Evidence map›Paper›PMID 34131586›Full record

ArticleTransplantation direct2021

HLA-DR Mismatch and Black Race Are Associated With Recurrent Autoimmune Hepatitis After Liver Transplantation.

Marshall McCabe, Natalia Rush, Craig Lammert, Kavish R Patidar, Lauren Nephew, Romil Saxena, Burcin Ekser, James Salven, Chandrashekhar Kubal, Marwan Ghabril

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. The Geoepidemiology of Autoimmune Hepatitis.Clinical reviews in allergy & immunology · 2026
    Review
  2. Article
  3. Review
  4. European Society for Organ Transplantation Consensus Statement on Biomarkers in Liver Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  5. Review
  6. 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

10 authors at 2 institutions in 1 country.

Marshall McCabeDepartment of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN.
Natalia RushDepartment of Pathology, Indiana University School of Medicine, Indianapolis, IN.
Craig LammertDepartment of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN.
Kavish R PatidarDepartment of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN.
Lauren NephewDepartment of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN.
Romil SaxenaDepartment of Pathology, Indiana University School of Medicine, Indianapolis, IN.
Burcin EkserDepartment of Transplant Surgery, Indiana University School of Medicine, Indianapolis, IN.
James SalvenDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, IN.
Chandrashekhar KubalDepartment of Transplant Surgery, Indiana University School of Medicine, Indianapolis, IN.
Marwan GhabrilDepartment of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, IN.
Indiana University – Purdue University Indianapolis · USIndiana University School of Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The predictors of recurrent autoimmune hepatitis (R-AIH) after liver transplantation (LT) are heterogeneous with limited data to guide immunosuppression, with little data on impact of race.

aimsTo describe the incidence, predictors, and outcomes of R-AIH.

methodsWe studied patients undergoing LT for AIH during 2000-2017 at our center. Liver biopsies were performed for clinical indications. R-AIH was defined using clinical and histologic criteria.

resultsAmong 75 patients undergoing LT for AIH (mean age 45 ± 16, 65% female individuals, 19% Black), 71 (95%) received antithymocyte globulin induction with tacrolimus-based immunosuppression. R-AIH developed in 20 (27%) patients at a median interval of 313 d (interquartile range, 155-1205). R-AIH was associated with level 2 HLA-DR mismatch (hazard ratio, 3.6; (95% confidence interval, 1.3-9.9;

conclusionsHigh-level HLA-DR mismatch and Black recipient race are associated with an increased risk of R-AIH. Immunosuppression did not predict R-AIH, but higher rates of disease recurrence with single-agent maintenance immunosuppression with these risk factors were observed and may guide maintenance immunosuppression in LT for AIH.

Identifiers

PMID34131586
PMCPMC8196096
OpenAlexW3171853920

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.