Evidence map›Paper›PMID 34476295›Full record

ArticleTransplantation direct2021

Tubular Cell Dropout in Preimplantation Deceased Donor Biopsies as a Predictor of Delayed Graft Function.

Zachary M Avigan, Nikhil Singh, Judith A Kliegel, Marlene Weiss, Gilbert W Moeckel, Lloyd G Cantley

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
1.2field-weighted citation impact, top 22% 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, 8 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Zachary M AviganSection of Nephrology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Nikhil SinghSection of Nephrology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Judith A KliegelSection of Nephrology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Marlene WeissSection of Nephrology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Gilbert W MoeckelDepartment of Pathology, Yale University School of Medicine, New Haven, CT.
Lloyd G CantleySection of Nephrology, Department of Internal Medicine, Yale University School of Medicine, New Haven, CT.
Yale University · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
PATHOPHYSIOLOGY OF ACUTE AND CHRONIC RENAL DISEASET32DK007276 · NIDDK · YALE UNIVERSITY · PI ARONSON, PETER S., CANTLEY, LLOYD G · 1986 to 2022
$9.3M
Defining the Pathogenesis and Prognosis of Human Acute Interstitial NephritisR01DK126815 · NIDDK · YALE UNIVERSITY · PI CANTLEY, LLOYD G · 2020 to 2024
$2.6M
Identifying Resident and Immune Cell Injury Responses in the Human KidneyR21AG067335 · NIA · YALE UNIVERSITY · PI CANTLEY, LLOYD G · 2020 to 2021
$461k
NCATS NIH HHS UL1 TR001863NIA NIH HHS R21 AG067335NIDDK NIH HHS R01 DK126815NIDDK NIH HHS T32 DK007276
6 · The paper itself

Abstract

backgroundDelayed graft function (DGF) affects over 25% of deceased donor kidney transplants (DDKTs) and is associated with increased cost, worsened graft outcomes, and mortality. While approaches to preventing DGF have focused on minimizing cold ischemia, donor factors such as acute tubular injury can influence risk. There are currently no pharmacologic therapies to modify DGF risk or promote repair, in part due to our incomplete understanding of the biology of preimplantation tubular injury.

methodsWe collected intraoperative, preimplantation kidney biopsies from 11 high-risk deceased donors and 10 living donors and followed transplant recipients for graft function. We performed quantitative high-dimensional histopathologic analysis using imaging mass cytometry to determine the cellular signatures that distinguished deceased and living donor biopsies as well as deceased donor biopsies which either did or did not progress to DGF.

resultsWe noted decreased tubular cells (

conclusionsThe current study identifies donor tubular cell loss as a precursor of DGF pathogenesis and highlights an area for further investigation and potential therapeutic intervention.

Identifiers

PMID34476295
PMCPMC8384397
OpenAlexW3174110684

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Registered trials

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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.