Evidence map›Paper›PMID 33258927›Full record

ArticleInternational immunology2021

Suppression of liver transplant rejection by anti-donor MHC antibodies via depletion of donor immunogenic dendritic cells.

Hisashi Ueta, Xue-Dong Xu, Bin Yu, Yusuke Kitazawa, Enqiao Yu, Yoshiaki Hara, Miwa Morita-Nakagawa, Shu Zhou, Yasushi Sawanobori, Satoshi Ueha and 5 more

Open access · hybridAbstract read
In one paragraph

Article in International immunology, 2021. 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
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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Allorecognition Unveiled: Integrating Recent Breakthroughs Into the Current Paradigm.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
  3. Review
  4. Article
  5. Dendritic cells in liver transplantation immune response.Frontiers in cell and developmental biology · 2023
    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

15 authors at 8 institutions in 2 countries.

Hisashi UetaDepartment of Anatomy (Macro), Dokkyo Medical University, Tochigi, Japan.
Xue-Dong XuDepartment of General Surgery, Dalian Medical University, The First Affiliated Hospital, Dalian, China.
Bin YuDepartment General Surgery, The First Affiliated Hospital of Soochow University, Jiangsu, China.
Yusuke KitazawaDepartment of Anatomy (Macro), Dokkyo Medical University, Tochigi, Japan.
Enqiao YuDepartment General Surgery, The First Affiliated Hospital of Soochow University, Jiangsu, China.
Yoshiaki HaraKawasaki Saiwai Hospital, Kawasaki-0014, Japan.
Miwa Morita-NakagawaFaculty of Oral Dentistry, Fukuoka Dental College, Fukuoka, Japan.
Shu ZhouDepartment of Obstetrics and Gynecology, Dalian Medical University, The First Affiliated Hospital, Dalian, China.
Yasushi SawanoboriDepartment of Anatomy (Macro), Dokkyo Medical University, Tochigi, Japan.
Satoshi UehaDivision of Molecular Regulation of Inflammatory and Immune Diseases, Research Institute for Biomedical Sciences, Tokyo University of Science, Chiba, Japan.
Kazuhito RokutanDepartment of Pathophysiology, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Toshiya TanakaLaboratory for Systems Biology and Medicine, RCAST, The University of Tokyo, Tokyo, Japan.
Nobuko TokudaDepartment of Anatomy (Macro), Dokkyo Medical University, Tochigi, Japan.
Kouji MatsushimaDivision of Molecular Regulation of Inflammatory and Immune Diseases, Research Institute for Biomedical Sciences, Tokyo University of Science, Chiba, Japan.
Kenjiro MatsunoDepartment of Anatomy (Macro), Dokkyo Medical University, Tochigi, Japan.
Dokkyo Medical University · JPDalian Medical University · CNSoochow University · CNTokyo University of Science · JPFukuoka Dental College · JPKawasaki Hospital · JPThe University of Tokyo · JPTokushima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe previously found two distinct passenger dendritic cell (DC) subsets in the rat liver that played a central role in the liver transplant rejection. In addition, a tolerance-inducing protocol, donor-specific transfusion (DST), triggered systemic polytopical production of depleting alloantibodies to donor class I MHC (MHCI) antigen (DST-antibodies).

methodsWe examined the role of DST-antibodies in the trafficking of graft DC subsets and the alloresponses in a rat model. We also examined an anti-donor class II MHC (MHCII) antibody that recognizes donor DCs more selectively.

resultsPreoperative transfer of DST-antibodies or DST pretreatment eliminated all passenger leukocytes, including both DC subsets and depleted the sessile DCs in the graft to ~20% of control. The CD172a+CD11b/c+ immunogenic subset was almost abolished. The intrahost direct or semi-direct allorecognition pathway was successfully blocked, leading to a significant suppression of the CD8+ T-cell response in the recipient lymphoid organs and the graft with delayed graft rejection. Anti-donor MHCII antibody had similar effects without temporary graft damage. Although DST pretreatment had a priming effect on the proliferative response of recipient regulatory T cells, DST-primed sera and the anti-donor MHCII antibody did not.

conclusionDST-antibodies and anti-donor MHCII antibodies could suppress the CD8+ T-cell-mediated liver transplant rejection by depleting donor immunogenic DCs, blocking the direct or semi-direct pathways of allorecognition. Donor MHCII-specific antibodies may be applicable as a selective suppressant of anti-donor immunity for clinical liver transplantation without the cellular damage of donor MHCII- graft cells and recipient cells.

Indexed as

AnimalsAnimals, Genetically ModifiedAntibody FormationAntigens, DifferentiationCD11b AntigenCD8-Positive T-LymphocytesDendritic CellsGraft RejectionGraft SurvivalHistocompatibility Antigens Class IImmune ToleranceIsoantibodiesLiver TransplantationRatsRats, Inbred LewTissue DonorsAntigens, DifferentiationCD11b AntigenHistocompatibility Antigens Class IIsoantibodiesCD8 T cellsdonor-specific transfusionleukocyte traffickingmulticolor immunohistochemistrysensitization pathway

Identifiers

PMID33258927
PMCPMC8060989
OpenAlexW3107407841

What OpenQuestion holds

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LicenceCC BY-NC
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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.