Evidence map›Paper›PMID 35396887›Full record

ArticleClinical transplantation2022

Donor leukocyte trafficking during human ex vivo lung perfusion.

Andy Chao Hsuan Lee, Arianna Edobor, Thirushan Wigakumar, Maria Lysandrou, Laura K Johnston, Phillip McMullen, Vikranth Mirle, Ashley Diaz, Ryan Piech, Rebecca Rose and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Clinical transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  4. 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

16 authors at 3 institutions in 1 country.

Andy Chao Hsuan LeeDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.ORCID 0000-0002-9338-7886
Arianna EdoborDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Thirushan WigakumarDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Maria LysandrouDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Laura K JohnstonOffice of Shared Research Facilities, University of Chicago, Chicago, Illinois, USA.
Phillip McMullenDepartment of Pathology, University of Chicago, Chicago, Illinois, USA.
Vikranth MirlePritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
Ashley DiazPritzker School of Medicine, University of Chicago, Chicago, Illinois, USA.
Ryan PiechDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Rebecca RoseDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Martin JendrisakGift of Hope Tissue and Donor Network, Itasca, Illinois, USA.
Diego di SabatoDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Kumaran ShanmugarajahDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
John FungDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Jessica DoningtonDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Maria Lucia MadariagaDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
University of Chicago · USGift of Hope Organ and Tissue Donor Network · USUniversity of Illinois Chicago · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEx vivo lung perfusion (EVLP) is used to assess and preserve lungs prior to transplantation. However, its inherent immunomodulatory effects are not completely understood. We examine perfusate and tissue compartments to determine the change in immune cell composition in human lungs maintained on EVLP.

methodsSix human lungs unsuitable for transplantation underwent EVLP. Tissue and perfusate samples were obtained during cold storage and at 1-, 3- and 6-h during perfusion. Flow cytometry, immunohistochemistry, and bead-based immunoassays were used to measure leukocyte composition and cytokines. Mean values between baseline and time points were compared by Student's t test.

resultsDuring the 1st hour of perfusion, perfusate neutrophils increased (+22.2 ± 13.5%, p < 0.05), monocytes decreased (-77.5 ± 8.6%, p < 0.01) and NK cells decreased (-61.5 ± 22.6%, p < 0.01) compared to cold storage. In contrast, tissue neutrophils decreased (-22.1 ± 12.2%, p < 0.05) with no change in monocytes and NK cells. By 6 h, perfusate neutrophils, NK cells, and tissue neutrophils were similar to baseline. Perfusate monocytes remained decreased, while tissue monocytes remained unchanged. There was no significant change in B cells or T cell subsets. Pro-inflammatory cytokines (IL-1b, G-CSF, IFN-gamma, CXCL2, CXCL1 granzyme A, and granzyme B) and lymphocyte activating cytokines (IL-2, IL-4, IL-6, IL-8) increased during perfusion.

conclusionsEarly mobilization of innate immune cells occurs in both perfusate and tissue compartments during EVLP, with neutrophils and NK cells returning to baseline and monocytes remaining depleted after 6 h. The immunomodulatory effect of EVLP may provide a therapeutic window to decrease the immunogenicity of lungs prior to transplantation.

Indexed as

Lung TransplantationCytokinesHumansLeukocytesLungPerfusionTissue DonorsCytokinesdonor leukocyteex vivo lung perfusionimmune modulation

Identifiers

PMID35396887
PMCPMC9540615
OpenAlexW4223413456

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.