Evidence map›Paper›PMID 35281047›Full record

ReviewFrontiers in immunology2022

Current Barriers to Clinical Liver Xenotransplantation.

Arthur A Cross-Najafi, Kevin Lopez, Abdulkadir Isidan, Yujin Park, Wenjun Zhang, Ping Li, Sezai Yilmaz, Sami Akbulut, Burcin Ekser

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
8.3field-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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Genetically engineered porcine liver: a new era in transplantation.International journal of surgery (London, England) · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Engineering hypoimmune stem cell-derived beta cells.Stem cell research & therapy · 2025
    Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. [Focus on schistosomiasis cirrhosis: disease burden, pathogenic characteristics, and research frontiers].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Article
  15. [Research and application progress for liver xenotransplantation].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2025
    Review
  16. Review
  17. Immunometabolism of Liver Xenotransplantation and Prospective Solutions.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  18. Animal models for transplant immunology: bridging bench to bedside.Clinical transplantation and research · 2024
    Review
  19. Review
  20. Liver Xenotransplantation: A Path to Clinical Reality.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Review
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 3 institutions in 2 countries.

Arthur A Cross-NajafiTransplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, United States.
Kevin LopezTransplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, United States.
Abdulkadir IsidanTransplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, United States.
Yujin ParkTransplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, United States.
Wenjun ZhangTransplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, United States.
Ping LiTransplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, United States.
Sezai YilmazDepartment of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya, Turkey.
Sami AkbulutDepartment of Surgery and Liver Transplant Institute, Inonu University Faculty of Medicine, Malatya, Turkey.
Burcin EkserTransplant Division, Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, United States.
Indiana University – Purdue University Indianapolis · USIndiana University School of MedicineInonu University · TR

Funding

Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
Development of novel strategies to modulate human NK cell response in xenotransplantationR21AI164002 · NIAID · INDIANA UNIVERSITY INDIANAPOLIS · PI LI, PING · 2021 to 2022
$436k
NCATS NIH HHS UL1 TR001108NIAID NIH HHS R21 AI164002
6 · The paper itself

Abstract

Preclinical trials of pig-to-nonhuman primate liver xenotransplantation have recently achieved longer survival times. However, life-threatening thrombocytopenia and coagulation dysregulation continue to limit preclinical liver xenograft survival times to less than one month despite various genetic modifications in pigs and intensive pharmacological support. Transfusion of human coagulation factors and complex immunosuppressive regimens have resulted in substantial improvements in recipient survival. The fundamental biological mechanisms of thrombocytopenia and coagulation dysregulation remain incompletely understood. Current studies demonstrate that porcine von Willebrand Factor binds more tightly to human platelet GPIb receptors due to increased O-linked glycosylation, resulting in increased human platelet activation. Porcine liver sinusoidal endothelial cells and Kupffer cells phagocytose human platelets in an asialoglycoprotein receptor 1-dependent and CD40/CD154-dependent manner, respectively. Porcine Kupffer cells phagocytose human platelets

Indexed as

Endothelial CellsThrombocytopeniaAnimalsHeterograftsHumansLiverSwineTransplantation, Heterologousimmune rejectionliver xenotransplantationporcinethrombocytopeniaxenograft

Identifiers

PMID35281047
PMCPMC8904558
OpenAlexW4212994958

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.