Evidence map›Paper›PMID 34420852›Full record

ArticleThe Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation2021

Transcriptomic heterogeneity of antibody mediated rejection after heart transplant with or without donor specific antibodies.

Benjamin S Mantell, Hector Cordero, Sarah B See, Kevin J Clerkin, Rodica Vasilescu, Charles C Marboe, Yoshifumi Naka, Susan Restaino, Paolo C Colombo, Linda J Addonizio and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Surveillance donor-specific antibody and pathologic antibody-mediated rejection testing in heart transplant patients in the contemporary era.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2025
    Article
  3. Review
  4. Article
  5. Spatial multiomics of arterial regions from cardiac allograft vasculopathy rejected grafts reveal novel insights into the pathogenesis of chronic antibody-mediated rejection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  6. Review
  7. The Transplant Bellwether: Endothelial Cells in Antibody-Mediated Rejection.Journal of immunology (Baltimore, Md. : 1950) · 2023
    Review
  8. Joining Forces in Basic Science: ITS Meeting 2.0.Transplant international : official journal of the European Society for Organ Transplantation · 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 1 institution in 1 country.

Benjamin S MantellColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York; Department of Pediatrics, Division of Pediatric Cardiology, Columbia University Medical Center, New York, New York.
Hector CorderoColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Sarah B SeeColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Kevin J ClerkinColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York.
Rodica VasilescuDepartment of Pathology and Cell Biology, Columbia University Medical Center, New York, New York.
Charles C MarboeDepartment of Pathology and Cell Biology, Columbia University Medical Center, New York, New York.
Yoshifumi NakaDepartment of Surgery, Division of Cardiothoracic Surgery, Columbia University Medical Center, New York, New York.
Susan RestainoDepartment of Medicine, Division of Cardiology, Columbia University Medical Center, New York, New York.
Paolo C ColomboDepartment of Medicine, Division of Cardiology, Columbia University Medical Center, New York, New York.
Linda J AddonizioDepartment of Pediatrics, Division of Pediatric Cardiology, Columbia University Medical Center, New York, New York.
Maryjane A FarrDepartment of Medicine, Division of Cardiology, Columbia University Medical Center, New York, New York.
Emmanuel ZornColumbia Center for Translational Immunology, Columbia University Medical Center, New York, New York. Electronic address: ez2184@cumc.columbia.edu.
Columbia University Irving Medical Center · US

Funding

Contribution of B cells to human cardiac allograft vasculopathyR01AI116814 · NIAID · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ZORN, EMMANUEL · 2015 to 2019
$1.8M
Identifying Novel Diagnostics and Mechanisms for Cardiac Allograft VasculopathyK23HL148528 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLERKIN, KEVIN J · 2020 to 2024
$852k
NHLBI NIH HHS K23 HL148528NIAID NIH HHS R01 AI116814
6 · The paper itself

Abstract

backgroundAntibody mediated rejection (AMR) is an increasingly studied cause of graft failure after heart transplantation. AMR diagnosis previously required the detection of circulating donor specific antibodies (DSA); however, the most recent criteria only require pathological findings. This classification defined a subset of patients with AMR, yet without known antibodies. Here, we sought to evaluate differences in the transcriptome profile associated with different types of AMR.

methodsRNA sequencing was used on endomyocardial biopsies to analyze and compare transcriptomic profiles associated with different subtypes of AMR defined by immunopathological and histopathological findings, as well as the presence or absence of DSA. Gene expression profiles were characterized for each diagnostic group.

resultsThe most divergent gene expression profiles were observed between patients with or without DSA. AMR subtypes associated with DSA showed expression of signature genes involved in monocyte activation and response to interferon. There was also substantial difference between the transcriptomic profiles of AMR defined by histopathological and immunopathological findings, the latter being associated with expression of mucin genes. In contrast, there was no differential RNA expression between patients with pAMR1i without DSA and those without AMR. Likewise, no differential expression was observed between patients with pAMR1h with DSA and pAMR2.

conclusionsOverall, our studies reveal different expression profiles in endomyocardial biopsies in relation to some key criteria used to diagnose AMR. These findings support the view that the diagnosis of AMR encompasses several phenotypes that may rely on distinct mechanisms of injury.

Indexed as

Tissue DonorsAdolescentAdultBiopsyChildFemaleGraft RejectionGraft SurvivalHeart TransplantationHumansIsoantibodiesMaleMiddle AgedMyocardiumTranscriptomeYoung AdultIsoantibodiesAntibody Mediated RejectionDonor Specific AntibodiesHeart TransplantRNA sequencing

Identifiers

PMID34420852
PMCPMC8571048
OpenAlexW3179622581

What OpenQuestion holds

Textmetadata
LicenceTDM
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.