Evidence map›Paper›PMID 33213083›Full record

ArticleJournal of clinical medicine2020

First Successful Delivery after Uterus Transplantation in MHC-Defined Cynomolgus Macaques.

Iori Kisu, Yojiro Kato, Yohei Masugi, Hirohito Ishigaki, Yohei Yamada, Kentaro Matsubara, Hideaki Obara, Katsura Emoto, Yusuke Matoba, Masataka Adachi and 15 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
  7. 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

25 authors at 5 institutions in 1 country.

Iori KisuDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 1608582, Japan.ORCID 0000-0003-1143-9855
Yojiro KatoDepartment of Surgery, Division of Gastroenterological and General Surgery, School of Medicine, Showa University, Tokyo 1428555, Japan.
Yohei MasugiDepartment of Pathology, Keio University School of Medicine, Tokyo 1608582, Japan.
Hirohito IshigakiDepartment of Pathology, Shiga University of Medical Science, Shiga 5202192, Japan.ORCID 0000-0002-5249-8598
Yohei YamadaDepartment of Pediatric Surgery, Keio University School of Medicine, Tokyo 1608582, Japan.ORCID 0000-0001-6059-7660
Kentaro MatsubaraDepartment of Surgery, Keio University School of Medicine, Tokyo 1608582, Japan.
Hideaki ObaraDepartment of Surgery, Keio University School of Medicine, Tokyo 1608582, Japan.
Katsura EmotoDepartment of Pathology, Keio University School of Medicine, Tokyo 1608582, Japan.
Yusuke MatobaDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 1608582, Japan.
Masataka AdachiDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 1608582, Japan.
Kouji BannoDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 1608582, Japan.
Yoko SaikiDepartment of Anesthesiology, Saiseikai Kanagawaken Hospital, Kanagawa 2210821, Japan.
Takako SasamuraDepartment of Pathology, Shiga University of Medical Science, Shiga 5202192, Japan.
Iori ItagakiResearch Center for Animal Life Science, Shiga University of Medical Science, Shiga 5202192, Japan.
Ikuo KawamotoResearch Center for Animal Life Science, Shiga University of Medical Science, Shiga 5202192, Japan.
Chizuru IwataniResearch Center for Animal Life Science, Shiga University of Medical Science, Shiga 5202192, Japan.
Takahiro NakagawaResearch Center for Animal Life Science, Shiga University of Medical Science, Shiga 5202192, Japan.
Mitsuru MuraseResearch Center for Animal Life Science, Shiga University of Medical Science, Shiga 5202192, Japan.
Hideaki TsuchiyaResearch Center for Animal Life Science, Shiga University of Medical Science, Shiga 5202192, Japan.
Hiroyuki UranoSafety Research Center, Ina Research Inc., Nagano 3994501, Japan.
Masatsugu EmaResearch Center for Animal Life Science, Shiga University of Medical Science, Shiga 5202192, Japan.
Kazumasa OgasawaraDepartment of Pathology, Shiga University of Medical Science, Shiga 5202192, Japan.
Daisuke AokiDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo 1608582, Japan.
Kenshi NakagawaSafety Research Center, Ina Research Inc., Nagano 3994501, Japan.
Takashi ShiinaDepartment of Molecular Life Science, Division of Basic Medical Science and Molecular Medicine, Tokai University School of Medicine, Kanagawa 2591193, Japan.ORCID 0000-0002-2067-6708
Keio University · JPShiga University of Medical Science · JPSaiseikai Kanagawa Hospital · JPShowa University · JPTokai University · JP

Funding

Kanzawa Medical Research Foundation N/Athe Adaptable and Seamless Technology Transfer Program through Target-Driven Research and Development (A-STEP), AMED AS2525033Nthe Japan Society for the Promotion of Science (JSPS) KAKENHI 17H05099
6 · The paper itself

Abstract

Delivery following uterus transplantation (UTx)-an approach for treating uterine factor infertility-has not been reported in nonhuman primate models. Here, six female major histocompatibility complex (MHC)-defined cynomolgus macaques that underwent allogeneic UTx were evaluated. Antithymocyte globulin and rituximab were administered to induce immunosuppression and a triple maintenance regimen was used. Menstruation resumed in all animals with long-term survival, except one, which was euthanized due to infusion associated adverse reaction to antithymocyte globulin. Donor-specific antibodies (DSA) were detected in cases 2, 4, and 5, while humoral rejection occurred in cases 4 and 5. Post-transplant lymphoproliferative disorder (PTLD) developed in cases 2 and 3. Pregnancy was attempted in cases 1, 2, and 3 but was achieved only in case 2, which had haploidentical donor and recipient MHCs. Pregnancy was achieved in case 2 after recovery from graft rejection coincident with DSA and PTLD. A cesarean section was performed at full-term. This is the first report of a successful livebirth following allogeneic UTx in nonhuman primates, although the delivery was achieved via UTx between a pair carrying haploidentical MHCs. Experimental data from nonhuman primates may provide important scientific knowledge needed to resolve unsolved clinical issues in UTx.

Indexed as

allogeneic uterus transplantationcynomolgus macaquedonor specific antibodyhumoral rejectionpost-transplant lymphoproliferative disorderuterine factor infertilityuterine transplantationuterus transplantation

Identifiers

PMID33213083
PMCPMC7698480
OpenAlexW3100084394

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.