Evidence map›Paper›PMID 34269803›Full record

ArticleBlood2021

Genetic variants associated with cytomegalovirus infection after allogeneic hematopoietic cell transplantation.

Amanda M Casto, Sachiko Seo, David M Levine, Barry E Storer, Xinyuan Dong, John A Hansen, Michael Boeckh, Paul J Martin

Erratum issuedOpen access · bronzeAbstract read
In one paragraph

Article in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.4field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Amanda M CastoDepartment of Medicine, University of Washington School of Medicine, Seattle, WA.ORCID 0000-0001-8332-8578
Sachiko SeoVaccine and Infectious Diseases Division, Fred Hutchinson Cancer Research Center, Seattle, WA.ORCID 0000-0002-4308-2152
David M LevineDepartment of Biostatistics, University of Washington, Seattle, WA; and.ORCID 0000-0002-9292-570X
Barry E StorerClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA.
Xinyuan DongDepartment of Biostatistics, University of Washington, Seattle, WA; and.
John A HansenDepartment of Medicine, University of Washington School of Medicine, Seattle, WA.
Michael BoeckhDepartment of Medicine, University of Washington School of Medicine, Seattle, WA.
Paul J MartinDepartment of Medicine, University of Washington School of Medicine, Seattle, WA.ORCID 0000-0001-9051-1215
University of Washington · USFred Hutch Cancer Center · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric Collisson · 1985 to 2026
$296.4M
VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI STEPHANIE J LEE · 1985 to 2026
$128.4M
13TH INTERNATIONAL HISTOCOMPATIBILITY WORKING GROUPU24AI049213 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HANSEN, JOHN ANDREW · 2000 to 2004
$21.3M
TRANSPLANTATION IMMUNOLOGYP01AI033484 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HANSEN, JOHN ANDREW · 1992 to 2013
$13.1M
Whole Genome Association Analysis of Hematopoietic Cell Transplant (HCT) OutcomeR01HL105914 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MARTIN, PAUL J · 2011 to 2019
$9.8M
Whole Genome Association Analysis of Hematopoietic Cell Transplant OutcomeR01HL087690 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HANSEN, JOHN ANDREW · 2006 to 2008
$4.1M
Training Program in Infectious Diseases in the Immunocompromised HostT32AI118690 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BOECKH, MICHAEL J · 2016 to 2025
$4.0M
Genetic Analysis of Airflow Obstruction After Stem Cell TransplantationR01HL088201 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI CLARK, JOAN G. · 2008 to 2013
$2.2M
Biomarker Discovery in Chronic Graft-vs-Host DiseaseR01HL094260 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI HANSEN, JOHN ANDREW · 2008 to 2011
$1.8M
Infections in Hematopoietic Cell Transplant RecipientsK24HL093294 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BOECKH, MICHAEL J · 2009 to 2019
$1.5M
NCI NIH HHS P01 CA018029NCI NIH HHS P30 CA015704NHLBI NIH HHS K24 HL093294NHLBI NIH HHS R01 HL087690NHLBI NIH HHS R01 HL088201NHLBI NIH HHS R01 HL094260NHLBI NIH HHS R01 HL105914NIAID NIH HHS P01 AI033484NIAID NIH HHS T32 AI118690NIAID NIH HHS U24 AI049213
6 · The paper itself

Abstract

Human cytomegalovirus (CMV) reactivation is a frequent complication of allogeneic hematopoietic cell transplantation (HCT). Despite routine screening for CMV reactivation and early antiviral treatment, the rates of CMV-related complications after HCT remain high. Genetic variants in both the donor and recipient have been associated with the risk of CMV reactivation and disease after HCT, but these associations have not been validated, and their clinical importance remains unclear. In this study, we assessed 117 candidate variants previously associated with CMV-related phenotypes for association with CMV reactivation and disease in a cohort of 2169 CMV-seropositive HCT recipients. We also carried out a genome-wide association study (GWAS) for CMV reactivation and disease in the same cohort. Both analyses used a prespecified discovery and replication approach to control the risk of false-positive results. Among the 117 candidate variants, our analysis implicates only the donor ABCB1 rs1045642 genotype as a risk factor for CMV reactivation. This synonymous variant in P-glycoprotein may influence the risk of CMV reactivation by altering the efflux of cyclosporine and tacrolimus from donor lymphocytes. In the GWAS analysis, the donor CDC42EP3 rs11686168 genotype approached the significance threshold for association with CMV reactivation, although we could not identify a mechanism to explain this association. The results of this study suggest that most genomic variants previously associated with CMV phenotypes do not significantly alter the risk for CMV reactivation or disease after HCT.

Indexed as

AdolescentAdultAgedATP Binding Cassette Transporter, Subfamily BChildChild, PreschoolCytomegalovirusCytomegalovirus InfectionsFemaleGenome-Wide Association StudyGTP-Binding Protein RegulatorsHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedPolymorphism, Single NucleotideABCB1 protein, humanATP Binding Cassette Transporter, Subfamily BCDC42EP3 protein, humanGTP-Binding Protein Regulators

Identifiers

PMID34269803
PMCPMC8554648
OpenAlexW3178175224

What OpenQuestion holds

Textmetadata
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.