Evidence map›Paper›PMID 35320600›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2022

T cell depletion increases humoral response by favoring T follicular helper cells expansion.

Rodrigo Benedetti Gassen, Thiago J Borges, María José Pérez-Sáez, Hengcheng Zhang, Ayman Al Jurdi, Laura Llinàs-Mallol, Bruno Aoyama, Maurício Lima, Julio Pascual, Peter T Sage and 2 more

Open access · greenAbstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

12 citing papers in PubMed, 18 citations in OpenAlex.

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  12. Immune Profiling of Peripheral Blood Mononuclear Cells at Pancreas Acute Rejection Episodes in Kidney-Pancreas Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2022
    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

12 authors at 3 institutions in 2 countries.

Rodrigo Benedetti GassenCenter of Transplantation Science, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Thiago J BorgesCenter of Transplantation Science, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
María José Pérez-SáezRenal Division, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-8601-2699
Hengcheng ZhangRenal Division, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-2562-1247
Ayman Al JurdiCenter of Transplantation Science, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Laura Llinàs-MallolDepartment of Nephrology, Hospital del Mar, Barcelona, Spain.ORCID 0000-0003-4696-3331
Bruno AoyamaRenal Division, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Maurício LimaRenal Division, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Julio PascualDepartment of Nephrology, Hospital del Mar, Barcelona, Spain.ORCID 0000-0002-4735-7838
Peter T SageRenal Division, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-7287-0326
Naoka MurakamiRenal Division, Brigham & Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0001-8168-5811
Leonardo V RiellaCenter of Transplantation Science, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0002-7636-3196
Brigham and Women's Hospital · USHarvard University · USHospital Del Mar · ES

Funding

Role of Siglec-E in Regulating AlloimmunityR01AI143887 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI RIELLA, LEONARDO V. · 2019 to 2023
$2.1M
Protection of kidney from autoimmunity by modulating co-stimlatory signalingK08DK120868 · NIDDK · BRIGHAM AND WOMEN'S HOSPITAL · PI MURAKAMI, NAOKA · 2019 to 2023
$886k
National Institute of Health (NIH) Grant R01 AI143887NIAID NIH HHS R01 AI143887NIDDK NIH HHS K08 DK120868
6 · The paper itself

Abstract

Antibody-mediated rejection is a major cause of long-term graft loss in kidney transplant patients. T follicular helper (Tfh) cells are crucial for assisting B cell differentiation and are required for an efficient antibody response. Anti-thymocyte globulin (ATG) is a widely used lymphocyte-depleting induction therapy. However, less is known about how ATG affects Tfh cell development and donor-specific antibody (DSA) formation. We observed an increase in circulating Tfh cells at 6 months after kidney transplant in patients who received ATG. Using an NP-OVA immunization model, we found that ATG-treated mice had a higher percentage of Tfh cells, germinal center B cells, and higher titers of antigen-specific antibodies compared to controls. ATG-treated animals had lower levels of IL-2, a known Bcl-6 repressor, but higher levels of IL-21, pSTAT3 and Bcl-6, favoring Tfh differentiation. In a mouse kidney transplant model, ATG-treated recipients showed an increase in Tfh cells, DSA and C4d staining in the allograft. Although ATG was effective in depleting T cells, it favored the expansion of Tfh cells following depletion. Concomitant use of IL-2, tacrolimus, or rapamycin with ATG was essential to control Tfh cell expansion. In summary, ATG depletion favors Tfh expansion, enhancing antibody-mediated response.

Indexed as

Immunity, HumoralKidney TransplantationT Follicular Helper CellsAnimalsAntilymphocyte SerumGerminal CenterGraft RejectionInterleukin-2MiceT-Lymphocytes, Helper-InducerAntilymphocyte SerumInterleukin-2antibody-mediated rejectionanti-thymocyte globulinDSAfollicular T helper cellskidney transplantationT cell depletion

Identifiers

PMID35320600
PMCPMC9262847
OpenAlexW4221076448

What OpenQuestion holds

Textmetadata
LicenceTDM
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.