Evidence map›Paper›PMID 33613539›Full record

ArticleFrontiers in immunology2020

Use of the Tissue Common Rejection Module Score in Kidney Transplant as an Objective Measure of Allograft Inflammation.

Arya Zarinsefat, Jose M Arreola Guerra, Tara Sigdel, Izabella Damm, Reuben Sarwal, Chitranon Chan-On, Gyula Szabo, Jorge L Aguilar-Frasco, Xicohtencatl Ixtlapale-Carmona, Carlos Salinas-Ramos and 6 more

Open access · goldAbstract readControlled Clinical Trial
In one paragraph

Article in Frontiers in immunology, 2020. 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
1.6field-weighted citation impact, top 19% 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. Review
  2. Gene expression-based molecular scoring of pancreas transplant rejection for a quantitative assessment of rejection severity and resistance to treatment.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Article
  3. The Banff 2022 Kidney Meeting Work Plan: Data-driven refinement of the Banff Classification for renal allografts.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  4. Review
  5. 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

16 authors at 3 institutions in 2 countries.

Arya ZarinsefatDepartment of Surgery, University of California, San Francisco, CA, United States.
Jose M Arreola GuerraDepartment of Internal Medicine, Centenario Hospital Miguel Hidalgo, Aguascalientes, Mexico.
Tara SigdelDepartment of Surgery, University of California, San Francisco, CA, United States.
Izabella DammDepartment of Surgery, University of California, San Francisco, CA, United States.
Reuben SarwalDepartment of Surgery, University of California, San Francisco, CA, United States.
Chitranon Chan-OnDepartment of Surgery, University of California, San Francisco, CA, United States.
Gyula SzaboDepartment of Pathology, University of California, San Francisco, CA, United States.
Jorge L Aguilar-FrascoInstituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Xicohtencatl Ixtlapale-CarmonaInstituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Carlos Salinas-RamosInstituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Leonardo Ramirez-MartinezInstituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Claudio RamirezInstituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Mario VilatobaInstituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Luis E Morales BuenrostroInstituto Nacional de Ciencias Medicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
Josefina M AlberuDepartment of Medicine, Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Mexico City, Mexico.
Minnie M SarwalDepartment of Surgery, University of California, San Francisco, CA, United States.
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán · MXUniversity of California, San Francisco · USTecnológico de Monterrey · MX

Funding

Filling a Void of Research (FAVOR) Training for Transplant SurgeonsT32AI125222 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI PETER G STOCK, Minnie M Sarwal · 2016 to 2026
$3.4M
NIAID NIH HHS T32 AI125222
6 · The paper itself

Abstract

Long-term kidney transplant (KT) allograft outcomes have not improved as expected despite a better understanding of rejection and improved immunosuppression. Previous work had validated a computed rejection score, the tissue common rejection module (tCRM), measured by amplification-based assessment of 11 genes from formalin-fixed paraffin-embedded (FFPE) biopsy specimens, which allows for quantitative, unbiased assessment of immune injury. We applied tCRM in a prospective trial of 124 KT recipients, and contrasted assessment by tCRM and histology reads from 2 independent pathologists on protocol and cause biopsies post-transplant. Four 10-μm shaves from FFPE biopsy specimens were used for RNA extraction and amplification by qPCR of the 11 tCRM genes, from which the tCRM score was calculated. Biopsy diagnoses of either acute rejection (AR) or borderline rejection (BL) were considered to have inflammation present, while stable biopsies had no inflammation. Of the 77 biopsies that were read by both pathologists, a total of 40 mismatches in the diagnosis were present. The median tCRM scores for AR, BL, and stable diagnoses were 4.87, 1.85, and 1.27, respectively, with an overall significant difference among all histologic groups (Kruskal-Wallis, p < 0.0001

Indexed as

Kidney TransplantationAllograftsBiomarkersBiopsyFemaleGraft RejectionGraft SurvivalHumansImmunosuppression TherapyInflammationLogistic ModelsMaleMiddle AgedProspective StudiesReal-Time Polymerase Chain ReactionTranscriptomeBiomarkersacute rejectionbiomarkersformalin-fixed paraffin-embedded (FFPE)graft inflammationkidney transplanttranscriptomics

Identifiers

PMID33613539
PMCPMC7886808
OpenAlexW3128523413

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.