Evidence map›Paper›PMID 32904032›Full record

ArticleTransplantation direct2020

Flavin Mononucleotide as a Biomarker of Organ Quality-A Pilot Study.

Lu Wang, Emily Thompson, Lucy Bates, Thomas L Pither, Sarah A Hosgood, Michael L Nicholson, Christopher J E Watson, Colin Wilson, Andrew J Fisher, Simi Ali and 1 more

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
9.8field-weighted citation impact, top 1% 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

33 citing papers in PubMed, 69 citations in OpenAlex.

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  6. Abdominal normothermic regional perfusion is associated with improved graft survival in liver transplantation from circulatory death donors.Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Observational
  7. Beyond preservation: future machine perfusion for liver assessment and repair.Nature reviews. Gastroenterology & hepatology · 2025
    Review
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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

11 authors at 2 institutions in 1 country.

Lu WangTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Emily ThompsonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Lucy BatesTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Thomas L PitherTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Sarah A HosgoodDepartment of Surgery, University of Cambridge, Cambridge, United Kingdom.
Michael L NicholsonDepartment of Surgery, University of Cambridge, Cambridge, United Kingdom.
Christopher J E WatsonDepartment of Surgery, University of Cambridge, Cambridge, United Kingdom.
Colin WilsonTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Andrew J FisherTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Simi AliTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
John H DarkTranslational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, United Kingdom.
Newcastle University · GBUniversity of Cambridge · GB

Funding

Medical Research Council MR/V002074/1
6 · The paper itself

Abstract

backgroundFlavin mononucleotide (FMN), released from damaged mitochondrial complex I during hypothermic liver perfusion, has been shown to be predictive of 90-day graft loss. Normothermic machine perfusion (NMP) and normothermic regional perfusion (NRP) are used for organ reconditioning and quality assessment before transplantation. This pilot study aimed to investigate the changes of FMN levels during normothermic reperfusion of kidneys, livers, and lungs and examine whether FMN could serve as a biomarker to predict posttransplant allograft quality.

methodsFMN concentrations, in perfusates collected during NMP of kidneys, abdominal NRP, and ex vivo lung perfusion, were measured using fluorescence spectrometry and correlated to the available perfusion parameters and clinical outcomes.

resultsAmong 7 transplanted kidneys out of the 11 kidneys that underwent NMP, FMN levels at 60 minutes of NMP were significantly higher in the allografts that developed delayed graft function and primary nonfunction (

conclusionsThis proof of concept study suggested that FMN in the perfusates of kidney NMP has the potential to predict posttransplant renal function, whereas FMN at 30 minutes of NRP predicts whether a liver would be accepted for transplantation. More work is required to validate the role of FMN as a putative biomarker to facilitate safe and reliable decision-making before embarking on transplantation.

Identifiers

PMID32904032
PMCPMC7447496
OpenAlexW3085397213

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.