Evidence map›Paper›PMID 34951057›Full record

ArticleXenotransplantation2021

Anti-thymoglobulin induction improves neonatal porcine xenoislet engraftment and survival.

Qimeng Gao, Robert Davis, Zachary Fitch, Michael Mulvihill, Brian Ezekian, Paul Schroder, Robin Schmitz, Mingqing Song, Frank Leopardi, Marianna Ribeiro and 8 more

Erratum issuedAbstract read
In one paragraph

Article in Xenotransplantation, 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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.

  1. Enhanced Insulin Production From Porcine Islets: More Insulin, Less Islets.Transplant international : official journal of the European Society for Organ Transplantation · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Qimeng GaoDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Robert DavisDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Zachary FitchDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Michael MulvihillDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Brian EzekianDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Paul SchroderDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Robin SchmitzDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.ORCID 0000-0003-1286-0457
Mingqing SongDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.ORCID 0000-0002-2462-9351
Frank LeopardiDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Marianna RibeiroDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Allison MillerDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Dimitrios MorisDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.ORCID 0000-0002-5276-0699
Brian ShawDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Kannan SamyDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.ORCID 0000-0001-8272-5694
Keith ReimannMassBiologics, University of Massachusetts Medical School, Worcester, Massachusetts, 01655, USA.
Kyha WilliamsDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Bradley CollinsDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.
Allan D KirkDepartment of Surgery, Duke University School of Medicine, Durham, North Carolina, 27710, USA.

Funding

Neonatal Porcine Islet Xenografts for the Treatment of Type 1 DiabetesU01AI090956 · NIAID · EMORY UNIVERSITY · PI KIRK, ALLAN D., LUO, XUNRONG · 2010 to 2024
$14.8M
NIAID NIH HHS HHSN272201300031CNIAID NIH HHS U01 AI090956
6 · The paper itself

Abstract

Porcine islet xenotransplantation is a viable strategy to treat diabetes. Its translation has been limited by the pre-clinical development of a clinically available immunosuppressive regimen. We tested two clinically relevant induction agents in a non-human primate (NHP) islet xenotransplantation model to compare depletional versus nondepletional induction immunosuppression. Neonatal porcine islets were isolated from GKO or hCD46/GKO transgenic piglets and transplanted via portal vein infusion in diabetic rhesus macaques. Induction therapy consisted of either basiliximab (n = 6) or rhesus-specific anti-thymocyte globulin (rhATG, n = 6), combined with a maintenance regimen using B7 costimulation blockade, tacrolimus with a delayed transition to sirolimus, and mycophenolate mofetil. Xenografts were monitored by blood glucose levels and porcine C-peptide measurements. Of the six receiving basiliximab induction, engraftment was achieved in 4 with median graft survival of 14 days. All six receiving rhATG induction engrafted with significantly longer xenograft survival at 40.5 days (P = 0.03). These data suggest that depletional induction provides superior xenograft survival to nondepletional induction, in the setting of a costimulation blockade-based maintenance regimen.

Indexed as

Antilymphocyte SerumIslets of Langerhans TransplantationAnimalsGraft RejectionGraft SurvivalHumansImmunosuppressive AgentsMacaca mulattaSwineTransplantation, HeterologousAntilymphocyte SerumImmunosuppressive Agentsbelataceptislet transplantationrhesus anti-thymocyte globulinxenotransplantation

Identifiers

PMID34951057
PMCPMC8715890

What OpenQuestion holds

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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.