Evidence map›Paper›PMID 35160284›Full record

ArticleJournal of clinical medicine2022

Non-HLA Antibodies in Hand Transplant Recipients Are Connected to Multiple Acute Rejection Episodes and Endothelial Activation.

Dorota Sikorska, Dorota Kamińska, Rusan Catar, Mirosław Banasik, Harald Heidecke, Kai Schulze-Forster, Katarzyna Korybalska, Rafał Rutkowski, Joanna Łuczak, Jerzy Jabłecki and 4 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.1field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 12 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

14 authors at 5 institutions in 2 countries.

Dorota SikorskaDepartment of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, 61-545 Poznan, Poland.ORCID 0000-0001-7326-6916
Dorota KamińskaDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0000-0003-2400-9328
Rusan CatarDepartment of Nephrology and Internal Intensive Care Medicine, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, 10117 Berlin, Germany.ORCID 0000-0002-7000-7860
Mirosław BanasikDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0000-0002-0588-1551
Harald HeideckeCellTrend GmbH, 14943 Luckenwalde, Germany.
Kai Schulze-ForsterCellTrend GmbH, 14943 Luckenwalde, Germany.
Katarzyna KorybalskaDepartment of Pathophysiology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.ORCID 0000-0002-6291-0814
Rafał RutkowskiDepartment of Pathophysiology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.
Joanna ŁuczakDepartment of Pathophysiology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.
Jerzy JabłeckiSubdepartment of Replantation of Limbs, St. Hedwig of Silesia Hospital, 55-100 Trzebnica, Poland.
Andrzej OkoDepartment of Nephrology, Transplantology and Internal Medicine, Poznan University of Medical Sciences, 60-355 Poznan, Poland.ORCID 0000-0002-3394-7140
Przemysław DaroszewskiDepartment of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, 61-545 Poznan, Poland.
Mariusz KusztalDepartment of Nephrology and Transplantation Medicine, Wroclaw Medical University, 50-556 Wroclaw, Poland.ORCID 0000-0002-6502-0374
Włodzimierz SamborskiDepartment of Rheumatology, Rehabilitation and Internal Medicine, Poznan University of Medical Sciences, 61-545 Poznan, Poland.
Poznan University of Medical Sciences · PLWroclaw Medical University · PLInstitute of Pathology Celle · DEHumboldt-Universität zu Berlin · DEPublic Higher Medical Professional School in Opole · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The role of anti-HLA antibodies in transplant rejection is well-known but the injury associated with non-HLA antibodies is now widely discussed. The aim of our study was to investigate a role of non-HLA antibodies in hand allografts rejection. The study was performed on six patients after hand transplantation. The control group consisted of: 12 kidney transplant recipients and 12 healthy volunteers. The following non-HLA antibodies were tested: antibody against angiotensin II type 1 receptor (AT1R-Ab), antibody against endothelin-1 type-A-receptor (ETAR-Ab), antibody against protease-activated receptor 1 (PAR-1-Ab) and anti-VEGF-A antibody (VEGF-A-Ab). Chosen proinflammatory cytokines (Il-1, IL-6, IFNγ) were used to evaluate the post-transplant humoral response. Laboratory markers of endothelial activation (VEGF, sICAM, vWF) were used to assess potential vasculopathy. The patient with the highest number of acute rejections had both positive non-HLA antibodies: AT1R-Ab and ETAR-Ab. The same patient had the highest VEGF-A-Ab and very high PAR1-Ab. All patients after hand transplantation had high levels of laboratory markers of endothelial activation. The existence of non-HLA antibodies together with multiple acute rejections observed in patient after hand transplantation should stimulate to look for potential role of non-HLA antibodies in humoral injury in vascular composite allotransplantation.

Indexed as

hand transplantationnon-HLA antibodiesrejectionvascularized composite allotransplantationvasculopathy

Identifiers

PMID35160284
PMCPMC8837026
OpenAlexW4210364170

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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.