Evidence map›Paper›PMID 36069577›Full record

ArticleClinical transplantation2022

Role of time from transplantation to biopsy in histologic ABMR: A single center report.

Jorge Chancay, Caroline Liu, Kinsuk Chauhan, Lisa Andersen, Cynthia Harris, Steven Coca, Veronica Delaney, Fasika Tedla, Graciela De Boccardo, Vinita Sehgal and 9 more

Open access · greenAbstract 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
1.0field-weighted citation impact, top 26% 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. Donor-derived cell-free DNA monitoring for early diagnosis of antibody-mediated rejection after kidney transplantation: a randomized trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Trial
  2. Review
  3. Review
  4. Re-Evaluating the Transplant Glomerulopathy Lesion-Beyond Donor-Specific Antibodies.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

19 authors at 4 institutions in 1 country.

Jorge ChancayDivision of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Caroline LiuIcahn School of Medicine at Mount Sinai, New York, New York, USA.
Kinsuk ChauhanDivision of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Lisa AndersenIcahn School of Medicine at Mount Sinai, New York, New York, USA.
Cynthia HarrisTransplant Center at Massachusetts General Hospital, Harvard Medical School, Cambridge, Massachusetts, USA.
Steven CocaDivision of Nephrology, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Veronica DelaneyRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Fasika TedlaRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0003-2695-9570
Graciela De BoccardoRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Vinita SehgalRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Dennis MoledinaYale New Haven Transplantation Center, Yale School of Medicine, New Haven, Connecticut, USA.
Richard FormicaYale New Haven Transplantation Center, Yale School of Medicine, New Haven, Connecticut, USA.
Anand ReghuvaranYale New Haven Transplantation Center, Yale School of Medicine, New Haven, Connecticut, USA.
Khadija BanuYale New Haven Transplantation Center, Yale School of Medicine, New Haven, Connecticut, USA.
Sander FlormanRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID 0000-0002-1635-9136
Enver AkalinMontefiore Einstein Center for Transplantation, Albert Einstein College of Medicine, Bronx, New York, USA.
Ron ShapiroTransplant Center at Massachusetts General Hospital, Harvard Medical School, Cambridge, Massachusetts, USA.
Fadi SalemRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Madhav C MenonRecanati/Miller Transplantation Institute, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Icahn School of Medicine at Mount Sinai · USYale Cancer Center · USHarvard University · USAlbert Einstein College of Medicine · US

Funding

Noninvasive Markers and Transplant Outcome in HumansU01AI063594 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HEEGER, PETER SCOTT · 2004 to 2022
$66.5M
Dichotomous roles of Shroom3 in Tubular cells and Podocytes in native and allograft kidneysR01DK122164 · NIDDK · YALE UNIVERSITY · PI Madhav C Menon · 2019 to 2026
$2.7M
Role of AMP-kinase pathway in the regulation of Minimal change disease-to-FSGS transitionR01DK132274 · NIDDK · YALE UNIVERSITY · PI Madhav C Menon · 2023 to 2026
$2.1M
NIAID NIH HHS U01 AI063594NIDDK NIH HHS R01 DK122164NIDDK NIH HHS R01 DK132274NIH HHS RO1DK122164
6 · The paper itself

Abstract

backgroundAllograft biopsies with lesions of Antibody-Mediated Rejection (ABMR) with Microvascular Inflammation (MVI) have shown heterogeneous etiologies and outcomes.

methodsTo examine factors associated with outcomes in biopsies that meet histologic ABMR criteria, we retrospectively evaluated for-cause biopsies at our center between 2011 and 2017. We included biopsies that met the diagnosis of ABMR by histology, along with simultaneous evaluation for anti-Human Leukocyte Antigen (HLA) donor-specific antibodies (DSA). We evaluated death-censored graft loss (DCGL) and used a principal component analysis (PCA) approach to identify key predictors of outcomes.

resultsOut of the histologic ABMR cohort (n = 118), 70 were DSA-positive ABMR, while 48 had no DSA. DSA(+)ABMR were younger and more often female recipients. DSA(+)ABMR occurred significantly later post-transplant than DSA(-)ABMR suggesting time-dependence. DSA(+)ABMR had higher inflammatory scores (i,t), chronicity scores (ci, ct) and tended to have higher MVI scores. Immunodominance of DQ-DSA in DSA(+)ABMR was associated with higher i+t scores. Clinical/histologic factors significantly associated with DCGL after biopsy were inputted into the PCA. Principal component-1 (PC-1), which contributed 34.8% of the variance, significantly correlated with time from transplantation to biopsy, ci/ct scores and DCGL. In the PCA analyses, i, t scores, DQ-DSA, and creatinine at biopsy retained significant correlations with GL-associated PCs.

conclusionsTime from transplantation to biopsy plays a major role in the prognosis of biopsies with histologic ABMR and MVI, likely due to ongoing chronic allograft injury over time.

Indexed as

Kidney TransplantationAntibodiesBiopsyFemaleGraft RejectionHumansInflammationIsoantibodiesPrognosisRetrospective StudiesAntibodiesIsoantibodiesbiopsyclassification systems: Banff classificationrejection: antibody-mediated (ABMR)

Identifiers

PMID36069577
PMCPMC10211409
OpenAlexW4294921612

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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.