Evidence map›Paper›PMID 33210808›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2021

A novel injury site-natural antibody targeted complement inhibitor protects against lung transplant injury.

Changhai Li, Kunal Patel, Zhenxiao Tu, Xiaofeng Yang, Liudmila Kulik, Ali Alawieh, Patterson Allen, Qi Cheng, Caroline Wallace, Jane Kilkenny and 13 more

Open access · greenAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.5field-weighted citation impact, top 37% 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

16 citing papers in PubMed, 18 citations in OpenAlex.

  1. Pretransplant natural antibody levels identify a subset of deceased donor kidney transplant recipients that benefit from infliximab induction.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Trial
  2. Article
  3. Review
  4. Review
  5. Emerging roles for complement in lung transplantation.The Journal of clinical investigation · 2025
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Increasing the efficacy and safety of a human complement inhibitor for treating post-transplant cardiac ischemia reperfusion injury by targeting to a graft-specific neoepitope.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2021
    Article
  14. Review
  15. Article
  16. 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

23 authors at 6 institutions in 3 countries.

Changhai LiThe Hepatic Surgery Centre at Tongji Hospital, Tongji Medical College, HUST, Wuhan, China.
Kunal PatelDepartment of Microbiology and Immunology, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Zhenxiao TuDepartment of Microbiology and Immunology, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Xiaofeng YangDepartment of Microbiology and Immunology, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Liudmila KulikDepartment of Medicine and Immunology, University of Colorado Denver, Aurora, Colorado, USA.
Ali AlawiehDepartment of Microbiology and Immunology, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Patterson AllenDepartment of Surgery, Lee Patterson Allen Transplant Immunobiology Laboratory, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Qi ChengThe Hepatic Surgery Centre at Tongji Hospital, Tongji Medical College, HUST, Wuhan, China.
Caroline WallaceDepartment of Microbiology and Immunology, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Jane KilkennyDepartment of Surgery, Lee Patterson Allen Transplant Immunobiology Laboratory, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Jennie KwonDepartment of Surgery, Lee Patterson Allen Transplant Immunobiology Laboratory, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Barry GibneyDepartment of Surgery, Lee Patterson Allen Transplant Immunobiology Laboratory, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Edward CantuDepartment of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Ashish SharmaDepartment of Surgery, University of Florida, Gainesville, Florida, USA.
Mauricio PipkinDivision of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, Florida, USA.
Tiago MachucaDivision of Thoracic and Cardiovascular Surgery, University of Florida, Gainesville, Florida, USA.ORCID 0000-0002-0748-7590
Amir EmtiazjooDivision of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, Florida, USA.
Martin GoddardPathology Department, Papworth Hospital, NHS Trust, Papworth Everard, Cambridge, UK.
V Michael HolersDepartment of Medicine and Immunology, University of Colorado Denver, Aurora, Colorado, USA.
Satish NadigDepartment of Microbiology and Immunology, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Jason ChristieDepartment of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Stephen TomlinsonDepartment of Microbiology and Immunology, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.
Carl AtkinsonDepartment of Microbiology and Immunology, Medical University of South Carolina, Microbiology and Immunology, Charleston, South Carolina, USA.ORCID 0000-0002-0067-0210
Medical University of South Carolina · USUniversity of Florida · USUniversity of Pennsylvania · USPapworth Hospital · GBTongji Hospital · CNUniversity of Colorado Denver · US

