Evidence map›Paper›PMID 35434896›Full record

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

Anti-HLA-A2-CAR Tregs prolong vascularized mouse heterotopic heart allograft survival.

Johanna C Wagner, Emilie Ronin, Patrick Ho, Yani Peng, Qizhi Tang

Open access · bronzeAbstract 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 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

41 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Programmed death-ligand 1 on ex vivo-expanded toll-like-receptor-Bregs prevents allograft rejection by Breg viability promotion, CD4American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. CD8 regulatory T cell therapy in transplantation: a new path to clinical success?Transplant international : official journal of the European Society for Organ Transplantation · 2026
    Article
  11. From rough to refined: Applying diamond standards to CAR Treg development.Molecular therapy. Methods & clinical development · 2025
    Article
  12. Article
  13. Review
  14. [Guardians of Immune Tolerance: Regulatory T Cells].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Review
  15. Review
  16. HLA-A2 CAR/IL-2-CISC engineered Treg display robustMolecular therapy. Methods & clinical development · 2025
    Article
  17. Best practices of heart transplantation in mice.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025
    Review
  18. Review
  19. Armored human CAR TScience advances · 2025
    Article
  20. 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

5 authors at 2 institutions in 1 country.

Johanna C WagnerDepartment of Surgery, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0002-2999-6900
Emilie RoninDepartment of Surgery, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0003-0295-7933
Patrick HoDepartment of Surgery, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0003-4751-6904
Yani PengDepartment of Surgery, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0002-3711-7160
Qizhi TangDepartment of Surgery, University of California San Francisco, San Francisco, California, USA.ORCID 0000-0001-7313-3574
University of California, San Francisco · USGladstone Institutes · US

Funding

Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI VAISSE, CHRISTIAN · 2003 to 2019
$21.8M
Designer Tregs for restoring tolerance in patients with type 1 diabetesUC4DK116264 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BLUESTONE, JEFFREY A, LIM, WENDELL A · 2017 to 2017
$3.4M
NIDDK NIH HHS P30 DK063720NIDDK NIH HHS UC4 DK116264
6 · The paper itself

Abstract

Alloantigen-specific regulatory T cell (Treg) therapy is a promising approach for suppressing alloimmune responses and minimizing immunosuppression after solid organ transplantation. Chimeric antigen receptor (CAR) targeting donor alloantigens can confer donor reactivity to Tregs. However, CAR Treg therapy has not been evaluated in vascularized transplant or multi-MHC mismatched models. Here, we evaluated the ability of CAR Tregs targeting HLA-A2 (A2-CAR) to prolong the survival of heterotopic heart transplants in mice. After verifying the in vitro activation, proliferation, and enhanced suppressive function of A2-CAR Tregs in the presence of A2-antigen, we analyzed the in vivo function of Tregs in C57BL/6 (B6) mice receiving A2-expressing heart allografts. A2-CAR Treg infusion increased the median survival of grafts from B6.HLA-A2 transgenic donors from 23 to 99 days, whereas median survival with polyclonal Treg infusion was 35 days. In a more stringent model of haplo-mismatched hearts from BALB/cxB6.HLA-A2 F1 donors, A2-CAR Tregs slightly increased median graft survival from 11 to 14 days, which was further extended to >100 days when combined with a 9-day course of rapamycin treatment. These findings demonstrate the efficacy of CAR Tregs, alone or in combination with immunosuppressive agents, toward protecting vascularized grafts in fully immunocompetent recipients.

Indexed as

Receptors, Chimeric AntigenAllograftsAnimalsGraft RejectionGraft SurvivalHLA-A2 AntigenIsoantigensMiceMice, Inbred BALB CMice, Inbred C57BLT-Lymphocytes, RegulatoryHLA-A2 AntigenIsoantigensReceptors, Chimeric Antigenalloantigenanimal models: murinebasic (laboratory) research/sciencegraft survivalimmune regulationimmunobiologyimmunosuppression/immune modulationsolid organ transplantationT cell biology

Identifiers

PMID35434896
PMCPMC9427704
OpenAlexW4223914941

What OpenQuestion holds

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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.