Evidence map›Paper›PMID 34236044›Full record

ArticleJCI insight2021

Imaging alloreactive T cells provides early warning of organ transplant rejection.

Toshihito Hirai, Aaron T Mayer, Tomomi W Nobashi, Po-Yu Lin, Zunyu Xiao, Tomokatsu Udagawa, Kinya Seo, Federico Simonetta, Jeanette Baker, Alan G Cheng and 2 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

12 citing papers in PubMed, 11 citations in OpenAlex.

  1. Immuno-imaging in solid organ transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Review
  2. Review
  3. Review
  4. Review
  5. Article
  6. 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
  7. Review
  8. Review
  9. Human OX40L-CAR-TScience translational medicine · 2024
    Article
  10. Review
  11. Article
  12. IL-2 receptor engineering enhances regulatory T cell function suppressed by calcineurin inhibitor.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022
    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

12 authors at 4 institutions in 5 countries.

Toshihito HiraiDivision of Blood and Marrow Transplantation, Stanford University, Stanford, California, USA.
Aaron T MayerDepartment of Bioengineering.
Tomomi W NobashiDepartment of Radiology.
Po-Yu LinDivision of Blood and Marrow Transplantation, Stanford University, Stanford, California, USA.
Zunyu XiaoDepartment of Radiology.
Tomokatsu UdagawaDepartment of Otolaryngology-Head and Neck Surgery.
Kinya SeoDivision of Cardiovascular Medicine.
Federico SimonettaDivision of Blood and Marrow Transplantation, Stanford University, Stanford, California, USA.
Jeanette BakerDivision of Blood and Marrow Transplantation, Stanford University, Stanford, California, USA.
Alan G ChengDepartment of Otolaryngology-Head and Neck Surgery.
Robert S NegrinDivision of Blood and Marrow Transplantation, Stanford University, Stanford, California, USA.
Sanjiv S GambhirDepartment of Bioengineering.
Stanford Blood Center · USDivision of Materials Science and Engineering · AUHarbin Medical University · CNStanford Medicine · US

Funding

TLI/ATG CONDTIONING: KIDNEY/BLOOD STEM CELL TRANSPLANTSP01HL075462 · NHLBI · STANFORD UNIVERSITY · PI MEYER, EVERETT · 2004 to 2020
$27.9M
Designer Tregs for restoring tolerance in patients with type 1 diabetesUC4DK116264 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BLUESTONE, JEFFREY A, LIM, WENDELL A · 2017 to 2017
$3.4M
Pathways towards regenerating the mammalian cochleaR01DC013910 · NIDCD · STANFORD UNIVERSITY · PI CHENG, ALAN GI-LUN · 2015 to 2019
$2.1M
NHLBI NIH HHS P01 HL075462NIDCD NIH HHS R01 DC013910NIDDK NIH HHS UC4 DK116264
6 · The paper itself

Abstract

Diagnosis of organ transplant rejection relies upon biopsy approaches to confirm alloreactive T cell infiltration in the graft. Immune molecular monitoring is under investigation to screen for rejection, though these techniques have suffered from low specificity and lack of spatial information. ImmunoPET utilizing antibodies conjugated to radioisotopes has the potential to improve early and accurate detection of graft rejection. ImmunoPET is capable of noninvasively visualizing the dynamic distribution of cells expressing specific immune markers in the entire body over time. In this work, we identify and characterize OX40 as a surrogate biomarker for alloreactive T cells in organ transplant rejection and monitor its expression by utilizing immunoPET. In a dual murine heart transplant model that has both syngeneic and allogeneic hearts engrafted in bilateral ear pinna on the recipients, OX40 immunoPET clearly depicted alloreactive T cells in the allograft and draining lymph node that were not observed in their respective isograft counterparts. OX40 immunoPET signals also reflected the subject's immunosuppression level with tacrolimus in this study. OX40 immunoPET is a promising approach that may bridge molecular monitoring and morphological assessment for improved transplant rejection diagnosis.

Indexed as

Graft RejectionOX40 LigandAnimalsAntigens, DifferentiationBiomarkersEarly DiagnosisGene Expression ProfilingHeart TransplantationHumansMass ScreeningMiceMonitoring, ImmunologicPositron-Emission TomographyRadioimmunoassayT-LymphocytesAntigens, DifferentiationBiomarkersOX40IgOX40 LigandTnfsf4 protein, mouseImmunologyOrgan transplantationT cellsTransplantation

Identifiers

PMID34236044
PMCPMC8410037
OpenAlexW3178501508

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.