Funding

TRAINING TO IMPROVE CARDIOVASCULAR THERAPIEST32HL007260 · NHLBI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI MENICK, DONALD R. · 1985 to 2021
$11.1M
South Carolina Clinical & Translational Research Institute (SCTR)UL1TR000062 · NCATS · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2012 to 2014
$9.4M
Complement in the Pathogenesis of Autoimmune ArthritisR01AR051749 · NIAMS · UNIVERSITY OF COLORADO DENVER · PI Vernon Michael Holers · 2004 to 2026
$6.7M
Targeted delivery of immunosuppressive agents to the graft endothelium forthe prevention of rejection in lung transplantationU01AI170075 · NIAID · UNIVERSITY OF FLORIDA · PI Carl Atkinson, JASON R. McCARTHY · 2022 to 2026
$2.1M
Complement driven innate and adaptive autoreactivity in lung transplantationR01HL140470 · NHLBI · UNIVERSITY OF FLORIDA · PI ATKINSON, CARL · 2018 to 2021
$2.0M
Graft-targeted anti-complement therapy to reduce cardiac graft injury and allograft vasculopathyU01AI132894 · NIAID · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ATKINSON, CARL, TOMLINSON, STEPHEN · 2017 to 2021
$1.9M
Antibodies and complement in ischemia reperfusion injury and regenerationR01DK102912 · NIDDK · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI TOMLINSON, STEPHEN · 2015 to 2018
$1.7M
Lung Transplant donor: prediction, evaluation, and mechanismK23HL116656 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CANTU, EDWARD · 2013 to 2017
$872k
Brain death associated vascularized composite allograft injury and its impact on alloimmunity and functional recoveryR56AI156383 · NIAID · UNIVERSITY OF FLORIDA · PI ATKINSON, CARL, TOMLINSON, STEPHEN · 2021 to 2021
$413k
Immune sensing of ischemic injury and complement-dependent modulation of alloimmunity in cardiac transplantationR56AI119026 · NIAID · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ATKINSON, CARL, TOMLINSON, STEPHEN · 2015 to 2015
$374k
Advanced diagnostics for donor lung assessment and ex vivo lung perfusion candidate selectionR03HL135227 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI CANTU, EDWARD · 2016 to 2017
$161k
BLR&D Research Career Scientist Award Application for Dr. Stephen TomlinsonIK6BX005235 · VA · RALPH H JOHNSON VA MEDICAL CENTER · PI TOMLINSON, STEPHEN · 2020 to 2024
–
BLRD VA IK6 BX005235NCATS NIH HHS UL1 TR000062NHLBI NIH HHS K23 HL116656NHLBI NIH HHS R01 HL140470NHLBI NIH HHS R03 HL135227NHLBI NIH HHS T32 HL007260NIAID NIH HHS R56 AI119026NIAID NIH HHS U01 AI132894NIAID NIH HHS U01 AI170075NIAMS NIH HHS R01 AR051749NIDDK NIH HHS R01 DK102912
6 · The paper itself

Abstract

Complement is known to play a role in ischemia and reperfusion injury (IRI). A general paradigm is that complement is activated by self-reactive natural IgM antibodies (nAbs), after they engage postischemic neoepitopes. However, a role for nAbs in lung transplantation (LTx) has not been explored. Using mouse models of LTx, we investigated the role of two postischemic neoepitopes, modified annexin IV (B4) and a subset of phospholipids (C2), in LTx. Antibody deficient Rag1-/- recipient mice were protected from LTx IRI. Reconstitution with either B4 or C2nAb restored IRI, with C2 significantly more effective than B4 nAb. Based on these information, we developed/characterized a novel complement inhibitor composed of single-chain antibody (scFv) derived from the C2 nAb linked to Crry (C2scFv-Crry), a murine inhibitor of C3 activation. Using an allogeneic LTx, in which recipients contain a full nAb repertoire, C2scFv-Crry targeted to the LTx, inhibited IRI, and delayed acute rejection. Finally, we demonstrate the expression of the C2 neoepitope in human donor lungs, highlighting the translational potential of this approach.

Indexed as

Lung InjuryLung TransplantationReperfusion InjuryTransplantsAnimalsComplement Inactivating AgentsHumansImmunoglobulin MMiceComplement Inactivating AgentsImmunoglobulin Mbasic (laboratory) research / sciencecomplement biologyimmunobiologyinnate immunitylung (allograft) function / dysfunctionlung transplantation / pulmonology

Identifiers

PMID33210808
PMCPMC8246004
OpenAlexW3104043064

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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.