Evidence map›Paper›PMID 35794392›Full record

ArticleLung2022

Cytomegalovirus Infection Is Associated with Development of Chronic Lung Allograft Dysfunction.

David Bennett, Laura Bergantini, Pierluigi Ferrara, Maria Grazia Cusi, Sabino Scolletta, Francesca Montagnani, Piero Paladini, Piersante Sestini, Rosa Metella Refini, Luca Luzzi and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Lung, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Anellovirus-mediated interferon dysregulation enhances virus-induced lung injury.American journal of respiratory cell and molecular biology · 2026
    Article
  3. Cytomegalovirus infection after lung transplant: Incidence, risk factors, and management in a multicenter cohort.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
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  12. Fibrotic progression from acute cellular rejection is dependent on secondary lymphoid organs in a mouse model of chronic lung allograft dysfunction.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
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  14. Observational
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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

12 authors at 1 institution in 1 country.

David BennettRespiratory Diseases Unit, University Hospital of Siena (AOUS), Viale Bracci, 16, 53100, Siena, Italy. david.btt@gmail.com.
Laura BergantiniRespiratory Diseases Unit, University Hospital of Siena (AOUS), Viale Bracci, 16, 53100, Siena, Italy.
Pierluigi FerraraRespiratory Diseases Unit, University Hospital of Siena (AOUS), Viale Bracci, 16, 53100, Siena, Italy.
Maria Grazia CusiVirology Unit, University Hospital of Siena (AOUS), Siena, Italy.
Sabino ScollettaDepartment of Medical and Surgical Sciences & Neurosciences, University of Siena, Siena, Italy.
Francesca MontagnaniDepartment of Medical Biotechnologies, University of Siena, Siena, Italy.
Piero PaladiniDepartment of Medical and Surgical Sciences & Neurosciences, University of Siena, Siena, Italy.
Piersante SestiniRespiratory Diseases Unit, University Hospital of Siena (AOUS), Viale Bracci, 16, 53100, Siena, Italy.
Rosa Metella RefiniRespiratory Diseases Unit, University Hospital of Siena (AOUS), Viale Bracci, 16, 53100, Siena, Italy.
Luca LuzziDepartment of Medical and Surgical Sciences & Neurosciences, University of Siena, Siena, Italy.
Antonella FossiRespiratory Diseases Unit, University Hospital of Siena (AOUS), Viale Bracci, 16, 53100, Siena, Italy.
Elena BargagliRespiratory Diseases Unit, University Hospital of Siena (AOUS), Viale Bracci, 16, 53100, Siena, Italy.
University of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCytomegalovirus (CMV) is the major and most common opportunistic infection complicating lung transplant (LTX). The aim of this study was to analyse the epidemiological aspects of CMV infection in lung transplant patients subject to a pre-emptive anti-CMV approach and to study the impact of this infection on lung transplant outcome, in terms of onset of chronic lung allograft dysfunction (CLAD).

methodsThis single-centre retrospective study enrolled 87 LTX patients (median age 55.81 years; 41 females, 23 single LTX, 64 bilateral LTX). All patients were managed with a pre-emptive anti-CMV approach. The incidences of the first episode of CMV infection, 1, 3, 6 and 12 months after LTX, were 12.64%, 44.26%, 50.77% and 56.14%. A median interval of 41 days elapsed between LTX and the first episode of CMV infection. The median blood load of CMV-DNA at diagnosis was 20,385 cp/ml; in 67.64% of cases, it was also the peak value. Patients who had at least one episode had shorter CLAD-free survival. Patients who had three or more episodes of CMV infection had the worst outcome.

resultsCMV infection was confirmed to be a common event in lung transplant patients, particularly in the first three months after transplant. It had a negative impact on transplant outcome, being a major risk factor for CLAD. The hypothesis that lower viral replication thresholds may increase the risk of CLAD is interesting and deserves further investigation.

Indexed as

Cytomegalovirus InfectionsLung TransplantationAllograftsAntiviral AgentsCytomegalovirusFemaleHumansLungMiddle AgedRetrospective StudiesAntiviral AgentsChronic lung allograft dysfunctionClinical outcomeCytomegalovirusLung transplant

Identifiers

PMID35794392
PMCPMC9360074
OpenAlexW4284896792

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.