Evidence map›Paper›PMID 34963740›Full record

ArticleWorld journal of gastroenterology2021

Chronic rejection after liver transplantation: Opening the Pandora's box.

Roberta Angelico, Bruno Sensi, Tommaso M Manzia, Giuseppe Tisone, Giuseppe Grassi, Alessandro Signorello, Martina Milana, Ilaria Lenci, Leonardo Baiocchi

Open access · hybridAbstract readEditorial
In one paragraph

Article in World journal of gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Pilot Study on Dynamic Long-Axial Field-of-View [Diagnostics (Basel, Switzerland) · 2026
    Article
  8. Review
  9. Review
  10. Review
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  12. Article
  13. Article
  14. Early Conversion to Once-Daily MeltDoseJournal of clinical medicine · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Diagnostic and predictive biomarkers of acute rejection after liver transplantation.International journal of surgery (London, England) · 2025
    Review
  19. Article
  20. 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

9 authors at 1 institution in 1 country.

Roberta AngelicoDepartment of Surgery Sciences, HPB and Transplant Unit, University of Tor Vergata, Rome 00100, Italy.
Bruno SensiDepartment of Surgery Sciences, HPB and Transplant Unit, University of Tor Vergata, Rome 00100, Italy.
Tommaso M ManziaDepartment of Surgery Sciences, HPB and Transplant Unit, University of Tor Vergata, Rome 00100, Italy.
Giuseppe TisoneDepartment of Surgery Sciences, HPB and Transplant Unit, University of Tor Vergata, Rome 00100, Italy.
Giuseppe GrassiHepatology Unit, University of Tor Vergata, Rome 00100, Italy.
Alessandro SignorelloHepatology Unit, University of Tor Vergata, Rome 00100, Italy.
Martina MilanaHepatology Unit, University of Tor Vergata, Rome 00100, Italy.
Ilaria LenciHepatology Unit, University of Tor Vergata, Rome 00100, Italy.
Leonardo BaiocchiHepatology Unit, University of Tor Vergata, Rome 00100, Italy. baiocchi@uniroma2.it.
University of Rome Tor Vergata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic rejection (CR) of liver allografts causes damage to intrahepatic vessels and bile ducts and may lead to graft failure after liver transplantation. Although its prevalence has declined steadily with the introduction of potent immunosuppressive therapy, CR still represents an important cause of graft injury, which might be irreversible, leading to graft loss requiring re-transplantation. To date, we still do not fully appreciate the mechanisms underlying this process. In addition to T cell-mediated CR, which was initially the only recognized type of CR, recently a new form of liver allograft CR, antibody-mediated CR, has been identified. This has indeed opened an era of thriving research and renewed interest in the field. Liver biopsy is needed for a definitive diagnosis of CR, but current research is aiming to identify new non-invasive tools for predicting patients at risk for CR after liver transplantation. Moreover, the minimization or withdrawal of immunosuppressive therapy might influence the establishment of subclinical CR-related injury, which should not be disregarded. Therapies for CR may only be effective in the "early" phases, and a tailored management of the immunosuppression regimen is essential for preventing irreversible liver damage. Herein, we provide an overview of the current knowledge and research on CR, focusing on early detection, identification of non-invasive biomarkers, immunosuppressive management, re-transplantation and future perspectives of CR.

Indexed as

Liver TransplantationBile DuctsGraft RejectionHumansImmunosuppression TherapyImmunosuppressive AgentsImmunosuppressive AgentsAntibody-mediated rejectionChronic rejectionComplicationsDonor-specific antibodyGraft lossImmunosuppressionLiver transplantationOutcomesRe-transplantationT cell-mediated rejection

Identifiers

PMID34963740
PMCPMC8661381
OpenAlexW3216080235

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.