Evidence map›Paper›PMID 35091823›Full record

ArticleHandbook of experimental pharmacology2022

The Biology and Molecular Basis of Organ Transplant Rejection.

Philip F Halloran, Gunilla Einecke, Majid L N Sikosana, Katelynn Madill-Thomsen

Abstract read
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In one paragraph

Article in Handbook of experimental pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
12.8field-weighted citation impact, top 1% 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

11 citing papers in PubMed, 15 citations in OpenAlex.

  1. Donor macrophage depletion permits posttransplant tolerance induction in a murine islet transplant model.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  2. Population-Specific Exploration ofInternational journal of molecular sciences · 2026
    Article
  3. Neutrophils and NETs in kidney disease.Nature reviews. Nephrology · 2025
    Review
  4. Expanding role of antibodies in kidney transplantation.World journal of transplantation · 2025
    Review
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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

4 authors at 2 institutions in 2 countries.

Philip F HalloranDivision of Nephrology, Department of Medicine, University of Alberta, Edmonton, AB, Canada. phallora@ualberta.ca.
Gunilla EineckeDepartment of Nephrology and Hypertension, Hannover Medical School, Hannover, Germany.
Majid L N SikosanaDivision of Nephrology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Katelynn Madill-ThomsenDivision of Nephrology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
University of Alberta · CAMedizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allograft rejection is defined as tissue injury in a transplanted allogeneic organ produced by the effector mechanisms of the adaptive alloimmune response. Effector T lymphocytes and IgG alloantibodies cause two different types of rejection that can occur either individually or simultaneously: T cell-mediated rejection (TCMR) and antibody-mediated rejection (ABMR). In TCMR, cognate effector T cells infiltrate the graft and orchestrate an interstitial inflammatory response in the kidney interstitium in which effector T cells engage antigen-presenting myeloid cells, activating the T cells, antigen-presenting cells, and macrophages. The result is intense expression of IFNG and IFNG-induced molecules, expression of effector T cell molecules and macrophage molecules and checkpoints, and deterioration of parenchymal function. The diagnostic lesions of TCMR follow, i.e. interstitial inflammation, parenchymal deterioration, and intimal arteritis. In ABMR, HLA IgG alloantibodies produced by plasma cells bind to the donor antigens on graft microcirculation, leading to complement activation, margination, and activation of NK cells and neutrophils and monocytes, and endothelial injury, sometimes with intimal arteritis. TCMR becomes infrequent after 5-10 years post-transplant, probably reflecting adaptive mechanisms such as checkpoints, but ABMR can present even decades post-transplant. Some rejection is triggered by inadequate immunosuppression and non-adherence, challenging the clinician to target effective immunosuppression even decades post-transplant.

Indexed as

ArteritisKidney TransplantationBiologyGraft RejectionHumansImmunoglobulin GIsoantibodiesImmunoglobulin GIsoantibodiesAlloimmune responseAntibody-mediated rejectionDonor-specific antibodyOrgan transplantationRejectionT cell-mediated rejection

Identifiers

PMID35091823
OpenAlexW4210348540

What OpenQuestion holds

Textmetadata
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.