Evidence map›Paper›PMID 37311769›Full record

ArticleNature communications2023

Clinical and molecular correlation defines activity of physiological pathways in life-sustaining kidney xenotransplantation.

Daniel J Firl, Grace Lassiter, Takayuki Hirose, Robert Policastro, Ashley D'Attilio, James F Markmann, Tatsuo Kawai, Katherine C Hall

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
10.2field-weighted citation impact, top 1% 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

18 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
  2. Xenotransplantation: Promises and Perils.Annual review of medicine · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Article
  10. Immunometabolism of Liver Xenotransplantation and Prospective Solutions.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. A Comparison BetweenCell transplantation
    Article
  17. Article
  18. 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

8 authors at 3 institutions in 1 country.

Daniel J Firl *Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-7993-6167
Grace Lassiter *Center for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, USA.
Takayuki HiroseCenter for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0001-7950-0961
Robert PolicastroeGenesis Inc, Cambridge, MA, USA.
Ashley D'AttilioCenter for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, USA.
James F MarkmannCenter for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-2762-6535
Tatsuo KawaiCenter for Transplantation Sciences, Massachusetts General Hospital, Boston, MA, USA.ORCID 0000-0002-6900-4603
Katherine C HalleGenesis Inc, Cambridge, MA, USA. Katherine.hall@egenesisbio.com.ORCID 0000-0003-1091-6074
Massachusetts General Hospital · USElectrical Geodesics (United States) · USGenesis Foundation · US

Funding

TRAINING IN TRANSPLANTATION BIOLOGYT32AI007529 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI MADSEN, JOREN C · 1998 to 2024
$6.4M
NIAID NIH HHS T32 AI007529
6 · The paper itself

Abstract

Porcine kidney xenotransplantation is accelerating towards clinical translation. However, despite the demonstrated ability of porcine kidneys to remove metabolic waste products, questions remain about their ability to faithfully recapitulate renal endocrine functions after transplantation. Here we analyze xenograft growth and function of two kidney dependent endocrine pathways in seventeen cynomolgus macaques after kidney xenotransplantation from gene edited Yucatan minipigs. Xenograft growth, the renin-angiotensinogen aldosterone-system, and the calcium-vitamin D-parathyroid hormone axis are assessed using clinical chemistries data, renin activity and beta-C-terminal-telopeptide assays, kidney graft RNA-sequencing and serial ultrasonography. We demonstrate that xenografts transplanted from minipigs show only modest growth and do not substantially contribute to recipient RAAS pathway activity. However, parathyroid hormone-independent hypercalcemia and hypophosphatemia are observed, suggesting a need for close monitoring and timely intervention during human testing. Further study of these phenotypes is warranted in designing prospective clinical trials.

Indexed as

KidneyReninAnimalsHumansMacaca fascicularisProspective StudiesSwineSwine, MiniatureTransplantation, HeterologousRenin

Identifiers

PMID37311769
PMCPMC10264453
OpenAlexW4380537922

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.