Evidence map›Paper›PMID 35087511›Full record

ArticleFrontiers in immunology2021

Current Tolerance-Associated Peripheral Blood Gene Expression Profiles After Liver Transplantation Are Influenced by Immunosuppressive Drugs and Prior Cytomegalovirus Infection.

Aafke A Duizendstra, Michelle V van der Grift, Patrick P Boor, Lisanne Noordam, Robert J de Knegt, Maikel P Peppelenbosch, Michiel G H Betjes, Nicolle H R Litjens, Jaap Kwekkeboom

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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.

Aafke A DuizendstraDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Michelle V van der GriftDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Patrick P BoorDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Lisanne NoordamDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Robert J de KnegtDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Maikel P PeppelenboschDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Michiel G H BetjesErasmus MC Transplant Institute, Division of Nephrology and Transplantation, Department of Internal Medicine, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Nicolle H R LitjensErasmus MC Transplant Institute, Division of Nephrology and Transplantation, Department of Internal Medicine, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Jaap KwekkeboomDepartment of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, Netherlands.
Erasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spontaneous operational tolerance to the allograft develops in a proportion of liver transplant (LTx) recipients weaned off immunosuppressive drugs (IS). Several previous studies have investigated whether peripheral blood gene expression profiles could identify operational tolerance in LTx recipients. However, the reported gene expression profiles differed greatly amongst studies, which could be caused by inadequate matching of clinical parameters of study groups. Therefore, the purpose of this study was to validate differentially expressed immune system related genes described in previous studies that identified tolerant LTx recipients after IS weaning. Blood was collected of tolerant LTx recipients (TOL), a control group of LTx recipients with regular IS regimen (CTRL), a group of LTx recipients with minimal IS regimen (MIN) and healthy controls (HC), and groups were matched on age, sex, primary disease, time after LTx, and cytomegalovirus serostatus after LTx. Quantitative Polymerase Chain Reaction was used to determine expression of twenty selected genes and transcript variants in PBMCs. Several genes were differentially expressed between TOL and CTRL groups, but none of the selected genes were differentially expressed between HC and TOL. Principal component analysis revealed an IS drug dosage effect on the expression profile of these genes. These data suggest that use of IS profoundly affects gene expression in peripheral blood, and that these genes are not associated with operational tolerance. In addition, expression levels of SLAMF7 and NKG7 were affected by prior cytomegalovirus infection in LTx recipients. In conclusion, we found confounding effects of IS regimen and prior cytomegalovirus infection, on peripheral blood expression of several selected genes that were described as tolerance-associated genes by previous studies.

Indexed as

AgedCytomegalovirus InfectionsFemaleGraft RejectionHumansImmune ToleranceImmunosuppressive AgentsLiver TransplantationMaleMiddle AgedPeripheral ToleranceT-Lymphocytes, RegulatoryTranscriptomeTransplantation, HomologousImmunosuppressive Agentscytomegalovirus infectionimmunosuppressive drugsliver transplantationoperational toleranceperipheral blood gene expression

Identifiers

PMID35087511
PMCPMC8787265
OpenAlexW4205437382

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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.