Hospital Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic rejection remains the Achilles heel in vascularized composite allotransplantation. Animal models to specifically study chronic rejection in vascularized composite allotransplantation do not exist so far. However, there are established rat models to study chronic rejection in solid organ transplantation such as allogeneic transplantation between the rat strains Lewis and Fischer344. Thus, we initiated this study to investigate the applicability of hindlimb transplantation between these strains to imitate chronic rejection in vascularized composite allotransplantation and identify potential markers.

methodsAllogeneic hindlimb transplantation were performed between Lewis (recipient) and Fischer344 (donor) rats with either constant immunosuppression or a high dose immunosuppressive bolus only in case of acute skin rejections. Histology, immunohistochemistry, microarray and qPCR analysis were used to detect changes in skin and muscle at postoperative day 100.

resultsWe were able to demonstrate significant intimal proliferation, infiltration of CD68 and CD4 positive cells, up-regulation of inflammatory cytokines and initiation of muscular fibrosis in the chronic rejection group. Microarray analysis and subsequent qPCR identified CXC ligands 9-11 as potential markers of chronic rejection.

conclusionsThe Fischer344 to Lewis hindlimb transplantation model may represent a new option to study chronic rejection in vascularized composite allotransplantation in an experimental setting. CXC ligands 9-11 deserve further research to investigate their role as chronic rejection markers.

Indexed as

AnimalsBiomarkersChronic DiseaseDisease Models, AnimalFibrosisGene Expression RegulationGraft RejectionHindlimbRatsSkinVascularized Composite AllotransplantationBiomarkers

Identifiers

PMID32589662
PMCPMC7319338
OpenAlexW3037206358

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.