Evidence map›Paper›PMID 33764625›Full record

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

miR-21 antagonism reprograms macrophage metabolism and abrogates chronic allograft vasculopathy.

Vera Usuelli, Moufida Ben Nasr, Francesca D'Addio, Kaifeng Liu, Andrea Vergani, Basset El Essawy, Jun Yang, Emma Assi, Mayuko Uehara, Chiara Rossi and 24 more

Open access · bronzeAbstract 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 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 25 citations in OpenAlex.

  1. Review
  2. Donor macrophage depletion permits posttransplant tolerance induction in a murine islet transplant model.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Best practices of heart transplantation in mice.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  8. Article
  9. Y4 RNA fragment alleviates myocardial injury in heart transplantation via SNRNP200 to enhance IL-10 mRNA splicing.Molecular therapy : the journal of the American Society of Gene Therapy · 2025
    Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
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  18. IL-4 polarized human macrophage exosomes control cardiometabolic inflammation and diabetes in obesity.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Article
  19. Review
  20. 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

34 authors at 15 institutions in 4 countries.

Vera UsuelliInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.
Moufida Ben NasrInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.
Francesca D'AddioInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.
Kaifeng LiuDivision of Pulmonary and Respiratory Diseases, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Andrea VerganiNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Basset El EssawyDepartment of Medicine, Al-Azhar University, Cairo, Egypt.
Jun YangInstitute of Organ Transplantation, Tongji Hospital and Medical College, Huazhong University of Science and Technology, Wuhan, China.
Emma AssiInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.
Mayuko UeharaRenal Division, Transplantation Research Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Chiara RossiDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Anna SoliniDepartment of Surgical, Medical, Molecular and Critical Area Pathology, University of Pisa, Pisa, Italy.
Annalisa CapobiancoDivision of Immunology, Transplantation and Infectious Disease, San Raffaele Scientific Institute, Milan, Italy.
Elena RigamontiDivision of Immunology, Transplantation and Infectious Disease, San Raffaele Scientific Institute, Milan, Italy.
Luciano PotenaHeart Failure and Heart Transplant Program, S. Orsola-Malpighi Hospital, Alma-Mater University of Bologna, Bologna, Italy.
Massimo VenturiniDepartment of Radiology, San Raffaele Scientific Institute, Milan, Italy.
Mario SabatinoDepartment of Cardiothoracic, Transplantation and Vascular Surgery, S. Orsola-Malpighi Hospital, Alma Mater-University of Bologna, Bologna, Italy.
Lorena BottarelliDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Enrico AmmiratiDe Gasperis Cardio Center and Transplant Center, Niguarda Hospital, Milan, Italy.ORCID https://orcid.org/0000-0002-1676-5257
Maria FrigerioDe Gasperis Cardio Center and Transplant Center, Niguarda Hospital, Milan, Italy.
Eduardo Castillo-LeonNephrology Division, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Anna MaestroniInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.
Cinzia AzzoniDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Cristian LoretelliInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.
Andy Joe SeelamInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.
Albert K TaiTufts University Core Facility (TUCF) Genomics Core, Tufts University School of Medicine, Boston, Massachusetts.
Ida PastoreDivision of Endocrinology, ASST Fatebenefratelli-Sacco, Milan, Italy.
Gabriella BecchiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Domenico CorradiDepartment of Medicine and Surgery, University of Parma, Parma, Italy.
Gary A VisnerDivision of Pulmonary and Respiratory Diseases, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.
Gian V ZuccottiInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.
Nelson B ChauRegulus Therapeutics Inc, San Diego, California.
Reza AbdiRenal Division, Transplantation Research Center, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts.
Marcus G PezzolesiDivision of Nephrology and Hypertension, Diabetes and Metabolism Center, University of Utah, Salt Lake City, Utah.
Paolo FiorinaInternational Center for T1D, Pediatric Clinical Research Center "Romeo ed Enrica Invernizzi", Department of Biomedical and Clinical Science L. Sacco, Universita Degli Studi di Milano, Milan, Italy.ORCID https://orcid.org/0000-0002-1093-7724
Boston Children's Hospital · USUniversity of Parma · ITBrigham and Women's Hospital · USAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITUniversity of Pisa · ITVita-Salute San Raffaele University · ITASST Fatebenefratelli Sacco · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITOspedale dei Bambini Vittore Buzzi · ITRegulus Therapeutics (United States) · USSan Raffaele University of Rome · ITTongji Hospital · CNTufts University · USUniversity of Bologna · ITUniversity of Utah · US

Funding

Developing novel biomarkers of renal transplant rejectionK24AI116925 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI ABDI, REZA · 2016 to 2023
$1.4M
NIAID NIH HHS K24 AI116925
6 · The paper itself

Abstract

Despite much progress in improving graft outcome during cardiac transplantation, chronic allograft vasculopathy (CAV) remains an impediment to long-term graft survival. MicroRNAs (miRNAs) emerged as regulators of the immune response. Here, we aimed to examine the miRNA network involved in CAV. miRNA profiling of heart samples obtained from a murine model of CAV and from cardiac-transplanted patients with CAV demonstrated that miR-21 was most significantly expressed and was primarily localized to macrophages. Interestingly, macrophage depletion with clodronate did not significantly prolong allograft survival in mice, while conditional deletion of miR-21 in macrophages or the use of a specific miR-21 antagomir resulted in indefinite cardiac allograft survival and abrogated CAV. The immunophenotype, secretome, ability to phagocytose, migration, and antigen presentation of macrophages were unaffected by miR-21 targeting, while macrophage metabolism was reprogrammed, with a shift toward oxidative phosphorylation in naïve macrophages and with an inhibition of glycolysis in pro-inflammatory macrophages. The aforementioned effects resulted in an increase in M2-like macrophages, which could be reverted by the addition of L-arginine. RNA-seq analysis confirmed alterations in arginase-associated pathways associated with miR-21 antagonism. In conclusion, miR-21 is overexpressed in murine and human CAV, and its targeting delays CAV onset by reprogramming macrophages metabolism.

Indexed as

Heart TransplantationMicroRNAsAllograftsAnimalsGraft RejectionHumansMacrophagesMiceMicroRNAsMIRN21 microRNA, humanbasic (laboratory) research / scienceheart (allograft) function / dysfunctionheart transplantation / cardiologyimmunobiologymacrophage / monocyte biology: activationmolecular biology: micro RNArejection: vasculartranslational research / science

Identifiers

PMID33764625
PMCPMC8518036
OpenAlexW3136626002

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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.